[논문]Effect of Kinesiology Taping for Ankle Instability in Stroke Patients

Oh, Donghwan; Park, Jaeyoung; Kim, Jinuk

doi:10.20540/jiaptr.2020.11.1.1950

Effect of Kinesiology Taping for Ankle Instability in Stroke Patients 원문보기

Journal of international academy of physical therapy research, v.11 no.1, 2020년, pp.1950 - 1953

Oh, Donghwan (Department of Occuptional Therapy, Kyungdong University) , Park, Jaeyoung (Department of Physical Therapy, Kyungwoon University) , Kim, Jinuk (Department of Emergency Medical Services, Kyungdong University)

Abstract ▼ AI-Helper

Background: Ankle instability usually occurs after stroke, and contributes to unsafe walking and associated risk of falling in the affected patients. Objective: To investigate the effects of kinesiology taping (KT) on gait and balance ability (center of pressure, CoP) in patients with ankle instability after stroke. Design: One group, pre-post design. Methods: A total of 11 patients with ankle instability after stroke were enrolled. In all subjects, the gait and balance ability were assessed under 2 conditions: KT and barefoot. Gait and balance ability was assessed using GAITRite system and FDM-S platform. Results: Comparison between KT and barefoot condition, KT condition was significantly higher in velocity, cadence, step length, and stride length than barefoot condition (P<.05). KT condition was significantly lower in CoP path length and sway speed than barefoot condition (P<.05). Conclusion: KT indicated potential as a helpful method for walking and balancing ability in patients with ankle instability after stroke. Therefore, this study recommends KT as an option applicable to the stroke with ankle instability.

주제어

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문제 정의

This study investigated the effects of KT on gait and balance in stroke patients with ankle instability. The results confirmed that KT has a positive effect on walking and balance ability in those patients.

제안 방법

In this study, the gait ability was assessed using GAITRite pressure sensor system (CIR System, Easton, PA, USA) comprising an electronic gait mat (length=about 4 m and width=0.89 m) with 1 cmdiameter sensors installed at 1.27 cm interval. The sensor pads were covered with a roll up carpet, which provided an active measurement area responsive to mechanical pressure from foot placement on the mat.
Because, most studies performed limited clinical evaluation, so KT cannot be used to quantify the effect of walking on gait. In this study, we aimed to objectively assess the effect of KT on walking ability and balance by using quantitative evaluation methods.
Selection criteria were as follows: Stroke for duration of ≥3 months, ability to walk under guardian’s supervision, ankle joint stiffness of ≤2 on modified ashworth scale, and ankle dorsiflexor muscle strength of fair grade or higher, or without cognitive problems.
Second, for induction of ankle inversion, the ankle was inverted, and taping was done starting at 5 cm above the medial malleolus, and proceeding past the lateral calcaneus below the subtalar joint up to a point outward on the top of the foot. Third, for induction of ankle eversion, the ankle was everted, and taping was done starting at 5 cm above the medial malleolus, and proceeding past the lateral calcaneus below the subtalar joint to a point inward on the top of the foot.
This study used the GAITRite system to quantitatively evaluate each subject’s walking ability.
We further evaluated walking ability with the FDM S platform for quantitative approach. Our results revealed that KT achieved greater improvement of balance ability as compared to barefoot condition.

대상 데이터

A total of 11 patients (age range 60–65 years; mean age, 60.2±5.7) with ankle instability after stroke were enrolled.
In this study, 11 patients were recruited, and of those, none were drop outs. Therefore, a total of 11 datasets were analyzed (male 6, female 5)

데이터처리

This study compared the effects on walking under the two conditions using a Wilcoxon singled rank test. We used SPSS software (ver.

성능/효과

In the comparison of the two conditions during standing, KT condition was significantly lower in CoP path length and sway speed than barefoot condition (P<.05) (Table 2).
In the comparison of the two conditions during walking, KT condition was significantly higher in velocity, cadence, step length, and stride length than barefoot condition (P<.05) (Table 1).
We further evaluated walking ability with the FDM S platform for quantitative approach. Our results revealed that KT achieved greater improvement of balance ability as compared to barefoot condition. This finding may be explained by the fact that KT provides positional stimulus through the skin to support the joint function, which can contribute to joint stability.

참고문헌 (18)

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