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[국내논문] Effect of Paretic and Non-paretic Side Spine Taping on Balance Ability in Patients with Stroke 원문보기

Journal of international academy of physical therapy research, v.10 no.2, 2019년, pp.1779 - 1784  

Cho, Yonghun (AVENS Hospital) ,  Park, Shinjun (Gangdong University) ,  Kim, Soonhee (Yongin University)

Abstract AI-Helper 아이콘AI-Helper

Background: A number of researchers have attempted to improve the balance of stroke patients, however there is still a question as to whether taping is effective in increasing balance. Objective: To determine the effect of paretic and non-paretic side taping on the balance ability in patients with s...

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제안 방법

  • Spine extension taping improved the Gross Motor Function Measure (GMFM) of children with cerebral palsy 12) and the body function, including daily activities, of patients with Parkinson’s disease 13), supporting the results of this study.
  • This was a randomized single-blind controlled clinical trial with repeated measures design. The random selection method was performed by an unrelated officer, and the subjects were divided into three groups: paretic taping group (n=15), non-paretic taping group (n=15), and trunk exercise group (n=15). The participants did not know the purpose of the study or the group they belonged to.
  • The selection criteria for the study subjects were as follows: (1) first stroke, (2) six months’ duration after stroke, (3) static balance score ≥ 5 on the trunk impairment scale, (4) no impairment in cognitive function (Korean version of the Mini Mental State Examination, 24 points or more), (5) at least Brunnstrom stage 3, (6) no recent or previous orthopedic surgery, and (7) no skin disease.
  • In this study, there was a significant increase in pressure movement after 30 min of taping, and it was clinically significant in that it was confirmed after attachment to the trunk instead of the ankle. The study was evaluated the state of taping attachment; therefore, taping improved the pressure movement by activating the skin receptors. In addition, it seems that the elasticity of taping increased the COP movement by safely holding it when lean the trunk.
  • However, there was no significant difference among the three groups. The taping method in this study was applied to maintain correct standing posture through spinal extension. In the same method as that in this study, taping on the non-paretic side was introduced as a method for trunk correction 9), and it significantly increased the trunk control ability and manual function compared with non-taping 7).
  • Dynamic balance ability is the ability of the body to voluntarily move and maintain stability. The weight was shifted to eight directions, including the front, rear, left, right, and diagonal directions indicated by the monitor. The left and right sides were classified into paretic side and non-paretic side and measured.
  • The study on the proper method for correctly setting up a trunk in patients with stroke is currently conducted 5). Therefore, in this study, we investigated the effect of taping of the paretic and non-paretic sides on the balance ability and determined the more effective method.
  • 50, the total sample size was 45. This was a randomized single-blind controlled clinical trial with repeated measures design. The random selection method was performed by an unrelated officer, and the subjects were divided into three groups: paretic taping group (n=15), non-paretic taping group (n=15), and trunk exercise group (n=15).

대상 데이터

  • Written consent was obtained from all study subjects prior to participation in the study. First, 60 individuals were recruited, of which 15 were excluded and 45 were included in the final study. The selection criteria for the study subjects were as follows: (1) first stroke, (2) six months’ duration after stroke, (3) static balance score ≥ 5 on the trunk impairment scale, (4) no impairment in cognitive function (Korean version of the Mini Mental State Examination, 24 points or more), (5) at least Brunnstrom stage 3, (6) no recent or previous orthopedic surgery, and (7) no skin disease.
  • The participants did not know the purpose of the study or the group they belonged to. The evaluation was conducted by the researcher, and the study intervention was performed by eight physiotherapists in the fifth year of the clinical experience.
  • This study was conducted in 45 subjects who were hospitalized in a rehabilitation hospital in Gyeonggido Province. Written consent was obtained from all study subjects prior to participation in the study.

데이터처리

  • The general characteristics of the subjects were evaluated using frequency analysis and descriptive statistics. Two-way repeated measures ANOVA was used for the 30-min and 4-week changes in the balance ability of the three groups.
  • The general characteristics of the subjects were evaluated using frequency analysis and descriptive statistics. Two-way repeated measures ANOVA was used for the 30-min and 4-week changes in the balance ability of the three groups. We analyzed the tests of within-subject effects and Wilks’ lambda items according to the test of sphericity.

이론/모형

  • To measure the dynamic balance ability of the study subjects, BioRescue (RM Ingénierie, 12000 Rodez, France), which consists of a force platform and Sycomore software, was used.
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