دوره 31، شماره 147 - ( 5-1402 )                   جلد 31 شماره 147 صفحات 329-323 | برگشت به فهرست نسخه ها


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Kaedi S, Kordi Yoosefinejad A, Motealleh A, Sobhani S. The Immediate Effects of Spiral Kinesio Taping on In-toeing Gait Pattern in Children with Spastic Diplegic Cerebral Palsy. J Adv Med Biomed Res 2023; 31 (147) :323-329
URL: http://journal.zums.ac.ir/article-1-6904-fa.html
The Immediate Effects of Spiral Kinesio Taping on In-toeing Gait Pattern in Children with Spastic Diplegic Cerebral Palsy. Journal of Advances in Medical and Biomedical Research. 1402; 31 (147) :323-329

URL: http://journal.zums.ac.ir/article-1-6904-fa.html


چکیده:   (1335 مشاهده)

Background and Objective: In-toeing is the most common gait pattern in children with spastic diplegic cerebral palsy (CP). Kinesio Taping (KT) has been suggested to improve the function and posture of children with CP. No study has yet evaluated the effects of spiral KT on this gait pattern. The objective of this study was to evaluate whether spiral KT could improve in-toeing in children with spastic diplegic CP.
Materials and Methods: This pre-post designed experimental study was performed on 14 patients with spastic diplegic CP aged between 6 and 10 years at the first level of the Gross Motor Function Classification System. KT was applied spirally with 100% of available tension. Hip, knee, and ankle joint angles in the transverse plane and spatio-temporal parameters including velocity and duration of stride were measured before and immediately after the intervention.
Results: The results showed a significant decrease in hip (p=0.04) and knee (p<0.001) internal rotation, foot adduction, and abduction (p<0.001) in the transverse plane after using KT. Also, significant differences were found for spatio-temporal indices including velocity (p<0.001) and duration of stride (p<0.001).
Conclusion: Spiral KT with 100% of available tension immediately improved the spatio-temporal indices of in-toeing gait pattern in children with spastic diplegic CP. Hence, clinicians can use the applied method to improve the gait pattern in this group of CP children.

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نوع مطالعه: کارآزمایی بالینی | موضوع مقاله: Clinical medicine
دریافت: 1401/7/30 | پذیرش: 1401/10/12 | انتشار: 1402/7/5

فهرست منابع
1. Sankar C, Mundkur N. Cerebral palsy-definition, classification, etiology and early diagnosis. Indian J Pediatrics. 2005;72(10):865-8. [DOI:10.1007/BF02731117] [PMID]
2. Koman LA, Smith BP, Shilt JS. Cerebral palsy. Lancet. 2004; 363(9421):1619-31. [DOI:10.1016/S0140-6736(04)16207-7] [PMID]
3. Joghataei M, Kazem M. Assessment the level of community needs in welfare services on the whole country. Tehran: University of Social Welfare and Rehabilitation Sciences. 1990.
4. Wren TA, Rethlefsen S, Kay RM. Prevalence of specific gait abnormalities in children with cerebral palsy: influence of cerebral palsy subtype, age, and previous surgery. J Pediatr Orthop. 2005;25(1):79-83. [DOI:10.1097/00004694-200501000-00018] [PMID]
5. Palmer JS, Monk AP, Hopewell S, et al. Surgical interventions for symptomatic mild to moderate knee osteoarthritis. Cochrane Database Syst Rev. 2019(7). [DOI:10.1002/14651858.CD012128.pub2] [PMID]
6. Gina Jansheski. Spastic Diplegia Cerebral Palsy: Cerebral Palsy Guidance; 2020 [updated April 14, 2020. Available from: [https://www.cerebralpalsyguidance.com/cerebral-palsy/types/spastic-diplegia/]
7. Cerebral Palsy: Hope through Research: National Institute of Neurological Disorders and Stroke; 2019 [updated 2020-03-30. Available from: [https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Cerebral-Palsy]
8. Golightly YM, Allen KD, Renner J, Helmick C, Salazar A, Jordan JM. Relationship of limb length inequality with radiographic knee and hip osteoarthritis. Osteoarthritis Cartilage. 2007;15(7):824-9. [DOI:10.1016/j.joca.2007.01.009] [PMID] [PMCID]
9. Uden H, Kumar S. Non-surgical management of a pediatric "intoed" gait pattern-a systematic review of the current best evidence. J Multi Disciplin Health Care. 2012;5:27. [DOI:10.2147/JMDH.S28669] [PMID] [PMCID]
10. Rethlefsen SA, Healy BS, Wren TA, Skaggs DL, Kay RM. Causes of intoeing gait in children with cerebral palsy. JBJS. 2006;88(10):2175-80. [DOI:10.2106/00004623-200610000-00009] [PMID]
11. Pirpiris M, Trivett A, Baker R, Rodda J, Nattrass G, Graham H. Femoral derotation osteotomy in spastic diplegia: Proximal or distal? J Bone Joint Surg Br Vol. 2003;85(2):265-72. [DOI:10.1302/0301-620X.85B2.13342] [PMID]
12. Brunner R, Baumann J. Long-term effects of intertrochanteric varus-derotation osteotomy on femur and acetabulum in spastic cerebral palsy: an 11-to 18-year follow-up study. J Pediatr Orthop. 1997;17(5):585-91. [DOI:10.1097/01241398-199709000-00004] [PMID]
13. Redmond A. The effectiveness of gait plates in controlling in-toeing symptoms in young children. J Am Pediatr Med Assoc. 2000;90(2):70-6. [DOI:10.7547/87507315-90-2-70] [PMID]
14. Buuck DA. Disorders of the patellofemoral joint: Lippincott Williams & Wilkins; 2004.
15. Mabuchi A, Kitoh H, Inoue M, Hayashi M, Ishiguro N, Suzuki N. The biomechanical effect of the sensomotor insole on a pediatric intoeing gait. Int Scholar Research Notices. 2012;2012. [DOI:10.5402/2012/396718] [PMID] [PMCID]
16. Munuera PV, Castillo JM, Dominguez G, Lafuente G. Orthotic devices with out-toeing wedge as treatment for in-toed gait in children. J Am Pediatr Med Assoc. 2010;100(6):472-8. [DOI:10.7547/1000472] [PMID]
17. Ballester J. Operative treatment for recurrent dislocation of the patella. Reconstruct Surg Traumatol. 1971;12:46.
18. Chang WD, Chang NJ, Lin HY, Lai PT. Changes of plantar pressure and gait parameters in children with mild cerebral palsy who used a customized external strap orthosis: a crossover study. Bio Med Res Int. 2015;2015. [DOI:10.1155/2015/813942] [PMID] [PMCID]
19. Abd El-Kafy EM. The clinical impact of orthotic correction of lower limb rotational deformities in children with cerebral palsy: a randomized controlled trial. Clin Rehabil. 2014;28(10):1004-14. [DOI:10.1177/0269215514533710] [PMID]
20. Illustrated Kinesio Taping. Kase K. 2005.
21. Kim WI, Choi YK, Lee JH, Park YH. The effect of muscle facilitation using kinesio taping on walking and balance of stroke patients. J Physic Ther Sci. 2014;26(11):1831-4. [DOI:10.1589/jpts.26.1831] [PMID] [PMCID]
22. Güçhan Z, Mutlu A. The effectiveness of taping on children with cerebral palsy: A systematic review. Develop Med Child Neurol. 2017;59(1):26-30. [DOI:10.1111/dmcn.13213] [PMID]
23. Partoazar B, Ganji B, Dalvand H, Shamsoddini A. The effect of trunk kinesio taping on static and dynamic balance and functional mobility in children with cerebral palsy. Sport Sci Health. 2021;17(1):111-7. [DOI:10.1007/s11332-020-00660-4]
24. Zeni Jr J, Richards J, Higginson J. Two simple methods for determining gait events during treadmill and overground walking using kinematic data. Gait & posture. 2008;27(4):710-4. [DOI:10.1016/j.gaitpost.2007.07.007] [PMID] [PMCID]
25. dos Santos AN, Rocha NACF. Immediate effect of kinesio taping on knee extensor torque of children with Cerebral Palsy: Three case reports. NeuroRehabilitation. 2018;43(4):519-23. [DOI:10.3233/NRE-161921] [PMID]
26. Paoloni M, Bernetti A, Fratocchi G, Mangone M, Parrinello L, Del Pilar Cooper M, et al. Kinesio Taping applied to lumbar muscles influences clinical and electromyographic characteristics in chronic low back pain patients. Eur J Phys Rehabil Med. 2011;47(2):237-44.
27. Hsu Y-H, Chen W-Y, Lin H-C, Wang WT, Shih Y-F. The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. Journal of electromyography and kinesiology. 2009;19(6):1092-9. [DOI:10.1016/j.jelekin.2008.11.003] [PMID]
28. Yasukawa A, Patel P, Sisung C. Pilot study: Investigating the effects of Kinesio Taping® in an acute pediatric rehabilitation setting. Am J Occup Ther. 2006;60(1):104-10. [DOI:10.5014/ajot.60.1.104] [PMID]
29. Shamsoddini A, Rasti Z, Kalantari M, et al. The impact of Kinesio taping technique on children with cerebral palsy. Iran J Neurol. 2016;15(4):219.
30. dos Santos AN, Visicatto LP, de Oliveira AB, Rocha NACF. Effects of kinesio taping in rectus femoris activity and sit-to-stand movement in children with unilateral cerebral palsy: placebo-controlled, repeated-measure design. Disabil Rehabil. 2019;41(17):2049-59. [DOI:10.1080/09638288.2018.1458912] [PMID]
31. Kemer SN, Celik HI, Ozal S, Kafa N. The effect of kinesio taping over the gluteal muscles on activity and participation in children with unilateral cerebral palsy: A preliminary randomized controlled study. Iran J Pediatr. 2023;33(1). [DOI:10.5812/ijp-129664]
32. Jung SH, Song SH, Kim DR, et al. Effects of kinesio taping on the gait parameters of children with cerebral palsy: a pilot study. Phys Ther Rehabil Sci. 2016;5(4):205-9. [DOI:10.14474/ptrs.2016.5.4.205]
33. Özmen T, Acar E, Zoroğlu T, Işık H. Effect of kinesio taping on gait performance and balance in children with hemiplegic cerebral palsy. Fizyoter Rehabil. 2017;28(1):33-7. [DOI:10.21653/tfrd.330648]
34. Tsimerakis AF, Kottaras A, Iakovidis P, Lytras D, Chatziprodromidou IP, Papanikolaou KG. The effect of kinesio taping on the trunk and lower limb function in children with cerebral palsy. Int J Adv Res Med. 2021;3(2):34-6. [DOI:10.22271/27069567.2021.v3.i2a.214]
35. Mohamed RA, Eid MA. Twister wraps versus twister cables on gait pattern and in-toeing in children with diplegic cerebral palsy.Sci J Azhar Med. 2013;1(1);1-4

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