The effects of Kinesio® taping on sitting posture,functional independence and gross motor function in children with cerebral palsy

Purpose:?The aim of this study was to investigate the effects of Kinesio® tape (KT) application on sitting posture, gross motor function and the level of functional independence.

Method:?The study included 31 cerebral palsied children scored as level III, IV or V according to gross motor functional classification system (GMFCS). Children were randomly separated into two groups as study (n == 15, receiving KT and physiotherapy) and control (n == 15, receiving only physiotherapy). KT application was carried out for 12 weeks. Gross motor function measure (GMFM), functional independence measure for children (WeeFIM) and Sitting Assessment Scale (SAS) were used to evaluate gross motor function, independency in the activities of daily living and sitting posture, respectively.

Results:?Compared to initial assessments, both groups showed a significant difference in parameters of GMFCS sitting subscale, GMFCS total score and SAS scores (p < 0.05). At the end of 12 weeks, only SAS scores were significantly different in favour of the study group when the groups were compared (p < 0.05). Also, post-intervention WeeFIM scores of the study group were significantly higher compared to initial assessment (p < 0.05), however, no difference was detected in the control group (p > 0.05).

Conclusions:?No direct effects of KT were observed on gross motor function and functional independence, though sitting posture (head, neck, foot position and arm, hand function) was affected positively. These results may imply that in clinical settings KT may be a beneficial assistive treatment approach when combined with physiotherapy.     

肌内效贴扎对髂胫束综合征膝外侧痛患者感觉输入的影响

目的 探讨不同形式肌内效贴扎对髂胫束综合征（ITBS）膝外侧痛患者感觉输入的影响。 方法 共选取30例ITBS膝外侧痛患者作为研究对象,利用等速系统和数字震动感觉检查仪,分别在无贴扎、股外侧肌放松位贴扎、股外侧肌拉伸位贴扎三种条件下,检测ITBS患者膝关节位置觉、运动觉及股骨外侧髁处震动觉数据,并利用光学空间坐标采集系统观察患者在端坐位时其股外侧肌表面皮肤长度变化情况。 结果 30例入选患者其膝关节位置觉被动角度重现测试值（PAR）、运动觉被动运动阈值测量值（TDPM）、股骨外侧髁处皮肤震动感觉阈值（VPT）及股外侧肌表面皮肤长度D0,在NT（无肌内效贴扎）、T1（股外侧肌放松位贴扎）、T2（股外侧肌拉伸位贴扎）三种贴扎条件下均存在统计学差异（P<0.001）,在NT条件下PAR、TDPM及D0数值均最大,在T1条件下上述指标数值次之,在T2条件下上述指标数值最小。在T1及T2条件下,入选患者PAR（T1：r=0.370,T2：r=0.411）、TDPM（T1：r=0.513,T2：r=0.562）及VPT（T1：r=0.492,T2：r=0.599）均与股外侧肌表面皮肤长度具有正相关性（P<0.05）。 结论 肌内效贴扎可能通过产生局部皮肤形变,影响ITBS膝外侧痛患者感觉输入,在肢体拉伸摆位时贴扎可使皮肤产生更显著的各向形变,进而获得更多的感觉输入,有助于改善患者本体感觉功能。     

Kinesio Taping effects on knee extension force among soccer players

Background:

Kinesio Taping (KT) is widely used, however the effects of KT on muscle activation and force are contradictory.

Objective:

To evaluate the effects of KT on knee extension force in soccer players.

Method:

This is a clinical trial study design. Thirty-four subjects performed two maximal isometric voluntary contractions of the lower limbs pre, immediately post, and 24 hours after tape application on the lower limbs. Both lower limbs were taped, using K-Tape and 3M Micropore tape randomly on the right and left thighs of the participants. Isometric knee extension force was measured for dominant side using a strain gauge. The following variables were assessed: peak force, time to peak force, rate of force development until peak force, time to peak rate of force development, and 200 ms pulse.

Results:

There were no statistically significant differences in the variables assessed between KT and Micropore conditions (F=0.645, p=0.666) or among testing sessions (pre, post, and 24h after) (F=0.528, p=0.868), and there was no statistical significance (F=0.271, p=0.986) for interaction between tape conditions and testing session.

Conclusion:

KT did not affect the force-related measures assessed immediately and 24 hours after the KT application compared with Micropore application, during maximal isometric voluntary knee extension.     

肌内效贴对脑卒中患者肩关节半脱位后肩痛的疗效观察

目的:观察肌内效贴对脑卒中患者偏瘫侧肩关节半脱位后肩痛的疗效。方法:56例脑卒中肩关节半脱位后肩痛患者,按照随机数字表法分为治疗组与对照组(各28例),两组患者均实施常规康复治疗及宣教,治疗组在此基础上结合肌内效贴干预。分别于治疗前和治疗6周后通过X线测量法测量肩峰与肱骨头间距(AHI)、肩关节视觉模拟评分(VAS)疼痛、Fugl-Meyer上肢功能评分、肩痛侧腋神经及肌皮神经的运动神经传导测定,对两组治疗结果进行疗效评价。结果:治疗前,两组患者AHI值、VAS评分、Fugl-Meyer上肢功能评分无明显差异(P0.05),且检测所有患者肩痛侧腋神经(刺激部位:Erb点;记录部位:三角肌)及肌皮神经(刺激部位:Erb点;记录部位:肱二头肌)后发现两组中某些患者肌皮神经(30例,53.57%)、腋神经(31例,55.36%)波幅明显低于正常值,而潜伏期轻度延长或正常(提示轴索损伤)。两组治疗6周后,治疗组各项评分改善优于对照组(P0.05)且无不良事件发生。结论:在常规康复治疗的基础上,肌内效贴在脑卒中患者偏瘫侧肩关节半脱位后肩痛早期防治中,具有良好的疗效,其相应机制有待进一步研究。     

双侧臀肌肌内效贴改善脑卒中患者坐-站转移稳定性的疗效观察

目的观察研究双侧臀肌肌内效贴配合功能训练改善脑卒中患者坐-站转移能力的应用效果。方法将60例脑卒中住院患者按随机数字表法分为3组：治疗组1（患侧贴扎组）、治疗组2（健侧和患侧共同贴扎组）和对照组,每组20例。治疗组采用肌内效贴配合常规功能锻练,对照组仅进行常规功能运动。记录3组患者在治疗前及治疗后6周的相关数据,采用AL-080型步态与平衡功能锻练评估系统,测量患者坐-站转移所需时间、左右下肢负重的差别（ALD）以及身体重力点在额状面上的移动距离（COGX）,观察并比较各组间的差异。结果3组患者训练前各项评分比较无统计学差异。3组患者在训练前和训练后坐-站转移的时间、ALD、COGX均有统计学差异（均P＜0.05）;两治疗组和对照组患者治疗后比较上述所有参数的差值均有统计学意义（均P＜0.05）;治疗组2和治疗组1患者治疗后上述参数的差值比较均有统计学差异（均P＜0.05）。治疗组2的疗效较治疗组1、对照组更显著。治疗组1的疗效高于对照组。结论肌内效贴配合功能训练可一定程度促进偏瘫后坐-站转移能力,双侧贴扎肌内效贴效果较患侧单独贴扎效果好,可作为一种简易的治疗方法应用于临床。     

运动想象疗法联合肌内效贴改善脑卒中患者上肢运动功能的疗效观察

目的:探讨运动想象疗法(MIT)联合肌内效贴改善脑卒中患者上肢运动功能障碍的疗效。方法:纳入92例脑卒中患者按随机数字表法分为对照组(31例)、MIT组(31例)和联合组(30例)。对照组仅行常规康复训练,以改善患者日常生活能力的任务导向性训练为主,每次治疗40 min;MIT组在常规康复训练的基础上增加MIT治疗,治...