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: 8

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

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