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

Autor(es)

dos Santos, Gabriela Lopes ^{[1, 2]} ; Moreira da Silva, Erika Shirley ^[1] ; Desloovere, Kaat ^{[3, 4]} ; Russo, Thiago Luiz ^[1]

Afiliação do(s) autor(es)

^[1] Fed Univ Sao Carlos UFSCar, Dept Physiotherapy, Lab Neurol Physiotherapy Res, Sao Carlos, SP - Brazil

^[2] Fac Alfredo Nasser UNIFAN, ICS, Aparecida De Goiania, Go - Brazil

^[3] Katholieke Univ Leuven, Dept Rehabil Sci, Fac Kinesiol & Rehabil Sci, Leuven - Belgium

^[4] Univ Hosp Pellenberg, Clin Mot Anal Lab, CERM, Pellenberg - Belgium

• Tipo de documento: Artigo Científico
• Fonte: PLoS One; v. 14, n. 1 JAN 25 2019.
• Citações Web of Science: 0

Resumo

Background 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. Objective To verify the effects of elastic tape (ET) used on the paretic shoulder in upper limb (UL) performance during a drinking task. Method 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). Results 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<0.001; ST: CI: 12.89 (6.79 to 18.98), p<0.001). At the end of transporting the glass to the mouth, patients who underwent the elastic tape intervention presented more shoulder elevation {[}ET: CI = 16.40 (4.28 to 28.52), p = 0.007; ST: CI: 15.13 (5.79 to 24.48), p = 0.002)]. Moreover, an increase of elbow extension at the end of transporting the glass to the table was observed for both groups {[}ET: CI = 8.13 (1.48 to 14.79), p = 0.014; ST: CI: 8.20 (4.03 to 12.38), p<0.001)]. However, no changes in the spatiotemporal parameters were observed for both groups during all the phases of the task (p>0.05). Conclusion The ET changed UL joint motions and posture during a drinking task in chronic hemiparetic subjects, which defines its role as an adjuvant therapy. (AU)

• Processo FAPESP: 15/21695-2 - Análises convencionais e Statistical Parametric Mapping® (SPM) para dados cinemáticos e eletromiográficos durante tarefas funcionais do membro superior de indivíduos hemiparéticos crônicos
• Beneficiário: Gabriela Lopes dos Santos
• Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Doutorado
• Processo FAPESP: 14/25845-6 - Efeitos da bandagem elástica na propriocepção do ombro e no desempenho sensório-motor durante o alcance em indivíduos hemiparéticos crônicos
• Beneficiário: Gabriela Lopes dos Santos
• Modalidade de apoio: Bolsas no Brasil - Doutorado