DOI QR코드

DOI QR Code

Effect of Treadmill Training with Ankle Joint Taping on Gait Function and Balance Ability in Patients with Subacute Stroke: A Randomized, Controlled, Preliminary Trial

  • Gill, Yeong-Jin (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Oh, Se-Jung (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Cha, Yong-Jun (Dept. of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 투고 : 2021.11.03
  • 심사 : 2021.12.12
  • 발행 : 2022.02.28

초록

PURPOSE: This study examined the effects of treadmill training with taping on the affected ankle joint on the gait and balancing ability in patients with sub-acute stroke. METHODS: Nineteen patients with sub-acute hemiplegic stroke in a rehabilitation hospital were assigned randomly to either the experimental group (n = 10), who received treadmill training with taping on the affected ankle joint or the control group (n = 9), who received general treadmill training. All participants performed 60 min of comprehensive rehabilitation therapy (five sessions per week for four weeks). Each group received treadmill training with or without taping on the affected ankle joint for 20 min (three sessions per week for four weeks). The gait and balancing ability were measured before and after the four-week training. RESULTS: Post-training scores of 10-meter walk test (10 MWT), timed up and go (TUG) test, and center of pressure (COP) path length and velocity for the experimental group increased significantly compared to that pre-training (p < .05). The experimental group showed a larger decrease in the 10 MWT and TUG test than the control group (-3.5 s vs. -1.01 s, p < .05; -4.9 s vs. -1.7 s, p < .05; respectively) CONCLUSION: Treadmill training with taping on the affected ankle joint might improve the gait and balancing ability of stroke patients and is considered a more effective method for improving gait and balancing ability than the method of general treadmill training.

키워드

참고문헌

  1. Haruyama K, Kawakami M, Otsuka T. Effect of Core Stability Training on Trunk Function, Standing Balance, and Mobility in Stroke Patients. Neurorehabil Neural Repair. 2017;31(3):240-9. https://doi.org/10.1177/1545968316675431
  2. Yang YR, Tsai MP, Chuang TY, et al. Virtual reality-based training improves community ambulation in individuals with stroke: a randomized controlled trial. Gait Posture. 2008;28(2):201-6. https://doi.org/10.1016/j.gaitpost.2007.11.007
  3. Csapo R, Alegre LM. Effects of Kinesio(®) taping on skeletal muscle strength-A meta-analysis of current evidence. J Sci Med Sport. 2015;18(4):450-6. https://doi.org/10.1016/j.jsams.2014.06.014
  4. Granat MH, Maxwell DJ, Ferguson AC, et al. Peroneal stimulator; evaluation for the correction of spastic drop foot in hemiplegia. Arch Phys Med Rehabil. 1996;77(1): 19-24. https://doi.org/10.1016/S0003-9993(96)90214-2
  5. Horstman AM, Beltman MJ, Gerrits KH, et al. Intrinsic muscle strength and voluntary activation of both lower limbs and functional performance after stroke. Clin Physiol Funct Imaging. 2008;28(4):251-61. https://doi.org/10.1111/j.1475-097X.2008.00802.x
  6. Runge CF, Shupert CL, Horak FB, et al. 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
  7. Menz HB, Lord SR, Fitzpatrick RC. Acceleration patterns of the head and pelvis when walking on level and irregular surfaces. Gait Posture. 2003;18(1):35-46. https://doi.org/10.1016/S0966-6362(02)00159-5
  8. Laufer Y. The effect of walking aids on balance and weight-bearing patterns of patients with hemiparesis in various stance positions. Phys Ther. 2003;83(2):112-22. https://doi.org/10.1093/ptj/83.2.112
  9. Wong AM, Pei YC, Hong WH, et al. Foot contact pattern analysis in hemiplegic stroke patients: an implication for neurologic status determination. Arch Phys Med Rehabil. 2004;85(10):1625-30. https://doi.org/10.1016/j.apmr.2003.11.039
  10. Chu KS, Eng JJ, Dawson AS, et al. Water-based exercise for cardiovascular fitness in people with chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2004;85(6):870-4. https://doi.org/10.1016/j.apmr.2003.11.001
  11. Kim W. The effects of clinical characteristics of chronic stroke patients on physiological cost index during walking. Korean Research Society of Physical Therapy. 2006;13(1): 32-7.
  12. Guerra Padilla M, Molina Rueda F, Alguacil Diego IM. Effect of ankle-foot orthosis on postural control after stroke: a systematic review. Neurologia. 2014;29(7): 423-32. https://doi.org/10.1016/j.nrleng.2011.10.014
  13. Grampurohit N, Pradhan S, Kartin D. Efficacy of adhesive taping as an adjunt to physical rehabilitation to influence outcomes post-stroke: a systematic review. Top Stroke Rehabil. 2015;22(1):72-82. https://doi.org/10.1179/1074935714Z.0000000031
  14. Wist S, Clivaz J, Sattelmayer M. Muscle strengthening for hemiparesis after stroke: A meta-analysis. Ann Phys Rehabil Med. 2016;59(2):114-24. https://doi.org/10.1016/j.rehab.2016.02.001
  15. Kim Y, Lai B, Mehta T, et al. Exercise Training Guidelines for Multiple Sclerosis, Stroke, and Parkinson Disease: Rapid Review and Synthesis. Am J Phys Med Rehabil. 2019;98(7):613-21. https://doi.org/10.1097/PHM.0000000000001174
  16. Guner S, Alsancak S, Koz M. Effect of two different kinesio taping techniques on knee kinematics and kinetics in young females. J Phys Ther Sci. 2015;27(10):3093-6. https://doi.org/10.1589/jpts.27.3093
  17. Macgregor K, Gerlach S, Mellor R, et al. Cutaneous stimulation from patella tape causes a differential increase in vasti muscle activity in people with patellofemoral pain. J Orthop Res. 2005;23(2):351-8. https://doi.org/10.1016/j.orthres.2004.07.006
  18. Kim WI, Choi YK, Lee JH, et al. The effect of muscle facilitation using kinesio taping on walking and balance of stroke patients. J Phys Ther Sci. 2014;26(11):1831-4. https://doi.org/10.1589/jpts.26.1831
  19. Moseley AM, Stark A, Cameron ID, et al. Treadmill training and body weight support for walking after stroke. Stroke. 2003;34(12):3006. https://doi.org/10.1161/01.str.0000102415.43108.66
  20. Enam N, Veerubhotla A, Ehrenberg N, et al. Augmented-reality guided treadmill training as a modality to improve functional mobility post-stroke: A proof-of-concept case series. Top Stroke Rehabil. 2021;28(8): 624-30. https://doi.org/10.1080/10749357.2020.1864987
  21. Park SH, Cha YH, Choi YH. Effects of treadmill walking training with randomized walking speed on pulmonary function in persons with chronic stroke. J Korean Soc Phys Med. 2016;11(4):71-8.
  22. Choi SH, Lim CG. Immediate Effects of Ankle Non-elastic Taping on Balance and Gait Ability in Patients With Chronic Stroke: A Randomized, Controlled Trial. J Manipulative Physiol Ther. 2020;43(9):922-9. https://doi.org/10.1016/j.jmpt.2019.12.007
  23. Park SJ, Kim TH, Oh S. Immediate Effects of Tibialis Anterior and Calf Muscle Taping on Center of Pressure Excursion in Chronic Stroke Patients: A Cross-Over Study. Int J Environ Res Public Health. 2020;17(11):4109. https://doi.org/10.3390/ijerph17114109
  24. Park JE, Lee JH, Cha YJ. The effect of treadmill gait training in an adjusted position from functional training system on chronic stroke patients' walking and balance ability. J Korean Soc Phys Med. 2017;12(1):35-42. https://doi.org/10.13066/kspm.2017.12.1.35
  25. Yazici G, Guclu-Gunduz A, Bayraktar D, et al. Does correcting position and increasing sensorial input of the foot and ankle with Kinesio Taping improve balance in stroke patients? NeuroRehabilitation. 2015;36(3): 345-53. https://doi.org/10.3233/NRE-151223
  26. Choi YK, Nam CW, Lee JH, et al. The Effects of Taping Prior to PNF Treatment on Lower Extremity Proprioception of Hemiplegic Patients. J Phys Ther Sci. 2013;25(9): 1119-22. https://doi.org/10.1589/jpts.25.1119
  27. Scherr J, Wolfarth B, Christle JW, et al. Associations between Borg's rating of perceived exertion and physiological measures of exercise intensity. Eur J Appl Physiol. 2013;113(1):147-55. https://doi.org/10.1007/s00421-012-2421-x
  28. 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
  29. van Loo MA, Moseley AM, Bosman JM, et al. Test-re-test reliability of walking speed, step length and step width measurement after traumatic brain injury: a pilot study. Brain Inj. 2004;18(10):1041-8. https://doi.org/10.1080/02699050410001672314
  30. Peters DM, Middleton A, Donley JW, et al. Concurrent validity of walking speed values calculated via the GAITRite electronic walkway and 3 meter walk test in the chronic stroke population. Physiother Theory Pract. 2014;30(3):183-8. https://doi.org/10.3109/09593985.2013.845805
  31. 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
  32. Park DS, Lee DY, Choi SJ, et al. Reliability and validity of the Balancia using Wii balance board for assessment of balance with stroke patients. Journal of the Korea Academia-Industrial Cooperation Society. 2013;14(6): 2767-72. https://doi.org/10.5762/KAIS.2013.14.6.2767
  33. Jackson K, Simon JE, Docherty CL. Extended use of Kinesiology Tape and Balance in Participants with Chronic Ankle Instability. J Athl Train. 2016;51(1):16-21. https://doi.org/10.4085/1062-6050-51.2.03
  34. Choi YS, Kim DW, Jung SM, et al. Effects of paretic ankle kinesio-taping on lower leg muscles activity and gait in chronic stroke patients. Neurotherapy. 2021; 25(2):51-9.
  35. Kim NH, Park HY, Son JK, et al. Comparison of underwater gait training and overground gait training for improving the walking and balancing ability of patients with severe hemiplegic stroke: A randomized controlled pilot trial. Gait Posture. 2020;80:124-9. https://doi.org/10.1016/j.gaitpost.2020.05.022
  36. Abian-Vicen J, Algre LM, Fernandez-Rodriguez JM, et al. Ankle taping does not impair performance in jump or balance tests. J Sports Sci Med. 2008;7(3):350-6.
  37. Kwak WR. The effects of taping methods applied onto ankle joint on the balance and gait of stroke patients. Master's Degree. Daegu University. 2012.