The Role of Kinesiotaping Combined With Botulinum Toxin to Reduce Plantar Flexors Spasticity After Stroke

Abstract

There is no clear benefit in adjuvant kinesiotaping application with botulinum toxin for correction of spastic equinus in stroke.

Efeitos do uso do Kinesio® Taping na marcha de indivíduos pós-acidente vascular encefálico: uma revisão sistemática com metanálise

“…This means that this increase in speed of 0.05 m/s is not an improvement that patients perceive as important. In addition, 2 studies found no significant improvement for the gait speed 24,29 , stressing that such results must still be better investigated. Finally, the methodological quality of the studies included in the meta-analysis is of low to moderate, which reinforces the caution in the interpretation of their results.…”

“…In addition, 5 studies could not be included in metaanalysis 14,20,24,26,29 , and their results were only described in this review. Among these 5 studies, 3 reported that the gait speed has significantly improved 14,20,26 .…”

“…Furthermore, 4 studies could not be included in the meta-analysis 24,25,29,31 , and their results were only described in this review. Among these 4 studies, there was no statistically significant improvement in stride length in 3 of them 24,25,29 , corroborating the results found in the meta-analysis. Finally, in relation to functional mobility and balance, significant improvement of KT for stroke patients were not found to both measures, based on 3 and 5 studies, respectively, of moderate to high methodological quality.…”

“…Of these, 732 studies were excluded after reading the titles, 22 after reading the summaries and 5 after reading the full text. Manual search did not return any item and thus the final number of studies included in this study was 15 14,15,[19][20][21][22][23][24][25][26][27][28][29][30][31] . The main reason for exclusion of studies were: use of animals, use of medication, studies in clinical conditions other than CVA in and studies with types of intervention other than the KT.…”

“…In relation to meta-analysis, the effects of KT were evaluated for gait speed, step length, functional mobility and balance. Among the studies that evaluated these outcome measures, 5 that evaluated the gait speed 14,20,24,26,29 and 4 that evaluated the step length 24,25,29,31 could not be included in the meta-analysis for not having a control group or for not presenting the results of mean values found or for not reporting the variability measures. Thus, all studies included in the metaanalysis evaluated the gait speed and step length by the 10-meter walk test (7 studies), functional mobility by TUG (3 studies) and the balance by the Berg Balance Scale (5 studies).…”