[논문]Immediate Effect of Kinesiology Taping on Gait Function in Stroke Patients with Foot Drop

Kim, Jinuk

doi:10.20540/jiaptr.2020.11.2.2060

Immediate Effect of Kinesiology Taping on Gait Function in Stroke Patients with Foot Drop 원문보기

Journal of international academy of physical therapy research, v.11 no.2, 2020년, pp.2060 - 2064

Kim, Jinuk (Department of Emergency Medical Services, Kyungdong University)

Abstract ▼ AI-Helper

Background: Recently, the kinesiology taping (KT) method was reported to be effective in improving walking ability in foot drop patients after stroke, but the clinical basis is still unclear. Objectives: The KT method was compared with ankle-foot orthotics (AFO) to investigate gait ability in foot drop patients after stroke. Design: Crossover study design. Methods: In this study, 11 stroke patients with foot drop participated. Walking ability of all subjects for both conditions (KT and AFO) was measured using the GAITRite system. The order of application of the two conditions was determined randomly by drawing lots. Wilcoxon signed-rank test was used to compare walking ability between the two conditions. The level of statistical significance was set at P.05, all). Conclusion: This study recommends KT as an alternative to the AFO, since KT provides evidence of preventing of foot drops and improving gait ability in stroke patient.

주제어

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문제 정의

However, since previous studies only performed clinical and not quantitative evaluations, the results were still inconclusive; and they did not have comparison results with AFO. Therefore, this study aimed to quantitatively compare the effect of AFO and KT on foot drop patients after stroke.
Recently, a new method using KT to prevent foot drop was reported, but the clinical basis is still insufficient. Therefore, this study investigated the effect of the KT method on gait ability in chronic stroke patients to prevent foot drop.

제안 방법

In this study, gait ability was assessed using the GAITRite system (CIR System, Easton, PA, USA) comprising an electronic gait mat with 13, 824 1–cm–diameter sensors, attached at 1.27–cm intervals, for data acquisition.
Data from the activated sensors were collected by a computer at a sampling rate of 80 Hz, and footstep identification and calculation of parameters were performed automatically. The assessment was performed three times in succession, and the mean values measured were recorded.
The inclusion criteria were as follows: incidence of stroke > 12 months prior, presence of foot drop symptoms, ability to walk under supervision, ankle joint stiffness of < 2 on modified Ashworth scale,15 ankle dorsiflexor muscle strength > fair grade, and intact lower limb sensory status.

대상 데이터

Eleven patients with hemiparesis after stroke were enrolled in this study. The general characteristics of the subjects are shown in Table 1.
This study recruited 11 patients with hemiparesis after stroke.
This study used commercial kinesiology tape (BB Tape, WETAPE Inc., Seoul, Korea). The taping method for foot drop prevention was performed with reference to previously published literature,^12,13 and the specific method is as follows.
This study recruited 11 patients with hemiparesis after stroke. This study was conducted at an local rehabilitation center in Korea. The inclusion criteria were as follows: incidence of stroke > 12 months prior, presence of foot drop symptoms, ability to walk under supervision, ankle joint stiffness of < 2 on modified Ashworth scale,¹⁵ ankle dorsiflexor muscle strength > fair grade, and intact lower limb sensory status.

성능/효과

On the other hand, if the tension of the tape is too low, it may provide insufficient external physical force to prevent foot drop while walking. In this study, it was confirmed that kinesiology tape with 50% tension provided an effect similar to that of an AFO in patients with foot drop following stroke.
In this study, the KT method prevented foot drop in stroke patients and demonstrated improvement in gait ability similar to that seen with AFO. Therefore, this study recommends the use of KT as an alternative to AFO.
^21-23 It was designed to prevent foot drop during walking by connecting the ankle and leg by using the elasticity of the TheraBand. The results of the studies confirmed that TheraBand was effective for walking in patients with foot drop after stroke, which is similar to the results of this study. However, this study has some limitations.
Comparison of KT and AFO using the GAITRite system revealed no statistically significant difference in velocity, cadence, step length, and stride length. The results of this study indicate that the KT method has similar beneficial effects as AFO in gait ability in patients with chronic stroke, which is consistent with the hypothesis of this study.

후속연구

In this study, the KT method prevented foot drop in stroke patients and demonstrated improvement in gait ability similar to that seen with AFO. Therefore, this study recommends the use of KT as an alternative to AFO.

참고문헌 (23)

McGill K, Sackley CM, Godwin J, McGarry J, Brady MC. A systematic review of the efficiency of recruitment to stroke rehabilitation randomised controlled trials. Trials. 2020;21(1):68.

상세보기
Pollock A, Campbell P, Baer G, et al. Challenges in integrating international evidence relating to stroke rehabilitation: experiences from a Cochrane systematic review. Int J stroke. 2014;9(8):965-967.

상세보기
Prenton S, Hollands KL, Kenney LP. Functional electrical stimulation versus ankle foot orthoses for foot-drop: a meta-analysis of orthotic effects. J Rehabil Med. 2016;48(8):646-656.

상세보기
Kluding PM, Dunning K, O'Dell MW, et al. Foot drop stimulation versus ankle foot orthosis after stroke: 30-week outcomes. Stroke. 2013;44(6):1660-1669.

상세보기
Zissimopoulos A, Fatone S, Gard S. Effects of ankle-foot orthoses on mediolateral foot-placement ability during post-stroke gait. Prosthe Orthot Int. 2015;39(5):372-379.

상세보기
Dunning K, O'Dell MW, Kluding P, McBride K. Peroneal stimulation for foot drop after stroke: a systematic review. Am J Phys Med Rehabil. 2015;94(8):649-664.

상세보기
Forrester LW, Roy A, Hafer-Macko C, Krebs HI, Macko RF. Task-specific ankle robotics gait training after stroke: a randomized pilot study. J Neuroeng Rehabili. 2016;13(1):51.

상세보기
Paoloni M, Mangone M, Scettri,P, Procaccianti R, Cometa A, Santilli V. Segmental muscle vibration improves walking in chronic stroke patients with foot drop: a randomized controlled trial. Neurorehab Neural Re. 2010;24(3):254-262.

상세보기
Lee JH, Choi IR, Choi HS. Immediate Effects of Ankle-Foot Orthosis Using Wire on Static Balance of Patients with Stroke with Foot Drop: A Cross-Over Study. Healthcare. 2020;8(2):e116.
Park JS, Lee SH, Yoo WG, Chang MY. Immediate effect of a wearable foot drop stimulator to prevent foot drop on the gait ability of patients with hemiplegia after stroke. Assistive Technol. 2019:1-5.
Ring H, Treger I, Gruendlinger L, Hausdorff JM. Neuroprosthesis for footdrop compared with an ankle-foot orthosis: effects on postural control during walking. J Stroke Cerebrovasc. 2009;18(1):41-47.

상세보기
Bae YH, Kim HG, Min KS, Lee SM. Effects of lower-leg kinesiology taping on balance ability in stroke patients with foot drop. Evid Based Complementary Altern Med. 2015:125629.
Sheng Y, Kan S, Wen Z, et al. Effect of kinesio taping on the walking ability of patients with foot drop after stroke. Evid Based Complementary Altern Med. 2019:2459852.
Park JS, Jung YJ, Kim HH, Lee, G. A Novel Method Using Kinesiology Taping for the Activation of Suprahyoid Muscles in Healthy Adults: A Preliminary Research. Dysphagia. 2019:1-7.
Meseguer-Henarejos AB, Sanchez-Meca J, Lopez-Pina JA, Carles-Hernandez R. Inter-and intra-rater reliability of the Modified Ashworth Scale: a systematic review and meta-analysis. Eur J Phys Rehabil Med. 2020;54(4):576-590.
Park JY, Lee DH, Oh DH. Immediate Effect of Foot Drop Stimulator in Outpatients with Chronic Stroke: A Mixed Method Study. J Inter Aca Phys Ther Res. 2018;9(4):1619-1625.

원문보기 상세보기
Huang CY, Hsieh TH, Lu SC, Su FC. Effect of the Kinesio tape to muscle activity and vertical jump performance in healthy inactive people. Biomed Eng Online. 2011;10(1):70.

상세보기
Ko SU, Simonsick EM, Despande N, Studenski S, Ferrucci L. Ankle proprioception associated gait patterns in older adults: results from the BLSA. Med Sci Sports Exerc. 2016;48(11):2190.

상세보기
Slevin ZM, Arnold GP, Wang W, Abboud RJ. Immediate effect of kinesiology tape on ankle stability. BMJ Open Sport Exerc Med. 2020;6:e000604.

상세보기
Shin YJ, Lee JH, Choe YW, Kim MK. Immediate effects of ankle eversion taping on gait ability of chronic stroke patients. J Bodyw Mov Ther. 2019;23(3):671-677.

상세보기
Song S, Park J, Song G, et al. Usability of the Thera-Band® to improve foot drop in stroke survivors. NeuroRehabilitation. 2018;42(4):505-510.

상세보기
Hwang YI, Yoo WG, An DH. Effects of the Elastic Walking Band on gait in stroke patients. NeuroRehabilitation. 2013;32(2):317-322.

상세보기
Hwang YI, Yoo WG, An DH, Heo HJ. The effect of an AFO-shaped elastic band on drop-foot gait in patients with central neurological lesions. NeuroRehabilitation. 2013;32(2):377-383.

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