Effects of elastic tape on kinematic parameters during a functional task in chronic hemiparetic subjects: A randomized sham-controlled crossover trial

Approximately 50 to 70% of post-stroke subjects present a reduction in the upper limb (UL) function even during the chronic phase. An adjuvant technique widely used in neurorehabilitation is elastic taping applications. However, its efficacy in UL treatment for post-stroke subjects still requires fu...

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Bibliographic Details
Published in:PloS one 2019-01, Vol.14 (1), p.e0211332-e0211332
Main Authors: Santos, Gabriela Lopes Dos, Silva, Erika Shirley Moreira da, Desloovere, Kaat, Russo, Thiago Luiz
Format: Article
Language:English
Subjects:
Activities of daily living
Adhesive tape
Adjuvant chemotherapy
Adults
Athletic taping
Biology and Life Sciences
Biomechanical Phenomena
Care and treatment
Cross-Over Studies
Disability
Drinking
Elbow
Elbow (anatomy)
Extremities (Anatomy)
Female
Glass
Health aspects
Humans
Intervention
Kinematics
Kinesiology
Laboratories
Male
Mapping
Medicine and Health Sciences
Neurology
Parameters
Paresis - physiopathology
Paresis - rehabilitation
Physical Sciences
Posture
Randomization
Range of Motion, Articular
Rehabilitation
Risk factors
Scapula
Shoulder
Shoulder - physiopathology
Statistical analysis
Stroke
Stroke Rehabilitation - instrumentation
Studies
Taping
Three dimensional analysis
Three dimensional motion
Treatment Outcome
Upper Extremity - physiopathology
Waveforms
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Summary:Approximately 50 to 70% of post-stroke subjects present a reduction in the upper limb (UL) function even during the chronic phase. An adjuvant technique widely used in neurorehabilitation is elastic taping applications. However, its efficacy in UL treatment for post-stroke subjects still requires further investigation. To verify the effects of elastic tape (ET) used on the paretic shoulder in upper limb (UL) performance during a drinking task. A single-center randomized sham-controlled crossover trial randomized thirteen post-stroke subjects with mild to moderate UL impairment for group allocation to receive first Sham Tape (ST) or first Elastic Tape (ET), with one month of washout. Kinematic measures of a drinking task were taken before and after each intervention (elastic and sham tape), using Three-Dimensional Motion Analysis, and studied using feature analysis and Statistical Parametric Mapping. Outcome measures included spatiotemporal variables, scalar kinematic parameters (starting angles, range of motion-ROM, and endpoint angles) and time-normalized kinematic waveforms of trunk and UL joint angles (scapulothoracic, humerothoracic and elbow). Elastic tape provided common modifications throughout the task (shoulder more towards midline, reduced scapula protraction and trunk flexion) and important alterations at specific time-instants. At the end of the reaching phase, for both groups (ET and ST), the elastic tape increased elbow extension [ET: CI = 12.57 (6.90 to 18.17), p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0211332