Background: Although it has been commonly used in rehabilitation sets, there is a lack of studies verifying the effects of Kinesio taping to improve functionality in children with Cerebral Palsy (CP). This information would promote evidence-based practice.
Purpose: To verify the effects of Kinesio taping in the performance of sit-to-stand movement in children with unilateral CP.
Methods and materials: A blinded, single placebo-controlled and repeated-measure design. The setting was the rehabilitation clinic of the university and care facilities. A total of 11 children from 6 to 12 years of age (mean: 10.5 years; standard deviation: 2.8 years) and classified as levels I and II by the Gross Motor Function Classification System were included. Kinesio taping was applied over the rectus femoris of the affected limb. Three taping conditions were used: Kinesio taping, without Kinesio taping and placebo. Three seat heights were used: neutral (100%), lowered (80%), and elevated (120%). Muscle activity (electromyography) and trunk and lower limb alignment (kinematics) were evaluated as body structures and function measures. The time required to perform sit-to-stand was used as a functionality measure. Mixed analysis of variation (ANOVA) measured angular variables of the hip, knee, ankle, and rectus femoris activity. Repeated ANOVA measured angular variables of trunk and pelvis and total duration. Significance was accepted for values of p?≤?0.05.
Results: Kinesio taping increased rectus femoris activity, decreased peak flexion of the trunk, knee, hip, and ankle, and increased trunk extension in the end of sit-to-stand when compared with without Kinesio taping and placebo. Total duration was decreased with lower effect sizes.
Conclusions: Immediate application of Kinesio taping modified body structures and function measures during sit-to-stand in children with unilateral CP, but it did not alter functionality.
Implications for Rehabilitation
Evidence-based practice about the use of Kinesio taping in Cerebral Palsy.
Knowledge about alternative rehabilitation techniques in Cerebral Palsy.
Knowledge about sensory stimulation in Cerebral Palsy.
Effectiveness of Kinesio taping in muscle activation.
Gait analysis was performed on 20 patients with unilateral hip prosthesis (3, 6 and 12 months post-operatively) and 20 controls to investigate their gait characteristics and muscle activation patterns. One year after the intervention, patients still walked with a higher percentage of “atypical” cycles, a prolonged heel contact, a shortened flat foot contact, a reduced hip dynamic range of motion and abnormal timing in the muscle activation patterns of tibialis anterior, gastrocnemius lateralis, biceps femoris and gluteus medius, with respect to the control group. Although the gait velocity and the knee range of motion improved from 3 to 6 months post-surgery, the above mentioned parameters did not improve from 6 to 12 months. THA patients failed to obtain normal gait one year after surgery. 相似文献
Introduction: We examined the etiology of the electromyographic (EMG) spectral shift during dynamic fatigue. Methods: Nineteen subjects (mean ± SD age = 22.4 ± 1.6 years) performed 50 consecutive maximal concentric isokinetic contractions of dominant leg extensors. Surface EMG signals were detected from the vastus lateralis, rectus femoris, and vastus medialis during each contraction, processed with a wavelet analysis, and the resulting spectra were decomposed with a nonparametric spectral decomposition procedure. Results: The results indicated that the decreases in EMG frequency during the 50 contractions were generally due to reductions in high‐frequency power and increases in low‐frequency power. In addition, the spectral shifts were most pronounced for the rectus femoris, followed by the vastus lateralis, and then the vastus medialis. Conclusions: The spectral decomposition procedure is much more sensitive for tracking dynamic fatigue than is EMG mean frequency or median frequency. Muscle Nerve 50 : 95–102, 2014 相似文献