Effect of Kinesio Taping on Gait Performance and Balance in Children with Hemiplegic Cerebral Palsy

Öz

Purpose: The objective of this study was to evaluate the effectiveness of kinesio taping (KT) on gait performance and balance in children with hemiplegic cerebral palsy (CP).

Methods: Nineteen ambulant children with spastic hemiplegic CP (mean age; 11.63±3.59 years, 8 boys, 11 girls) participated in this study. Passive dorsi flexion and plantar flexion range of motion (ROM) of ankle were measured with a goniometer in a supine position.

Plantar flexor muscle tone and gait performance were evaluated by Modified Ashworth Scale and One-Minute Walk Test. Balance was evaluated with Pediatric Balance Scale (PBS) and Modified Timed Up Go (mTUG) Test. After pre-evaluation, kinesio tape was applied over the gastrocnemius and tibialis anterior muscles of hemiplegic side.

Results: The plantar flexor muscle tone and ankle ROM unchanged immediately and 48 h after KT application (p>0.05). However, there were significant differences in measurements of gait performance, PBS, mTUG test at 48 h after KT application (p<0.05), but not immediately (p>0.05).

Discussion: It is concluded that KT has not an effect on ankle plantar flexor muscle spasticity and ankle ROM, but improves gait performance and balance in children with hemiplegic CP at 48 h after application.

Anahtar Kelimeler

• Cerebral palsy,gait,balance,kinesio tape

HEMİPLEJİK SEREBRAL PALSİLİ ÇOCUKLARDA KİNEZYO BANTLAMANIN YÜRÜYÜŞ PERFORMANSI VE DENGEYE ETKİSİ

Abstract

Amaç: Bu çalışmanın amacı, hemiplejik Serebral Palsili (SP) çocuklarda kinezyo bantlama (KB) uygulamasının yürüyüş performansı ve dengeye etkisini değerlendirmektir.

Yöntemler: Bu çalışmaya 19 yürüyebilen hemiplejik SP’li (ortalama yaş; 11.63±3.59 yıl, 8 erkek, 11 kız) çocuk katıldı. Ayak bileği dorsi ve plantar fleksiyon eklem hareket açıklığı (EHA) sırtüstü pozisyonda gonyometre ile ölçüldü. Plantar fleksör kas tonusu Modifiye Ashworth

Ölçeği ile yürüyüş performansı 1 dk yürüme testi ile değerlendirildi. Denge, Pediatrik Denge Ölçeği (PDÖ) ve Zamanlı Kalk Yürü Testi ile değerlendirildi. İlk değerlendirme sonrası, hemiplejik taraf gastroknemius ve tibialis anterior kasları üzerine KB uygulandı.

Sonuçlar: Plantar flexor kas tonusu ve ayak bileği EHA, KB uygulamasından hemen sonra ve 48 saat sonra değişmedi (p>0.05). Yürüyüş performansı, PDÖ ve Zamanlı Kalk Yürü Testi ölçümlerinde KB uygulaması sonrası 48 saatte anlamlı farklılık bulundu (p<0.05). Fakat KB uygulaması sonrası hemen yapılan ölçümlerde değişmedi (p>0.05).

Tartışma: KB, uygulama sonrası 48 saatte hemiplejik SP’li çocuklarda plantar fleksör kas spastisitesi ve ayak bileği eklem hareket açıklığı üzerine bir etkiye sahip değildir, fakat yürüyüş performansı ve dengeyi geliştirir.

Keywords

• Serebral palsi,yürüyüş,denge,kinezyo bantlama

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