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

Yıl 2017, Cilt: 28 Sayı: 1, 33 - 37, 14.04.2017

Tarık Özmen Ece Acar Tuba Zoroğlu Hammet Işık

https://doi.org/10.21653/tfrd.330648

Cited By: 7

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

Öz

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.

Anahtar Kelimeler

Serebral palsi, yürüyüş, denge, kinezyo bantlama

Kaynakça

• 1. Bax M, Goldstein M, Rosenbaum P, Leviton A, Paneth N, Dan B, et al. Proposed definition and classification of cerebral palsy. Dev Med Child Neurol. 2005;47:571-576.
• 2. Koman LA, Smith BP, Shilt JS. Cerebral Palsy. Lancet 2004;363:1619-1631.
• 3. Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, et al. A report: the definition and classification of cerebral palsy. Dev Med Child Neurol. Suppl 2007;109:8-14.
• 4. Rose J, Gamble JG, Burgos A, Medeiros J, Haskell WL. Energy expenditure index of walking for normal children and for children with cerebral palsy. Dev Med Child Neurol. 1990;32:333-340.
• 5. Charles J, Scutter SD, Buckley J. Static ankle joint equinus: toward a standard definition and diagnosis. J Am Podiatr Med. 2010;100:195-203.
• 6. Kedem P, Scher DM. Foot deformities in children with cerebral palsy. Curr Opin Pediatr. 2015;27:67-74.
• 7. Mohagheghi AA, Khan T, Meadows TH, Giannikas K, Baltzopoulos V, Maganaris CN. Differences in gastrocnemius muscle architecture between the paretic and non-paretic legs in children with hemiplegic cerebral palsy. Clin Biomech. 2007;22:718-724.
• 8. Malaiya R, McNee AE, Fry NR, Eve LC, Gough M, Shortland AP. The morphology of the medial gastrocnemius in typically developing children and children with spastic hemiplegic cerebral palsy. J Electromyogr Kinesiol. 2007;17:657-663.
• 9. Bland DC, Prosser LA, Bellini LA, Alter KE, Damiano DL. Tibialis anterior architecture, strength, and gait in individuals with cerebral palsy. Muscle & Nerve 2011;44(4):509-517.
• 10. Iosa M. The application of Kinesio Taping in children with cerebral palsy. Dev Med Child Neurol. 2015;57:11-12.
• 11. Kaya Kara O, Atasavun Uysal S, Turker D, Karayazgan S, Gunel MK, Baltaci G. The effects of Kinesio Taping on body functions and activity in unilateral spastic cerebral palsy: a singleblind randomized controlled trial. Dev Med Child Neurol. 2015;57:81-88.
• 12. Simsek TT, Türkücüoglu B, Çokal N, Üstünbas G, Simsek IE. The effects of Kinesio® taping on sitting posture, functional independence and gross motor function in children with cerebral palsy. Disabil Rehabil. 2011;33:2058-2063.
• 13. Yasukawa A, Patel P, Sisung C. Pilot study: Investigating the effects of Kinesio Taping® in an acute pediatric rehabilitation setting. Am J Occup Ther. 2006;60:104-110.
• 14. Kase K, Wallis J, Kase T. Clinical Therapeutic Applications of the Kinesio Taping Method, Tokyo, Ken Ikai Co Ltd., 2003.
• 15. Hsu YH, Chen WY, Lin HC, Wang WT, Shih YF. The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. J Electromyogr Kinesiol. 2009;19:1092-1099.
• 16. Lin JJ, Hung CJ, Yang PL. The effects of scapular taping on electromyographic muscle activity and proprioception feedback in healthy shoulders. J Orthop Res. 2011;29:53-57.
• 17. Mutlu A, Livanelioglu A, Gunel MK. Reliability of goniometric measurements in children with spastic cerebral palsy. Med Sci Monitor. 2007;13(7),323-329.
• 18. Mutlu A, Livanelioglu A, Gunel MK. Reliability of Ashworth and Modified Ashworth scales in children with spastic cerebral palsy. BMC Musculoskeletal Disorders, 2008;9(1):44.
• 19. McDowell BC, Kerr C, Parkes J, Cosgrove A. Validity of a 1 minute walk test for children with cerebral palsy. Dev Med Child Neurol. 2005;47:744-748.
• 20. Franjoine MR, Gunther JS, Taylor MJ. Pediatric Balance Scale: a modified version of the Berg Balance Scale for the schoolage child with mild to moderate motor impairment. Pediatr Phys Ther. 2003;15:114-128.
• 21. Dhote SN, Khatri PA, Ganvir SS. Reliability of “Modified timed up and go” test in children with cerebral palsy. J Pediatr Neurosci. 2012;7:96.
• 22. Kase K, Martin P, Yasukawa A. Kinesiotaping in pediatrics. Fundamentals and whole body taping. Albuquerque, NM: Kinesio Taping Association; 2006. pp 9–30.
• 23. Jaraczewska E, Long C. Kinesio® taping in stroke: improving functional use of the upper extremity in hemiplegia. Top Stroke Rehabil. 2006;13:31-42.
• 24. Slupik A, Dwornik M, Bialoszewski D, Zych E. Effect of Kinesio Taping on bioelectrical activity of vastus medialis muscle. Preliminary report. Ortop Traumatol Rehabil. 2006;9:644-651.
• 25. Tamburella F, Scivoletto G, Molinari M. Somatosensory inputs by application of KinesioTaping: effects on spasticity, balance, and gait in chronic spinal cord injury. Front Hum Neurosci. 2014;8:1-9.
• 26. Da Costa CSN, Rodrigues FS, Leal FM, Rocha NACF. Pilot study: Investigating the effects of Kinesio Taping® on functional activities in children with cerebral palsy. Dev Neurorehabil. 2013;16:121-128.
• 27. Kim YR, Kim YY, Kim BK, An HJ. Effects of Ankle Joint Taping on Postural Balance Control in Stroke Patients. JIAPTR. 2012;3:446-452.
• 28. Cortesi M, Cattaneo D, Jonsdottir J. Effect of kinesio taping on standing balance in subjects with multiple sclerosis: a pilot study. NeuroRehab. 2011;28:365-372.
• 29. Karadag-Saygi E, Cubukcu-Aydoseli K, Kablan N, Ofluoglu D. The role of kinesiotaping combined with botulinum toxin to reduce plantar flexors spasticity after stroke. Top Stroke Rehabil. 2010;17:318-322.