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발등굽힘근 촉진 다이나믹 테이핑이 발 처짐이 있는 뇌졸중 환자의 정적, 동적 균형과 보행 속도에 미치는 즉각적 효과

Immediate Effects of Ankle Dorsiflexor Facilitation Dynamic Taping on Static and Dynamic Balance and Gait Speed in Stroke Patients With Foot Drop

  • 임진구 (대전대학교 대학원 물리치료학과) ;
  • 김선엽 (대전대학교 보건의료과학대학 물리치료학과)
  • Im, Jin-gu (Department of Physical Therapy, Graduate School, Daejeon University) ;
  • Kim, Suhn-yeop (Department of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 투고 : 2021.10.12
  • 심사 : 2021.11.01
  • 발행 : 2022.02.20

초록

Background: Foot drop is a common symptom in stroke patients. Tape applications are widely used to manage foot drop symptoms. Previous studies have evaluated the effects of static and dynamic balance and gait on foot drop using kinesiology tape; however, only few studies have used dynamic tape application in stroke patients with foot drop. Objects: The purpose of this study was to investigate the immediate effects of dynamic taping, which facilitates the dorsiflexor muscle, on static and dynamic balance and gait speed in stroke patients with foot drop. Methods: The study included 34 voluntary patients (17 men, 17 women) with stroke. The patients were randomly assigned to the experimental group (n = 17), wherein dynamic taping was used to facilitate the dorsiflexor muscle, or the control group (n = 17), wherein kinesiology taping was used. Before the taping application, velocity average, path-length average, Berg balance scale, and timed up and go test (TUG) were recorded to measure static and dynamic balance, whereas the 10-meter walk test (10MWT) was used to measure gait speed. After the taping application, these parameters were re-evaluated in both groups. Repeated measure analysis of variance was used. Statistical significance levels were set to α = 0.05. Results: Except for the 10MWT scores in the control group, significant differences were noted in all the parameters measured for static and dynamic balance and gait speed between the pre and post-test (p < 0.05). However, the parameters showed significant interaction effects between group and time in the TUG and 10MWT (p < 0.01). Conclusion: These results indicate that compared with kinesiology taping, dynamic taping used in chronic stroke patients with foot drop had a more significant effect on dynamic balance and gait speed.

키워드

참고문헌

  1. Sacco RL, Kasner SE, Broderick JP, Caplan LR, Connors JJ, Culebras A, et al.; American Heart Association Stroke Council, Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology and Prevention; Council on Peripheral Vascular Disease; Council on Nutrition, Physical Activity and Metabolism. An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2013;44(7):2064-89. https://doi.org/10.1161/STR.0b013e318296aeca
  2. Dobkin BH. Clinical practice. Rehabilitation after stroke. N Engl J Med 2005;352(16):1677-84. https://doi.org/10.1056/NEJMcp043511
  3. Jaraczewska E, Long C. Kinesio taping in stroke: improving functional use of the upper extremity in hemiplegia. Top Stroke Rehabil 2006;13(3):31-42. https://doi.org/10.1310/33KA-XYE3-QWJB-WGT6
  4. Dickstein R, Nissan M, Pillar T, Scheer D. Foot-ground pressure pattern of standing hemiplegic patients. Major characteristics and patterns of improvement. Phys Ther 1984;64(1):19-23. https://doi.org/10.1093/ptj/64.1.19
  5. Runge CF, Shupert CL, Horak FB, Zajac FE. Ankle and hip postural strategies defined by joint torques. Gait Posture 1999;10(2):161-70. https://doi.org/10.1016/S0966-6362(99)00032-6
  6. Laufer Y, Hausdorff JM, Ring H. Effects of a foot drop neuroprosthesis on functional abilities, social participation, and gait velocity. Am J Phys Med Rehabil 2009;88(1):14-20. https://doi.org/10.1097/PHM.0b013e3181911246
  7. Simonsen EB, Moesby LM, Hansen LD, Comins J, Alkjaer T. Redistribution of joint moments during walking in patients with drop-foot. Clin Biomech (Bristol, Avon) 2010;25(9):949-52. https://doi.org/10.1016/j.clinbiomech.2010.06.013
  8. Dunning K, O'Dell MW, Kluding P, McBride K. Peroneal stimulation for foot drop after stroke: a systematic review. Am J Phys Med Rehabil 2015;94(8):649-64. https://doi.org/10.1097/PHM.0000000000000308
  9. Sheffler LR, Hennessey MT, Naples GG, Chae J. Peroneal nerve stimulation versus an ankle foot orthosis for correction of footdrop in stroke: impact on functional ambulation. Neurorehabil Neural Repair 2006;20(3):355-60. https://doi.org/10.1177/1545968306287925
  10. Voigt M, Sinkjaer T. Kinematic and kinetic analysis of the walking pattern in hemiplegic patients with foot-drop using a peroneal nerve stimulator. Clin Biomech (Bristol, Avon) 2000;15(5):340-51. https://doi.org/10.1016/S0268-0033(99)00082-0
  11. Karniel N, Raveh E, Schwartz I, Portnoy S. Functional electrical stimulation compared with ankle-foot orthosis in subacute post stroke patients with foot drop: a pilot study. Assist Technol 2021;33(1):9-16. https://doi.org/10.1080/10400435.2019.1579269
  12. Shendkar CV, Lenka PK, Biswas A, Kumar R, Mahadevappa M. Therapeutic effects of functional electrical stimulation on gait, motor recovery, and motor cortex in stroke survivors. Hong Kong Physiother J 2015;33(1):10-20. https://doi.org/10.1016/j.hkpj.2014.10.003
  13. Shin YJ, Lee JH, Choe YW, Kim MK. Immediate effects of ankle eversion taping on gait ability of chronic stroke patients. J Bodyw Mov Ther 2019;23(3):671-7. https://doi.org/10.1016/j.jbmt.2018.06.008
  14. McNeill W, Pedersen C. Dynamic tape. Is it all about controlling load? J Bodyw Mov Ther 2016;20(1):179-88. https://doi.org/10.1016/j.jbmt.2015.12.009
  15. Park SY, Kim SM, Kendrick R. Dynamic taping. Seoul: PAN-MUNEDU; 2020.
  16. Bae YH, Kim HG, Min KS, Lee SM. Effects of lower-leg kinesiology taping on balance ability in stroke patients with foot drop. Evid Based Complement Alternat Med. 2015;2015:125629.
  17. Yeung LF, Ockenfeld C, Pang MK, Wai HW, Soo OY, Li SW, et al. Randomized controlled trial of robot-assisted gait training with dorsiflexion assistance on chronic stroke patients wearing ankle-foot-orthosis. J Neuroeng Rehabil 2018;15(1):51. https://doi.org/10.1186/s12984-018-0394-7
  18. Kim EJ, Lee KB. The effects of kinesio taping applying to foot and ankle joints on foot pressure and gait in patients with chronic stroke. J Korean Soc Neurother 2019;23(2):1-6.
  19. Huang T, Kim S. The effectiveness of upper limb offload dynamic taping technique on scapular muscles activation during elevation in healthy subjects. Phys Ther Korea 2020; 27(2):93-101. https://doi.org/10.12674/ptk.2020.27.2.93
  20. Robinson NA, Spratford W, Welvaert M, Gaida J, Fearon AM. Does dynamic tape change the walking biomechanics of women with greater trochanteric pain syndrome? A blinded randomised controlled crossover trial. Gait Posture 2019;70: 275-83. https://doi.org/10.1016/j.gaitpost.2019.02.031
  21. Joo M, Lee Y, Hwang J, Kim S. The effect of joint taping and muscle taping on dynamic balance and gait in patents with chronic stroke. J Korean Soc Integr Med 2019;7(2):77-84. https://doi.org/10.15268/KSIM.2019.7.2.077
  22. Yang S, Oh Y, Jeon Y, Park D. Test-retest reliability of sit-tostand and gait assessment using the Wii Balance Board. Phys Ther Korea 2016;23(3):40-7. https://doi.org/10.12674/ptk.2016.23.3.040
  23. Clark RA, Bryant AL, Pua Y, McCrory P, Bennell K, Hunt M. Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance. Gait Posture 2010;31(3):307-10. https://doi.org/10.1016/j.gaitpost.2009.11.012
  24. Holmes JD, Jenkins ME, Johnson AM, Hunt MA, Clark RA. Validity of the Nintendo Wii® balance board for the assessment of standing balance in Parkinson's disease. Clin Rehabil 2013;27(4):361-6. https://doi.org/10.1177/0269215512458684
  25. Mazaheri M, Salavati M, Negahban H, Sanjari MA, Parnianpour M. Postural sway in low back pain: effects of dual tasks. Gait Posture 2010;31(1):116-21. https://doi.org/10.1016/j.gaitpost.2009.09.009
  26. Park DS, Lee G. Validity and reliability of balance assessment software using the Nintendo Wii balance board: usability and validation. J Neuroeng Rehabil 2014;11:99. https://doi.org/10.1186/1743-0003-11-99
  27. Shiravi Z, Talebian Moghadam S, Hadian MR, Olyaei G. Effect of cognitive task on postural control of the patients with chronic ankle instability during single and double leg standing. J Bodyw Mov Ther 2017;21(1):58-62. https://doi.org/10.1016/j.jbmt.2016.05.001
  28. Berg K, Wood-Dauphinee S, Williams JI. The Balance Scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med 1995;27(1):27-36.
  29. Bogle Thorbahn LD, Newton RA. Use of the Berg Balance Test to predict falls in elderly persons. Phys Ther 1996;76(6):576-83; discussion 584-5. https://doi.org/10.1093/ptj/76.6.576
  30. Berg KO, Maki BE, Williams JI, Holliday PJ, Wood-Dauphinee SL. Clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehabil 1992;73(11):1073-80.
  31. Mathias S, Nayak US, Isaacs B. Balance in elderly patients: the "get-up and go" test. Arch Phys Med Rehabil 1986;67(6):387-9.
  32. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39(2):142-8. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  33. Fritz S, Lusardi M. White paper: "walking speed: the sixth vital sign". J Geriatr Phys Ther 2009;32(2):46-9.
  34. Watson MJ. Refining the ten-metre walking test for use with neurologically impaired people. Physiotherapy 2002;88(7):386-97. https://doi.org/10.1016/S0031-9406(05)61264-3
  35. Dean CM, Richards CL, Malouin F. Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial. Arch Phys Med Rehabil 2000;81(4):409-17. https://doi.org/10.1053/mr.2000.3839
  36. Rossier P, Wade DT. Validity and reliability comparison of 4 mobility measures in patients presenting with neurologic impairment. Arch Phys Med Rehabil 2001;82(1):9-13. https://doi.org/10.1053/apmr.2001.9396
  37. Park D, Lee KS. Effects of talus stabilization taping versus ankle kinesio taping in patients with chronic stroke: a randomized controlled trial. J Exerc Rehabil 2019;15(6):775-80. https://doi.org/10.12965/jer.1938642.321
  38. Park SJ, Kim SY. The effect of scapular Dynamic Taping on pain, disability, upper body posture and range of motion in the postoperative shoulder. J Korean Soc Phys Med 2018;13(4):149-62. https://doi.org/10.13066/kspm.2018.13.4.149
  39. Alahmari KA, Rengaramanujam K, Reddy RS, Samuel PS, Tedla JS, Kakaraparthi VN, et al. The immediate and short-term effects of dynamic taping on pain, endurance, disability, mobility and kinesiophobia in individuals with chronic nonspecific low back pain: a randomized controlled trial. PLoS One 2020;15:e0239505. https://doi.org/10.1371/journal.pone.0239505
  40. Simoneau GG, Degner RM, Kramper CA, Kittleson KH. Changes in ankle joint proprioception resulting from strips of athletic tape applied over the skin. J Athl Train 1997;32(2):141-7.
  41. Goh HT, Nadarajah M, Hamzah NB, Varadan P, Tan MP. Falls and fear of falling after stroke: a case-control study. PM R 2016;8(12):1173-80. https://doi.org/10.1016/j.pmrj.2016.05.012
  42. Choi Y, Kim D, Lee I, Cho H. Effect of paretic ankle kinesiotaping on balance and gait in patients with stroke. J Korea Soc Neurother 2020;24(2):23-9.
  43. Farias BB. Os efeitos da aplicacao de dynamic tape no membro inferior de um paciente com sequelas de acidente vascular encefalico - estudo de caso. Porto, Universidade Fernando Pessoa, Bachelor's thesis. 2015. Portuguese.