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California Tri-Pull Kinezyo bantlamanın İnme Sonrası Glenohumeral Omuz Subluksasyonunu Azaltmadaki Etkinliği: AB tasarımı

Yıl 2021, Cilt 11, Sayı 6, 894 - 899, 20.11.2021
https://doi.org/10.16899/jcm.978274

Öz

Amaç: Glenohumeral subluksasyon (GHS), inme sonrası hemiplejinin sık görülen bir komplikasyonudur. İnme hastalarında omuzun inferiora sublukse olması en sık karşılaşılan GHS'dir ve humerusu yeniden konumlandırdıktan sonra daha iyi stabiliteyi sağlamak için uygun tedaviyi seçmek önemlidir. Amacımız, hemiplejik GHS hastalarında, California tri-pull bantlama yöntemi ile uygulanan elastik kinezyo bantlama (CTPK) ile hastalardaki ağrı, hareket geri kazanımı ve günlük yaşam aktiviteleri üzerine kısa süreli etkisini değerlendirmektir.
Gereç ve Yöntem: Bu çalışmaya katılan GHS'li on dört hemiplejik hastaya haftada en az üç kez geleneksel yatarak nörorehabilitasyon uygulandı. Rehabilitasyon programı sırasında GHS'li tüm hastalara üç hafta boyunca beş gün arayla dört kez kinezyo bantlama yapıldı. Hastalar, sözel tanımlayıcı ağrı skalası (VPDS), günlük yaşam aktivitelerinde Katz bağımsızlık indeksi ve radyolojik görüntüleme ve fizik muayene ile değerlendirildi.
Bulgular: Katılımcılar arasında cinsiyet, yaş, inme süresi ve VPDS puanları açısından anlamlı fark bulunamadı (p>0,05). Tedavi ile CTPK sonrası motor iyileşme evreleri düzeldi, ağrı skorları azaldı ve Katz indeksi arttı. Omuzun pasif ROM'ları önemli ölçüde arttı. Subluksasyonun palpasyonla düzeldiği bulundu, ancak herhangi bir radyografik değişiklik gözlenmedi.
Sonuç: CTPK ağrıyı azaltabilir ve yaşam kalitesini, pasif ROM'u ve subluksasyonu iyileştirebilir. Bulgularımız subluksasyonun radyolojik derecelendirmesinin yeterince hassas olmadığını ve inme hastalarında inferior subluksasyonun iyileşmesini değerlendirmek için kullanılmaması gerektiğini göstermektedir. 

Kaynakça

  • 1. Najenson T. Rotator cuff injury in shoulder joints of hemiplegic patients. Scand. J. Rehabil. Med. 1971;3:131-37
  • 2. Smith R, Cruikshank J, Dunbar S, Akhtar A. Malalignment of the shoulder after stroke. Br Med J (Clin Res Ed) 1982;284(6324):1224-26
  • 3. Van Langenberghe HV, Hogan BM. Degree of pain and grade of subluxation in the painful hemiplegic shoulder. Scand J Rehabil Med 1988;20(4):161-6
  • 4. Stolzenberg D, Siu G, Cruz E. Current and future interventions for glenohumeral subluxation in hemiplegia secondary to stroke. Topics in stroke rehabilitation 2012;19(5):444-56
  • 5. Kumar P, Swinkels A. A critical review of shoulder subluxation and its association with other post-stroke complications. Physical Therapy Reviews 2009;14(1):13-25
  • 6. Paci M, Nannetti L, Rinaldi LA. Glenohumeral subluxation in hemiplegia: An overview. Journal of rehabilitation research and development 2005;42(4):557
  • 7. Griffin C. Management of the hemiplegic shoulder complex. Topics in stroke rehabilitation 2014;21(4):316-18
  • 8. Peters SB, Lee GP. Functional impact of shoulder taping in the hemiplegic upper extremity. Occupational therapy in health care 2003;17(2):35-46
  • 9. Huang Y-C, Chang K-H, Liou T-H, Cheng C-W, Lin L-F, Huang S-W. Effects of Kinesio taping for stroke patients with hemiplegic shoulder pain: a double-blind, randomized, placebo-controlled study. Journal of rehabilitation medicine 2017;49(3):208-15
  • 10. Pillastrini P, Rocchi G, Deserri D, et al. Effectiveness of neuromuscular taping on painful hemiplegic shoulder: a randomised clinical trial. Disability and rehabilitation 2016;38(16):1603-09
  • 11. Huang Y-C, Leong C-P, Wang L, et al. Effect of kinesiology taping on hemiplegic shoulder pain and functional outcomes in subacute stroke patients: a randomized controlled study. European journal of physical and rehabilitation medicine 2016;52(6):774-81
  • 12. Kalichman L, Frenkel-Toledo S, Vered E, et al. Effect of kinesio tape application on hemiplegic shoulder pain and motor ability: a pilot study. International Journal of Rehabilitation Research 2016;39(3):272-76
  • 13. Hayner KA. Effectiveness of the California Tri-Pull Taping method for shoulder subluxation poststroke: A single-subject ABA design. American Journal of Occupational Therapy 2012;66(6):727-36
  • 14. Chatterjee S, Hayner KA, Arumugam N, et al. The California tri-pull taping method in the treatment of shoulder subluxation after stroke: a randomized clinical trial. North American journal of medical sciences 2016;8(4):175
  • 15. Snels IA, Beckerman H, ten Kate JJ, Lankhorst GJ, Bouter LM. Measuring subluxation of the hemiplegic shoulder: reliability of a method. Neurorehabilitation and neural repair 2001;15(3):249-54
  • 16. Katz J, Melzack R. Measurement of pain. 1992
  • 17. Yazici Sayin Y, Akyolcu N. Comparison of Pain Scale Preferences and Pain Intensity According to Pain Scales among Turkish Patients: A Descriptive Study. Pain Management Nursing 2014;15(1):156-64 doi: 10.1016/j.pmn.2012.08.005[published Online First: Epub Date]|.
  • 18. Herr KA, Spratt K, Mobily PR, Richardson G. Pain intensity assessment in older adults: use of experimental pain to compare psychometric properties and usability of selected pain scales with younger adults. Clin J Pain 2004;20(4):207-19 doi: 10.1097/00002508-200407000-00002[published Online First: Epub Date]|.
  • 19. Brunnstrom S. Motor testing procedures in hemiplegia: based on sequential recovery stages. Phys Ther 1966;46(4):357-75 doi: 10.1093/ptj/46.4.357[published Online First: Epub Date]|.
  • 20. Huang CY, Lin GH, Huang YJ, et al. Improving the utility of the Brunnstrom recovery stages in patients with stroke: Validation and quantification. Medicine (Baltimore) 2016;95(31):e4508 doi: 10.1097/md.0000000000004508[published Online First: Epub Date]|.
  • 21. Katz S, Downs TD, Cash HR, Grotz RC. Progress in development of the index of ADL. The gerontologist 1970;10(1_Part_1):20-30
  • 22. Thelen MD, Dauber JA, Stoneman PD. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. journal of orthopaedic & sports physical therapy 2008;38(7):389-95
  • 23. Şimşek H, Balki S, Keklik SS, Öztürk H, Elden H. Does Kinesio taping in addition to exercise therapy improve the outcomes in subacromial impingement syndrome? A randomized, double-blind, controlled clinical trial. Acta orthopaedica et traumatologica turcica 2013;47(2):104-10
  • 24. Montalvo AM, Cara EL, Myer GD. Effect of kinesiology taping on pain in individuals with musculoskeletal injuries: systematic review and meta-analysis. The Physician and sportsmedicine 2014;42(2):48-57
  • 25. Kalron A, Bar-Sela S. A systematic review of the effectiveness of Kinesio Taping--fact or fashion? European journal of physical and rehabilitation medicine 2013;49(5):699-709

The Effectiveness of California Tri-Pull Kinesiotaping In Reducing Glenohumeral Shoulder Subluxation After Stroke: AB design

Yıl 2021, Cilt 11, Sayı 6, 894 - 899, 20.11.2021
https://doi.org/10.16899/jcm.978274

Öz

Background and Purpose: Glenohumeral subluxation (GHS) is a common complication of hemiplegia after stroke. The inferior dislocation is the most frequently encountered GHS in stroke patients, and it is important to choose the proper treatment to promote better stability after repositioning the humerus. To evaluate the short term effect of the California tri-pull taping method with elastic kinesiotape (CTPK) on pain, recovery of movement and daily life activities in Turkish hemiplegic patients. Methods: Fourteen hemiplegic participants with GHS involved in this study All patients had at least three weeks of conventional inpatient neurorehabilitation. During the rehabilitation program, all patients with GHS had kinesiotaping four times with five-day interval for three weeks. Outcome measures were a verbal descriptive pain scale (VPDS), the Katz index of independence in activities of daily living, and a radiologic and physical examination. Results: No significant difference was found between the participants with regard to sex, age, duration of stroke, and VPDS scores (p>0.05). Motor recovery stages were improved after CTPK, pain scores decreased, and Katz index increased with the treatment. Passive ROMs of the shoulder were significantly increased. Subluxation was found by palpation to be improved but did not show any radiographic changes. Conclusion: CTPK can reduce pain and improve quality of life, passive ROM and subluxation. Our findings suggest that radiological grading of subluxation is not sensitive enough and should not be used to evaluate improvement of inferior subluxation in stroke patients.

Kaynakça

  • 1. Najenson T. Rotator cuff injury in shoulder joints of hemiplegic patients. Scand. J. Rehabil. Med. 1971;3:131-37
  • 2. Smith R, Cruikshank J, Dunbar S, Akhtar A. Malalignment of the shoulder after stroke. Br Med J (Clin Res Ed) 1982;284(6324):1224-26
  • 3. Van Langenberghe HV, Hogan BM. Degree of pain and grade of subluxation in the painful hemiplegic shoulder. Scand J Rehabil Med 1988;20(4):161-6
  • 4. Stolzenberg D, Siu G, Cruz E. Current and future interventions for glenohumeral subluxation in hemiplegia secondary to stroke. Topics in stroke rehabilitation 2012;19(5):444-56
  • 5. Kumar P, Swinkels A. A critical review of shoulder subluxation and its association with other post-stroke complications. Physical Therapy Reviews 2009;14(1):13-25
  • 6. Paci M, Nannetti L, Rinaldi LA. Glenohumeral subluxation in hemiplegia: An overview. Journal of rehabilitation research and development 2005;42(4):557
  • 7. Griffin C. Management of the hemiplegic shoulder complex. Topics in stroke rehabilitation 2014;21(4):316-18
  • 8. Peters SB, Lee GP. Functional impact of shoulder taping in the hemiplegic upper extremity. Occupational therapy in health care 2003;17(2):35-46
  • 9. Huang Y-C, Chang K-H, Liou T-H, Cheng C-W, Lin L-F, Huang S-W. Effects of Kinesio taping for stroke patients with hemiplegic shoulder pain: a double-blind, randomized, placebo-controlled study. Journal of rehabilitation medicine 2017;49(3):208-15
  • 10. Pillastrini P, Rocchi G, Deserri D, et al. Effectiveness of neuromuscular taping on painful hemiplegic shoulder: a randomised clinical trial. Disability and rehabilitation 2016;38(16):1603-09
  • 11. Huang Y-C, Leong C-P, Wang L, et al. Effect of kinesiology taping on hemiplegic shoulder pain and functional outcomes in subacute stroke patients: a randomized controlled study. European journal of physical and rehabilitation medicine 2016;52(6):774-81
  • 12. Kalichman L, Frenkel-Toledo S, Vered E, et al. Effect of kinesio tape application on hemiplegic shoulder pain and motor ability: a pilot study. International Journal of Rehabilitation Research 2016;39(3):272-76
  • 13. Hayner KA. Effectiveness of the California Tri-Pull Taping method for shoulder subluxation poststroke: A single-subject ABA design. American Journal of Occupational Therapy 2012;66(6):727-36
  • 14. Chatterjee S, Hayner KA, Arumugam N, et al. The California tri-pull taping method in the treatment of shoulder subluxation after stroke: a randomized clinical trial. North American journal of medical sciences 2016;8(4):175
  • 15. Snels IA, Beckerman H, ten Kate JJ, Lankhorst GJ, Bouter LM. Measuring subluxation of the hemiplegic shoulder: reliability of a method. Neurorehabilitation and neural repair 2001;15(3):249-54
  • 16. Katz J, Melzack R. Measurement of pain. 1992
  • 17. Yazici Sayin Y, Akyolcu N. Comparison of Pain Scale Preferences and Pain Intensity According to Pain Scales among Turkish Patients: A Descriptive Study. Pain Management Nursing 2014;15(1):156-64 doi: 10.1016/j.pmn.2012.08.005[published Online First: Epub Date]|.
  • 18. Herr KA, Spratt K, Mobily PR, Richardson G. Pain intensity assessment in older adults: use of experimental pain to compare psychometric properties and usability of selected pain scales with younger adults. Clin J Pain 2004;20(4):207-19 doi: 10.1097/00002508-200407000-00002[published Online First: Epub Date]|.
  • 19. Brunnstrom S. Motor testing procedures in hemiplegia: based on sequential recovery stages. Phys Ther 1966;46(4):357-75 doi: 10.1093/ptj/46.4.357[published Online First: Epub Date]|.
  • 20. Huang CY, Lin GH, Huang YJ, et al. Improving the utility of the Brunnstrom recovery stages in patients with stroke: Validation and quantification. Medicine (Baltimore) 2016;95(31):e4508 doi: 10.1097/md.0000000000004508[published Online First: Epub Date]|.
  • 21. Katz S, Downs TD, Cash HR, Grotz RC. Progress in development of the index of ADL. The gerontologist 1970;10(1_Part_1):20-30
  • 22. Thelen MD, Dauber JA, Stoneman PD. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. journal of orthopaedic & sports physical therapy 2008;38(7):389-95
  • 23. Şimşek H, Balki S, Keklik SS, Öztürk H, Elden H. Does Kinesio taping in addition to exercise therapy improve the outcomes in subacromial impingement syndrome? A randomized, double-blind, controlled clinical trial. Acta orthopaedica et traumatologica turcica 2013;47(2):104-10
  • 24. Montalvo AM, Cara EL, Myer GD. Effect of kinesiology taping on pain in individuals with musculoskeletal injuries: systematic review and meta-analysis. The Physician and sportsmedicine 2014;42(2):48-57
  • 25. Kalron A, Bar-Sela S. A systematic review of the effectiveness of Kinesio Taping--fact or fashion? European journal of physical and rehabilitation medicine 2013;49(5):699-709

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Orjinal Araştırma
Yazarlar

Sanem Aslıhan AYKAN (Sorumlu Yazar)
YEDİTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0001-7335-5556
Türkiye


Dudu ÇELİK TAM Bu kişi benim
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA GÜLHANE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ
0000-0002-8704-2742
Türkiye


Tuğba ÖZSOY ÜNÜBOL
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL SULTAN ABDÜLHAMİD HAN SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
0000-0001-9538-9191
Türkiye


Hilmi KILAÇ Bu kişi benim
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL SULTAN ABDÜLHAMİD HAN SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
0000-0001-8987-3585
Türkiye


Halil UÇAN
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ
0000-0002-7590-3410
Türkiye


Meltem DALYAN Bu kişi benim
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ
0000-0002-7341-2888
Türkiye

Yayımlanma Tarihi 20 Kasım 2021
Kabul Tarihi 29 Eylül 2021
Yayınlandığı Sayı Yıl 2021, Cilt 11, Sayı 6

Kaynak Göster

AMA Aykan S. A. , Çelik Tam D. , Özsoy Ünübol T. , Kılaç H. , Uçan H. , Dalyan M. The Effectiveness of California Tri-Pull Kinesiotaping In Reducing Glenohumeral Shoulder Subluxation After Stroke: AB design. J Contemp Med. 2021; 11(6): 894-899.