Effect of Kinesiotape on Hand Functions in Stroke Patients

Yıl 2018, Sayı: 5, 421 - 434, 31.08.2018

Tuba Tülay Koca , Burhan Fatih Koçyiğit , Burhan Güçmen Nurullah Keleş

https://doi.org/10.38079/igusabder.424288

Cited By: 2

Öz

Aim: Despite the
frequent use of kinesiotape (KT) in musculoskeletal disorders, there is
insufficient data on its effectiveness in stroke patients. Several studies have
evaluated the effect of KT on lower extremity functions, upper limb lymphedema
and reflex sympathetic dystrophy in stroke patients, but as far as we know
there is no study evaluating its effects on hand functions. The purpose of this
study is to evaluate the acute phase effect on hand function of KT application
in hemiplegic patients.

Method: Twenty patients
who had an ischemic / hemorrhagic stroke within the last 1 year were included
into the study. All patients were treated with KT application to the forearm
extensor muscle region, 3 times in total for 3 days. All patients' demographic
characteristics [age, gender, education, smoking, diabetes (DM), hypertension
(HT), type and duration of cerebrovascular disease, hemiplegic side, dominant
hand] were recorded.

The severity of
the disease was assessed by the National Health Stroke Scale (NIHSS) index,
hand functions were assessed by two-step Minnesota hand skill test (nine-hole
test),  hand functional index before and
after KT application (end of 3rd week ) and hand grip strength by dynamometer.

Findings: Thirteen male and seven female patients were included
in the study at an average age of 61±6 years. 45% of the patients had a short
duration diagnosis of 3 months, 100% had HT, 85% had DM. Ischemic type was the
most frequently seen stroke types with a frequency of 90%. Significant
differences were observed in hand grip strength (p=0.001), hand functional
index (p<0.001) and nine-hole test duration (p=0.001) after 3 weeks of KT
application.

Conclusion: KT has a
positive effect on hand functions in the acute phase in stroke rehabilitation.

Anahtar Kelimeler

Stroke, kinesiotape, rehabilitation, upper extremity

İnme Hastalarında Kinezyobantlamanın El Fonksiyonlarına Etkisi

Öz

Amaç: Kas
iskelet sistemi bozukluklarında kinezyobantlama (KT) sıklıkla kullanılmasına
rağmen, inme hastalarında etkinliği hakkında yeterli veri yoktur. Birkaç çalışmada inme hastalarında KT'in alt ekstremite
fonksiyonlarına, üst ekstremite lenfödem ve refleks sempatik distrofideki
etkisi değerlendirilmiş fakat bildiğimiz kadarıyla el fonksiyonlarına etkisi
üzerine ise çalışma yoktur. Bu çalışmamızın amacı hemiplejik hastalarda KT
uygulamanın el fonksiyonlarına akut dönem etkisini değerlendirmektir.

Yöntem: Çalışmamıza son 1 yıl içinde iskemik/hemorajik
inme geçiren 20 hasta dâhil edildi. Tüm hastalara 3 gün süreli toplamda 3 kez
önkol ekstansör kas bölgesine KT uygulaması yapıldı. Tüm hastaların demografik
özellikleri (yaş, cinsiyet, eğitim, sigara kullanımı, diyabet (DM),
hipertansiyon (HT), serebrovasküler hastalık tipi ve süresi, hemiplejik taraf,
dominant el) kayıt edildi.

Hastalığın şiddeti
Ulusal Sağlık İnme Skalası (NIHSS) indeksi, el fonksiyonları uygulama öncesi ve
sonrası (3. haftanın sonu) el fonksiyonel indeksi, iki aşamalı Minnesota el
beceri testi (dokuz delikli test) ile el kavrama gücü ise dinamometre ile
değerlendirildi.

Bulgular: Çalışmaya ortalama 61±6 yaşlarında 13 erkek, 7
kadın hasta dâhil edildi. Hastaların %45’i 3 aydan kısa süreli tanı almıştı,
%100 HT, %85 DM hastası idi. İnme tiplerinden en sık %90 ile iskemik tipi
görüldü. Tutulan taraf sağ ve sol eşit oranda idi.

Hastaların tedavi öncesi ve 3 haftalık KT
uygulaması sonrası el kavrama gücü (p=0,001), el fonksiyonel indeksi (p=0,00)
ve dokuz delikli test süresinde (p=0,001) anlamlı farklılık gözlendi.

Sonuç: KT uygulaması inme rehabilitasyonunda akut dönemde el
fonksiyonlarına olumlu etkide bulunmaktadır. 

Anahtar Kelimeler

rehabilitasyon, İnme, kinezyobantlama, üst ekstremite

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