Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Kinesio Taping of Tibialis Anterior Combined with Cognitive Dual-Task Training on Balance and Gait Ability in Post-Stroke Patients

앞정강근의 키네지오 테이핑을 병행한 인지이중과제 훈련이 뇌졸중 환자의 균형 및 보행능력에 미치는 영향

  • Jae-Yong Chol (Department of Physical Therapy, Kyungbuk College) ;
  • Kyung-Hun Kim (Department of Physical Therapy, Daejeon Health University)
  • 최재용 (경북전문대학교 물리치료과) ;
  • 김경훈 (대전보건대학교 물리치료학과)
  • Received : 2024.01.19
  • Accepted : 2024.02.23
  • Published : 2024.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: This study examined the effects of kinesio taping of tibialis anterior combined with cognitive dual-task training on balance and gait ability in post-stroke patients. METHODS: This study was a single-blinded, randomized control design. Thirty post-stroke patients were allocated randomly to two groups: 1) kinesio taping of tibialis anterior combined with cognitive dual-task training (KTCDT group, n = 15) and cognitive dual-task training (Control group, n = 15). Both groups were given training for 30 minutes, five days a week for four weeks. The Berg balance test and timed up-and-go test were used to measure the balance ability. GaitRite was used to analyze the gait ability. RESULTS: Both groups showed significant improvements in balance and gait ability. The KTCDT group showed significantly greater improvement in balance ability after four weeks than the control group (p < .05). In addition, the KTCDT group showed significantly greater improvement in gait ability after four weeks compared to the control group (p < .05). CONCLUSION: Kinesio taping of the tibialis anterior combined with cognitive dual-task training effectively improves the balance and gait abilities in post-stroke patients.

Keywords

References

  1. Esmaeili V, Juneau A, Dyer JO, et al. Intense and unpredictable perturbations during gait training improve dynamic balance abilities in chronic hemiparetic individuals: a randomized controlled pilot trial. J Neuroeng Rehabil. 2020;17(1):1-13.
  2. Shin JW, Kim KD. The effect of enhanced trunk control on balance and falls through bilateral upper extremity exercises among chronic stroke patients in a standing position. J Phys Ther Sci. 2016;28(1):194-7.
  3. Desmond DW, Moroney JT, Paik MC, et al. Frequency and clinical determinants of dementia after ischemic stroke. Neurology. 2000;54:1124-31.
  4. Li W, Jiang J, Li K, et al. The effects of exercise intervention on cognition and motor function in stroke survivors: a systematic review and meta-analysis. Neurol Sci. 2023;44(6):1891-903.
  5. Einstad MS, Saltvedt I, Lydersen S, et al. Associations between post-stroke motor and cognitive function: a cross-sectional study. BMC Geriatr. 2021;21(1):103.
  6. Silsupadol P, Siu KC, Shumway-Cook A, et al. Training of balance under single- and dual-task conditions in older adults with balance impairment. Phys Ther. 2006;86:269-81.
  7. Paul L, Ellis BM, Leese GP, et al. The effect of a cognitive or motor task on gait parameters of diabetic patients, with and without neuropathy. Diabet Med. 2009;26(3):234-9.
  8. Bowen A, Wenman R, Mickelborough J, et al. Dual task effects of talking while walking on velocity and balance following a stroke. Age Ageing. 2001;30:319-23.
  9. Fritz NE, Cheek FM, Nichols-Larsen DS. Motor-Cognitive Dual-Task training in persons with neurologic disorders: A Systematic Review. J Neurol Phys Ther. 2015;39(3):142-53.
  10. Fok P, Farrell M, McMeeken J. Prioritizing gait in dual-task conditions in people with Parkinson's. Human Mov Sci. 2010;29(5):831-42.
  11. Haggard P, Cockburn J, Cock J, et al. Interference between gait and cognitive tasks in a rehabilitating neurological population. Journal of Neurol Neurosurg Psychiatry. 2000;69:479-86.
  12. Kim GJ, Kim KH. Progressive treadmill cognitive dual-task gait training on the gait ability in patients with chronic stroke. J Exer Rehabil. 2020;14(5):821-8.
  13. O'Shea S, Morris ME, Iansek R. Dual task interference during gait in people with Parkinson disease: effects of motor versus cognitive secondary tasks. Phys Ther. 2002;82:888-97.
  14. Evans JJ, Greenfield E, Wilson BA, et al. Walking and talking therapy: improving cognitive-motor dual-tasking in neurological illness. J Int Neuropsychol Soc, 2009;15(1):112-20.
  15. Dennis A, Dawes H, Elsworth C, et al. Fast walking under cognitive-motor interference conditions in chronic stroke. Brain Research. 2009;1287:104-10.
  16. Campbell FM, Ashburn AM, Pickering RM, et al. Head and pelvic movements during a dynamic reaching task in sitting: implications for physical therapists. Arch Phys Med Rehabil. 2001;82(12): 1655-60.
  17. Dorsch S, Ada L, Canning CG. Lower limb strength is significantly impaired in all muscle groups in ambulatory people with chronic stroke: a cross-sectional study. Arch Phys Med Rehabil. 2016;97(4):522-7.
  18. Aguilar-Ferradiz ME, Moreno-Lorenzo C, Matara-Penrrocha GA, et al. Effect of a mixed kinesio taping compression technique on quality of life and clinical and gait parameters in postmenopausal women with chronic venous insufficiency: double-blinded, randomized controlled trial. Arch Phys Med Rehabil. 2014;95(7):1229-39.
  19. Lee YG, Kim KH. Immediate effects of kinesio taping of tibialis anterior and ankle joint on mobility and balance ability for chronic hemiparesis: randomized controlled cross-sectional design. Physikalische Medizin Rehabiltationsmedizin Kurortmedizin. 2020;30(6):350-7.
  20. Kim KH, Kim DH, In TS. Effects of treadmill training with kinesio taping of tibialis anterior on muscle function, tibialis anterior muscle strength, and gait ability in poststroke patients. Phys Ther Rehabil Sci. 2020;10(3):297-303.
  21. Yang YR, Wang RY, Chen YC, et al. Dual-task exercise improves walking ability in chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2007;88(10):1236-40.
  22. Ditor DS, Macdonald MJ, Kamath MV, et al. The effects of body-weight supported treadmill training on cardiovascular regulation in individuals with motor-complete SCI. Spinal Cord. 2005;43:664-73.
  23. Beauchet O, Dubost V, Aminian K, et al. Dual-task-related gait changes in the elderly: does the type of cognitive task matter?. J Mot Behav. 2005;37:259-64.
  24. Meester D, Al-Yahya E, Dennis A, et al. A randomized controlled trial of a walking training with simultaneous cognitive demand (dual-task) in chronic stroke. Eur J Neurol. 2019;26(3):435-41.
  25. Hollman JH, Kovash FM, Kubik JJ, et al. Age-related differences in spatiotemporal markers of gait stability during dual task walking. Gait Posture. 2007;26:113-9.
  26. Pellecchia GL. Dual-task training reduces impact of cognitive task on postural sway. J Mot Behav. 2005;37(3):239-46.
  27. Berg K, Wood-Dauphine S, Williams JI. Measuring balance in the elderly: preliminary development of an instrument. Physiotherapy Canada. 1989;41(6):304-11.
  28. Berg KO, Wood-Dauphinee SL, Williams JI et al. Measuring balance in the elderly: validation of an instrument. Can J Public Health.1992;83:S7-11.
  29. 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.
  30. van Udan CJ, Besser MP. Test-retest reliability of temporal and spatial gait charachteristics measured with an instrumented walkwat system (GAITRite). BMC Musculoskelet Disord. 2004;5:13.
  31. Tung FL, Yang YR, Lee CC, et al. Balance outcomes after additional sit-to-stand training in subjects with stroke: a randomized controlled trial. Clin Rehabil. 2010;24(6):533-42.
  32. Sim SM, Oh DW, Effect of dual-task training with cognitive motor task on walking and balance functions in patients with chronic stroke: randomized controlled pilot study. Phys Ther Korea, 2015;22(2):11-20.
  33. Zhou Q, Yang H, Zhou Q, et al. Effects of cognitive motor dual-task training on stroke patients: a RCT-based meta-analysis. J Clin Neurosci. 2021;92:175-82.
  34. Yang YR, Chen YC, Lee CS, et al. Dual-task-related gait changes in individuals with stroke. Gait Posture. 2007;25(2):185-90.
  35. Kizony R, Levin MF, Hughey L, et al. Cognitive load and dual-task performance during locomotion poststroke: a feasibility study using a functional virtual environment. Phys Ther. 2010;90:252-60.
  36. Brauer SG, Woollacott M, Shumway-Cook A. The influence of a concurrent cognitive task on the compensatory stepping response to a perturbation in balance-impaired and healthy elders. Gait Posture. 2002;15(1):83-93.
  37. Regnaux JP, David D, Daniel O, et al. Evidence for cognitive processes involved in the control of steady state of walking in healthy subjects and after cerebral damage. Neurorehabil Neural Repair. 2005;19:125-32.