Effects of trunk rehabilitation with kinesio and placebo taping on static and dynamic sitting postural control in individuals with chronic stroke: A randomized controlled trial

Yong-Hun, Cho; Cho, Kyun-Hee; Park, Shin-Jun

doi:10.1080/10749357.2020.1747672

Cited by 13 publications

(3 citation statements)

References 50 publications

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“…Approximately 70% of patients with hemiplegia recover their ability to walk after these therapies but Frontiers in Physiology frontiersin.org retain abnormal gait and problems such as foot drop and pronation (Gandolla et al, 2018). These abnormal movement patterns affect stability, walking safety, and consume more energy than a regular gait (Cho et al, 2020). It remains a difficult problem to improve gait ability in the legs of patients with hemiplegia in rehabilitation therapy (Park and Lee, 2016).…”

Section: Discussionmentioning

confidence: 99%

Effects of kinesio taping therapy on gait and surface electromyography in stroke patients with hemiplegia

Chen

Cui

et al. 2022

Front. Physiol.

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Background: The application of Kinesio Taping (KT) on the lower extremity of stroke patients can improve the quality of somatosensory information by activating lower extremity muscles involved in postural control. Gait analysis and surface electromyography (SEMG) are valuable in assessing the motor ability of the lower extremities.Objective: This study aimed to investigate the effects of KT therapy on gait and SEMG in stroke patients with hemiplegia.Methods: Twenty-one stroke patients were included in the study. KT was applied to the lower extremities of the hemiplegic side. Quantitative gait parameters were measured by a gait analysis system (IDEEA, by MiniSun, United States) and activation of the lower extremity muscles were evaluated by the SEMG (Trigno™ Wireless Systems, Delsys Inc., United States) before and after taping. Step length, stride length, pulling acceleration, swing power, ground impact, and energy expenditure were used to evaluate when patients walk as usual. SEMG signals were collected from the anterior bilateral tibialis (TA) and the lateral gastrocnemius (LG). The root mean square (RMS) value was used to assess muscle activity. SEMG signals were examined before and after KT treatment in three different locomotor conditions of the patients: walking at a natural speed, walking with a weight of 5 kg, dual-tasking walking (walking + calculation task) while carrying a weight of 5 kg. The calculation task was to ask the patients to calculate the result of subtracting 7 from 100 and continuing to subtract 7 from the resulting numbers. Comparisons between two normally distributed samples (before and after KT treatment) were evaluated using the two-tailed, paired Student’s t-test.Results: Stride length (0.89 ± 0.19 vs. 0.96 ± 0.23; p = 0.029), pulling acceleration (0.40 ± 0.21 vs. 1.11 ± 0.74; p = 0.005), and swing power (0.42 ± 0.24 vs. 1.14 ± 0.72; p = 0.004) improved in the hemiplegia side after KT treatment. The RMS value of TA SEMG signals in the limbs on the hemiplegia side decreased after KT treatment during dual-tasking walking carrying a weight of 5 kg (3.65 ± 1.31 vs. 2.93 ± 0.95; p = 0.030).Conclusion: KT treatment is effective in altering gait and SEMG characteristics in stroke patients with hemiplegia.

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Section: Discussionmentioning

confidence: 99%

Effects of kinesio taping therapy on gait and surface electromyography in stroke patients with hemiplegia

Chen

Cui

et al. 2022

Front. Physiol.

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“…FHP in stroke patients is closely associated with thoracic kyphosis [32], and trunk rehabilitation may be used to improve thoracic kyphosis in stroke patients [47]. In this study, a trunk rehabilitation-based NDT program was applied to all subjects for postural control of stroke patients.…”

Section: Discussionmentioning

confidence: 99%

Effects of Cervical Spine Mobilization on Respiratory Function and Cervical Angles of Stroke Patients: A Pilot Study

Park

2021

Healthcare

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The forward head posture (FHP) of stroke patients has a negative impact on respiratory function. Cervical spine mobilization is a manual therapy technique that used to prevent and treat FHP and respiratory function. This pilot study investigated whether cervical spine mobilization can effectively improve outcomes following FHP and respiratory function of stroke patients. Twenty-four patients participated in our assessor-blinded randomized controlled trial. All the participants received neurodevelopmental treatments (gait training and trunk rehabilitation). The experimental group additionally received 15-min sessions of cervical spine mobilization three times per week for 4 weeks. The control group received cervical spine sham mobilization during the same period. For the cervical angles, the cranial vertebral angle (CVA) and cranial rotation angle (CRA) were measured. A respiratory function test was performed to measure the forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), peak expiratory flow (PEF), maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), and chest circumferences (upper and lower chest sizes). Except for MIP, there was no significant difference between the experimental group and the control group. The CVA and CRA were significantly increased in the experimental group only. Cervical spine mobilization improved cervical angles and inspiratory function of the stroke patients in this study. However, a comparative study with a larger number of patients is needed to confirm this finding from our pilot study, which had a small sample size.

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“…Additionally, trunk control disability after stroke causes reduced trunk muscle activity [7], decreased contractility [4], reduced trunk control performance [6], changes in the position sense [5], and decreased pelvic movements [8]. Moreover, the trunk control ability of stroke patients significantly alters their sitting balance and gait ability [9,10]. Specifically, as the thoracic and pelvic movements occur together due to the lack of the trunk motion that separates the thorax and pelvis during walking, stroke patients walk with a pathologically increased trunk movement [11].…”

Section: Introductionmentioning

confidence: 99%

Effect of Diagonal Pattern Training on Trunk Function, Balance, and Gait in Stroke Patients

Park

2020

Applied Sciences

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Introduction: Trunk control disability commonly occurs after stroke. This study investigated the effect of diagonal pattern training in the sitting position to improve trunk control ability and gait performance. Method: 46 stroke patients were enrolled in this study. We used single plane training and diagonal pattern training. Additionally, the subjects were randomly assigned to the experiment group (diagonal pattern training) and the control group (single plane training). Diagonal pattern training was modified with proprioceptive neuromuscular facilitation technique’s chopping and lifting pattern to create 10 movements. Results: the trunk impairment scale score, Berg balance scale score, 10 m walking test result, and gait significantly increased in the experiment group compared to the control group. Conclusions: diagonal pattern training can be regarded as a promising method to improve postural control and increase balance and gait in stroke patients

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Effects of trunk rehabilitation with kinesio and placebo taping on static and dynamic sitting postural control in individuals with chronic stroke: A randomized controlled trial

Cited by 13 publications

References 50 publications

Effects of kinesio taping therapy on gait and surface electromyography in stroke patients with hemiplegia

Effects of kinesio taping therapy on gait and surface electromyography in stroke patients with hemiplegia

Effects of Cervical Spine Mobilization on Respiratory Function and Cervical Angles of Stroke Patients: A Pilot Study

Effect of Diagonal Pattern Training on Trunk Function, Balance, and Gait in Stroke Patients

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