Mohammadi R, Hafez Yosephi M, Khanmohammadi R, Grampurohit N. Short-term Effects of Elastic Therapeutic Taping on Static and Dynamic Balance in Chronic Stroke. BCN 2021; 12 (4) :541-550
URL:
http://bcn.iums.ac.ir/article-1-1974-en.html
1- Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran.
2- Department of Physical Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
3- Department of Occupational Therapy, School of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, USA.
Abstract:
Introduction: The current pilot study aimed to examine the short-term effects of ankle Elastic Therapeutic Taping (ETT) on static and dynamic balance.
Methods: Twenty-Four individuals with chronic stroke were assigned to an experimental or control group (n=12/group); they both received Conventional Physical Therapy (CT) for 3 weeks, 3 times per week. The experimental group additionally underwent taping to the ankle of the paretic side continuously for 3 weeks. Standardized measures for static and dynamic balance were administered at pre-test and post-test and analyzed using Wilcoxon and Analysis of Covariance (ANCOVA).
Results: The experimental group significantly improved on two measures, Biodex anterior-posterior static (P=0.03) and medial-lateral dynamic (P=0.04) balance indices, compared to the controls. Both groups improved within their respective groups for Berg Balance Scale and Functional Reach (P<0.05). Static balance consistently improved across measures with the experimental intervention with large effect sizes.
Conclusion: Ankle ETT, combined with CT, may be effective in the short-term for improving static and dynamic balance in stroke, compared to CT alone. A future larger randomized trial with longer follow-up is required to establish this method’s effectiveness.
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● Ankle taping for stroke improved Biodex measures of static and dynamic balance.
● Effect of ankle taping was largest on static balance in individuals with stroke.
● Berg Balance Scale and Functional Reach improved in both groups.
Plain Language Summary
This study includes people who experience ankle weakness due to a stroke six months before the survey. Ankle weakness can cause problems with balance on stable and unstable surfaces. The purpose of the study was to see if using an elastic, sticky tape at the ankle can improve balance for people with stroke on both stable and unstable surfaces. We asked 12 people with stroke to try out the video at their ankles for three weeks continuously while getting physical therapy three times a week. We compared their balance with 12 other people who received physical therapy but did not get the tape. We measured proportion on stable and unstable surfaces with Biodex – a machine for testing balance, and two standard clinic tests. We found that the taping group improved in the Biodex regular surface test in the front-and-back direction and Biodex unstable surface test in the side-to-side direction, compared to the group without taping. A large effect size was seen for balance on stable surfaces with taping. Both groups improved in the standard clinical tests of balance. The results can guide physical therapy for people with stroke. The study supports taping the ankle for a short duration of 3 weeks combined with physical therapy over physical therapy alone. A future study is needed to confirm these findings with a larger number of people that are randomly assigned to the two groups.
Type of Study:
Original |
Subject:
Clinical Neuroscience Received: 2020/10/20 | Accepted: 2021/06/30 | Published: 2021/07/1