The Immediate Effects of Spiral Kinesio Taping on In-toeing Gait Pattern in Children with Spastic Diplegic Cerebral Palsy (original) (raw)
Related papers
Journal of Rehabilitation Medicine, 2021
Background: One of the important goals in the treatment of spastic cerebral palsy is to maintain efficient and effective walking in order to be independent in activities and participate in society. Objective: To compare the efficacy of foot combination taping of kinesio tape and athletic tape vs ankle foot orthosis in correcting spatiotemporal gait parameters in children with spastic diplegia. Methods: Thirty-six children with spastic diplegia were randomly assigned into 3 groups; control, combination taping, and ankle foot orthosis groups. Children in the control group, in addition to those in both experimental groups, continued with conventional physical therapy, 1 h, 3 times per week for 4 weeks. Spatiotemporal gait parameters were assessed with the GAITRite system before and after the application of interventions. Results: Significant increases in walking velocity, step length, stride length, right single support duration, and left single support duration of the ankle foot ortho...
Effect of Kinesio Taping on Gait Performance and Balance in Children with Hemiplegic Cerebral Palsy
Türk Fizyoterapi ve Rehabilitasyon Dergisi, 2017
Purpose: The objective of this study was to evaluate the effectiveness of kinesio taping (KT) on gait performance and balance in children with hemiplegic cerebral palsy (CP). Methods: Nineteen ambulant children with spastic hemiplegic CP (mean age; 11.63±3.59 years, 8 boys, 11 girls) participated in this study. Passive dorsi flexion and plantar flexion range of motion (ROM) of ankle were measured with a goniometer in a supine position. Plantar flexor muscle tone and gait performance were evaluated by Modified Ashworth Scale and One-Minute Walk Test. Balance was evaluated with Pediatric Balance Scale (PBS) and Modified Timed Up Go (mTUG) Test. After pre-evaluation, kinesio tape was applied over the gastrocnemius and tibialis anterior muscles of hemiplegic side. Results: The plantar flexor muscle tone and ankle ROM unchanged immediately and 48 h after KT application (p>0.05). However, there were significant differences in measurements of gait performance, PBS, mTUG test at 48 h after KT application (p<0.05), but not immediately (p>0.05). Discussion: It is concluded that KT has not an effect on ankle plantar flexor muscle spasticity and ankle ROM, but improves gait performance and balance in children with hemiplegic CP at 48 h after application.
Zanjan University of Medical Sciences, 2022
Background and Objective: Cerebral palsy is a non-progressive disorder of posture and motor status caused by various factors and can cause childhood disabilities and abnormalities like flat foot deformity. Kinesio Taping is a typical technique that helps relieve pain, relax muscles, and increase proprioception. The purpose of this study was to evaluate the effectiveness of Kinesio Taping on the plantar arch index in children with diplegic cerebral palsy. Materials and Methods: This randomized clinical trial study was performed on 20 children with spastic diplegic cerebral palsy aged 2 to 6 years in Zanjan-Iran rehabilitation centers. The children were examined in separate intervention and control groups. In the control group, common flat foot exercises were performed. In contrast, in the intervention group, the Kinesio Taping method was used in addition to the mentioned exercises, and finally, the data were analyzed. Paired samples T-Test and Independent T-Test were used to determine the effect of Kinesio Taping in reducing flat feet. Results: After statistical analysis, it was found that, although both groups showed significant results in their plantar arch indexes, the intervention group's results seemed more effective (p<0.05). Conclusion: Kinesio taping can be a safe, inexpensive, and accessible method to manage flat feet complications in children with diplegic cerebral palsy. Keywords: Flatfoot, Kinesio Taping, Cerebral palsy
The effectiveness of ankle foot orthosis on gait in children with spastic diplegic cerebral palsy
Journal of Pediatrics & Neonatal Care, 2018
Introduction: Cerebral palsy is a life lasting disability and is one of the most expensive diseases. CP is defined as a non-progressive, chronic, involuntary movement disorder secondary to an injury or lesion of the immature brain. The lesion usually occurs prenatally on prenatally: only about 10 per cent of the lesions are of postnatal origin. In most patients, a specific cause is not identified. Orthotic management is a widely utilized method of treatment in children with CP due to its conservative nature. Orthosis continue to have an important role in many therapeutic regimens for children with CP. However; there have been differences in design variants of Orthosis prescribed for the common problem of Spastic Cerebral Palsy. Three AFO configurations frequently prescribed for children with spastic cerebral palsy they are Hinged AFO (HAFO), the Posterior leaf spring (PLS AFO), and the Solid AFO (SAFO). Methods: Thirty subjects with Spasticdieplegic Cerebral palsy aged from 5-15 yea...
Background: Cerebral Palsy (CP) describes a non-progressive but not unchanging disorder of movement and posture due to an insult to or anomaly of the developing brain. People with spastic diplegia typically walk slowly and have difficulties in performing activities such as walking running or jumping. Children with spastic diplegic cerebral palsy are relied more on cadence to increase speed. Hence, the purpose of this study is to compare the effectiveness of open and closed kinetic chain (OKC and CKC) exercises in improving gait in spastic diplegic cerebral palsy.
Asian Journal of Advanced Research and Reports, 2018
Background and Purpose: Spastic cerebral palsy is accompanied with an increase in calf muscles’ spasticity and a decrease in the ankle range of motion. The purpose of the study was to compare muscle inhibitory with functional corrective Kinesio taping applications on children with spastic cerebral palsy. Methods: Thirty two children with spastic cerebral palsy were selected from the outpatient clinic of the faculty of Physical Therapy Cairo University. Muscle inhibitory and functional corrective Kinesio taping applications in addition to physical therapy program were applied for three successive months. Digital Goniometer was used to assess the ankle range of motion pre and post Kinesio tape applications. Results: The study revealed that that the functional corrective Kinesio taping is more effective in increasing ankle range of motion than the muscle inhibitory. Conclusion: Functional Corrective Kinesio tape application is recommended for increasing ankle range of motion in children with spastic cerebral palsy.
Frontiers in Pediatrics
This study analyzes the immediate effects of wearing a Therasuit on sagittal plane lower limb angular displacements during gait in children with unilateral spastic cerebral palsy (US-CP). Seven participants (median age = 7.00 years; ranging from 5.83 to 9.00 years) with US-CP, levels I and II of the Gross Motor Function Classification System, were assessed with kinematic gait analysis in three different conditions: (A) Baseline; (B) Therasuit without elastics and (C) Therasuit with elastics. Significant improvements were observed at the hip joint of both lower limbs during most of the gait cycle in participants wearing a Therasuit, including a decrease in the flexion pattern at the initial contact and swing phase in both lower limbs, and an increase in the extension pattern in the paretic lower limb during the stance phase. At the knee joint in the paretic lower limb, significant differences were found between the baseline and Therasuit with elastics conditions on the knee angle at initial contact, and between baseline and both Therasuit conditions on the flexion angle at swing phase. However, the inter-individual variability in kinematic patterns at the knee joint was high. At the ankle joint, decreased plantar flexion at initial contact and increased dorsiflexion during stance and swing phases were observed at the Therasuit with elastics condition, helping to correct the equinus-foot in the paretic lower limb during the whole gait cycle. The Z-values showed large effect sizes particularly for most of the angular hip variables in both lower limbs and for the angular ankle variables in the paretic lower limb. The Therasuit seems to have some positive immediate effects on gait kinematics in children with spastic unilateral cerebral palsy by providing a more functional and safer gait pattern. Future investigations with larger samples are recommended to further support these findings.
Children
Background: Cerebral palsy (CP) is the most common cause of motor disability in children and can cause severe gait deviations. The sagittal gait patterns classification for children with bilateral CP is an important guideline for the planning of the rehabilitation process. Ankle foot orthoses should improve the biomechanical parameters of pathological gait in the sagittal plane. Methods: A systematic search of the literature was conducted to identify randomized controlled trials (RCT) and controlled clinical trials (CCT) which measured the effect of ankle foot orthoses (AFO) on the gait of children with spastic bilateral CP, with kinetic, kinematic, and functional outcomes. Five databases (Pubmed, Scopus, ISI Web of SCIENCE, SciELO, and Cochrane Library) were searched before February 2020. The PEDro Score was used to assess the methodological quality of the selected studies and alignment with the Cochrane approach was also reviewed. Prospero registration number: CRD42018102670. Resu...
2014
Objective: This study aimed to evaluate the effectiveness of a static ground reaction ankle foot orthosis and strapping system on improving gait parameters in children with spastic diplegic cerebral palsy. Setting: The current study was conducted at the physical therapy faculty of Cairo University, Egypt. Subjects: This study included 57 children of both sexes, aged 6 to 8 years. Study design: Three-armed randomized control trial. Intervention: Participants in all groups received a traditional neuro-developmental physical therapy program that included standing and gait training exercises. Children in group A performed the training program without any orthotic management, in group B with the TheraTogsTM strapping system, and in group C with the TheraTogsTM strapping system and static ground reaction ankle foot orthoses. Children underwent treatment for two hours daily, except on weekends, for twelve successive weeks. Main measure: Gait speed, cadence, stride length, and hip and knee ...
2019
Objectives: Cerebral Palsy (CP) is a non-progressive brain damage that leads to movement and balance disorders. One of the new rehabilitation approaches for such children is Kinesio taping. The present study aimed to investigate the effect of lower limbs kinesio taping on static and dynamic balance in children with CP. Methods: In this pilot randomized clinical trial, 30 children with CP were randomly classified into two control and intervention groups each containing 15 subjects. In the intervention group, Kinesio tape was applied with 30% tension on anterior muscles of lower limbs. However, in the control group, Kinesio tape was used just in a sham mode. In both groups, Kinesio tape was used along with occupational therapy interventions for two weeks. Berg Balance Scale (BBS) and forward Functional Reach (FR) tests were used before, two days, and two weeks after intervention. Two-way repeated measures ANOVA was used to study the intervention effects, within-group data were analyzed with the paired t-test, and between-group effects were assessed using independent t-test. Results: Short term results (two days after intervention) indicated no significant difference between the scores of BBS (P=0.7) and FR (P=0.08) in the intervention group, and BBS (P= 0.8) and FR (P=0.1) in the control group. Long term results indicated a significant change in BBS (P<0.001) and FR (P<0.001) in the intervention group, however, no significant changes were observed in FR (P=0.1) and BBS (P=0.8) in the control groups. Discussion: Application of Kinesio tape on lower limbs of children with CP improved their balance. Therefore, this method can be used in rehabilitation clinics for functional improvement of children with Cerebral Palsy.