Short-Term Effect of Kinesio Taping of Lower-Leg Proprioceptive Neuromuscular Facilitation Pattern on Gait Parameter and Dynamic Balance in Chronic Stroke with Foot Drop

Dongyun Lee, Youngsook Bae, Dongyun Lee, Youngsook Bae

Abstract

The aim of this study is to identify the effectiveness of proprioceptive neuromuscular facilitation (PNF) leg Kinesio taping on gait parameters and dynamic balance in chronic stroke patients with foot drop. A total 22 chronic stroke patients were randomly assigned to experimental (n = 11) and control groups (n = 11). All subjects underwent conventional therapy and gait training for 50 min. The experimental group additionally received KT of tibialis anterior muscle (TA) and hamstring muscles according to the PNF pattern. The control group received KT of only TA. The primary outcome measures that the gait parameter are gait velocity, cadence, step length, and stride length. Dynamic balance was measured by the timed up-and-go test (TUG) time and activity-specific balance confidence scale (ABC) as the secondary outcomes. All of the measurements were performed baseline and 24 h after intervention. Our results showed that the experimental group showed significant improvements in gait velocity, cadence, step length, stride length and TUG, and ABC score compared with the control group. We conclude that the short term effect of application of lower-leg KT according to the PNF pattern increased the gait ability and dynamic balance of chronic stroke patients with foot drop.

Keywords: Kinesio tape; dynamic balance; gait; proprioceptive neuromuscular facilitation pattern; stroke rehabilitation.

Conflict of interest statement

The authors declared no conflicts of interest.

Figures

Figure 1
Figure 1
Flow chart of this study.
Figure 2
Figure 2
Application of kinesiology tape to the tibialis anterior muscle (a), hamstring muscles (b).

References

    1. Chen I.-H., Yang Y.-R., Cheng S.-J., Chan R.-C., Wang R.-Y. Neuromuscular and Biomechanical Strategies of Turning in Ambulatory Individuals Post-Stroke. Chin. J. Physiol. 2014;57:128–136. doi: 10.4077/CJP.2014.BAC204.
    1. Xu B., Yan T., Yang Y., Ou R., Huang S. Effect of normal-walking-pattern-based functional electrical stimulation on gait of the lower extremity in subjects with ischemic stroke: A self controlled study. NeuroRehabilitation. 2016;38:163–169. doi: 10.3233/NRE-161306.
    1. Adegoke B.O.A., Olaniyi O., Akosile C.O. Weight Bearing Asymmetry and Functional Ambulation Performance in Stroke Survivors. Glob. J. Health Sci. 2012;4:87–94. doi: 10.5539/gjhs.v4n2p87.
    1. Chisholm A.E., Perry S.D., McIlroy W.E. Correlations between ankle–foot impairments and dropped foot gait deviations among stroke survivors. Clin. Biomech. 2013;28:1049–1054. doi: 10.1016/j.clinbiomech.2013.09.007.
    1. Perry J., Bunfield J.M. Gait Analysis: Normal and Pathological Function. 2th ed. Slack Incorporated; New York, NY, USA: 2010. pp. 551–555.
    1. Sabut S., Kumar R., Lenka P., Mahadevappa M. Surface EMG analysis of tibialis anterior muscle in walking with FES in stroke subjects; Proceedings of the IEEE Engineering in Medicine and Biology Society; Buenos Aires, Argentina. 31 August–4 September 2010; New York, NY, USA: IEEE; 2010. pp. 5839–5842.
    1. Blaya J.A., Herr H. Adaptive Control of a Variable-Impedance Ankle-Foot Orthosis to Assist Drop-Foot Gait. IEEE Trans. Neural Syst. Rehabil. Eng. 2004;12:24–31. doi: 10.1109/TNSRE.2003.823266.
    1. Sheffler L.R., Hennessey M.T., Naples G.G., Chae J. Peroneal nerve stimulation versus an ankle foot orthosis for correction of foot drop in stroke: Impact on functional ambulation. Neurorehabil. Neural Repair. 2006;20:355–360. doi: 10.1177/1545968306287925.
    1. Bae Y.-H., Kim H.G., Min K.S., Lee S.M. Effects of Lower-Leg Kinesiology Taping on Balance Ability in Stroke Patients with Foot Drop. Evid. Based Complement. Altern. Med. 2015;2015:1–5. doi: 10.1155/2015/125629.
    1. Wang M., Pei Z.-W., Xiong B.-D., Meng X.-M., Chen X.-L., Liao W.-J. Use of Kinesio taping in lower-extremity rehabilitation of post-stroke patients: A systematic review and meta-analysis. Complement. Ther. Clin. Pract. 2019;35:22–32. doi: 10.1016/j.ctcp.2019.01.008.
    1. Choi Y.-K., Nam C.-W., Lee J.-H., Park Y.-H. The Effects of Taping Prior to PNF Treatment on Lower Extremity Proprioception of Hemiplegic Patients. J. Phys. Ther. Sci. 2013;25:1119–1122. doi: 10.1589/jpts.25.1119.
    1. Cayco C.S., Gorgon E.J.R., Lazaro R.T. Effects of proprioceptive neuromuscular facilitation on balance, strength, and mobility of an older adult with chronic stroke: A case report. J. Bodyw. Mov. Ther. 2017;21:767–774. doi: 10.1016/j.jbmt.2016.10.008.
    1. Guiu-Tula F.X., Cabanas-Valdés R., Sitjà-Rabert M., Urrútia G., Gómara-Toldrà N. The Efficacy of the proprioceptive neuromuscular facilitation (PNF) approach in stroke rehabilitation to improve basic activities of daily living and quality of life: A systematic review and meta-analysis protocol. BMJ Open. 2017;7:e016739. doi: 10.1136/bmjopen-2017-016739.
    1. Chaturvedi P., Singh A.K., Kulshreshtha D., Maurya P.K., Thacker A.K. Proprioceptive neuromuscular facilitation (PNF) vs. task specific training in acute stroke: The effects on neuroplasticity. MOJ Anat. Physiol. 2018;5:1. doi: 10.15406/mojap.2018.05.00181.
    1. Alagappan P. A case report on proprioceptive neuromuscular facilitation on balance and gait in hemiparetic patient. Indian J. Physiother. Occup. Ther. 2019;13:115. doi: 10.5958/0973-5674.2019.00023.6.
    1. Seo K., Park S.H., Park K. The effects of stair gait training using proprioceptive neuromuscular facilitation on stroke patients’ dynamic balance ability. J. Phys. Ther. Sci. 2015;27:1459–1462. doi: 10.1589/jpts.27.1459.
    1. Adler S.S., Beckers D., Buck M. PNF in Practice: An Illustrated Guide. 3rd ed. Springer; Berlin/Heidelberg, Germany: 2000. pp. 158–171.
    1. Kase K., Wallis J., Kase T. Clinical Therapeutic Applications of the Kinesio Taping Method. 2nd ed. Kinesio Taping Association; Dalls, TX, USA: 2003. pp. 20–27.
    1. Cohen J. Eta-Squared and Partial Eta-Squared in Fixed Factor Anova Designs. Educ. Psychol. Meas. 1973;33:107–112. doi: 10.1177/001316447303300111.
    1. Kinesiology Taping. [(accessed on 21 February 2021)]; Available online: .
    1. Słupik A., Dwornik M., Białoszewski D., Zych E. Effect of Kinesio Taping on bioelectrical activity of vastus medialis muscle. Preliminary report. Ortop. Traumatol. Rehabil. 2008;9:644–651.
    1. Koseoglu B.F., Dogan A., Tatli H.U., Ozcan D.S., Polat C.S. Can kinesio tape be used as an ankle training method in the rehabilitation of the stroke patients? Complement. Ther. Clin. Pract. 2017;27:46–51. doi: 10.1016/j.ctcp.2017.03.002.
    1. Lee S.M., Lee J.H. Effect of balance taping using kinesiology tape for a hamstring muscle injury and traumatic knee pain in an amateur university football player: A case report. Medicine. 2018;97 doi: 10.1097/MD.0000000000010973.
    1. Kressig R.W., Beauchet O. Guidelines for clinical applications of spatio-temporal gait analysis in older adults. Aging Clin. Exp. Res. 2006;18:174–176. doi: 10.1007/BF03327437.
    1. Cho K.H., Lee H.J., Lee W.H. Test–retest reliability of the GAITRite walkway system for the spatio-temporal gait parameters while dual-tasking in post-stroke patients. Disabil. Rehabil. 2015;37:512–516. doi: 10.3109/09638288.2014.932445.
    1. Faria C.D., Teixeira-Salmela L.F., Nadeau S. Effects of the Direction of Turning on the Timed Up & Go Test with Stroke Subjects. Top. Stroke Rehabil. 2009;16:196–206. doi: 10.1310/tsr1603-196.
    1. Hiengkaew V., Jitaree K., Chaiyawat P. Minimal Detectable Changes of the Berg Balance Scale, Fugl-Meyer Assessment Scale, Timed “Up & Go” Test, Gait Speeds, and 2-Minute Walk Test in Individuals with Chronic Stroke With Different Degrees of Ankle Plantarflexor Tone. Arch. Phys. Med. Rehabil. 2012;93:1201–1208. doi: 10.1016/j.apmr.2012.01.014.
    1. Salbach N.M., Mayo N.E., Hanley J.A., Richards C.L., Wood-Dauphinee S. Psychometric Evaluation of the Original and Canadian French Version of the Activities-Specific Balance Confidence Scale Among People With Stroke. Arch. Phys. Med. Rehabil. 2006;87:1597–1604. doi: 10.1016/j.apmr.2006.08.336.
    1. Jang S.N., Cho S.I., Ou S.W., Lee E.S., Baik H.W. The validity and reliability of Korean fall efficacy scale (FES) and activities-specific balance confidence scale (ABC) J. Korean Geriatr. Soc. 2003;7:255–268.
    1. Botner E.M., Miller W.C., Eng J.J. Measurement properties of the Activities-specific Balance Confidence Scale among individuals with stroke. Disabil. Rehabil. 2005;27:156–163. doi: 10.1080/09638280400008982.
    1. Bakeman R. Recommended effect size statistics for repeated measures designs. Behav. Res. Methods. 2005;37:379–384. doi: 10.3758/BF03192707.
    1. De Quervain I.A., Simon S.R., Leurgans S., Pease W.S., McAllister D. Gait pattern in the early recovery period after stroke. J. Bone Joint. Surg. Am. 1996;78:1506–1514. doi: 10.2106/00004623-199610000-00008.
    1. Piazza S.J., Delp S.L. The influence of muscles on knee flexion during the swing phase of gait. J. Biomech. 1996;29:723–733. doi: 10.1016/0021-9290(95)00144-1.
    1. Mulroy S., Gronley J., Weiss W., Newsam C., Perry J. Use of cluster analysis for gait pattern classification of patients in the early and late recovery phases following stroke. Gait Posture. 2003;18:114–125. doi: 10.1016/S0966-6362(02)00165-0.
    1. Kim W.-I., Choi Y.-K., Lee J.-H., Park Y.-H. The Effect of Muscle Facilitation Using Kinesio Taping on Walking and Balance of Stroke Patients. J. Phys. Ther. Sci. 2014;26:1831–1834. doi: 10.1589/jpts.26.1831.
    1. DePaul V., Patterson K.K., Inness E.L., Mansfield A., Mochizuki G., McIlroy W. Relationship Between Step Length, Cadence and Capacity to Increase Gait Velocity After Recent Stroke. Arch. Phys. Med. Rehabil. 2014;95:e31–e32. doi: 10.1016/j.apmr.2014.07.082.
    1. Boeskov B., Carver L.T., Von Essen-Leise A., Henriksen M. Kinesthetic Taping Improves Walking Function in Patients with Stroke: A Pilot Cohort Study. Top. Stroke Rehabil. 2014;21:495–501. doi: 10.1310/tsr2106-495.
    1. Persson C.U., Hansson P.-O., Sunnerhagen K.S. Clinical tests performed in acute stroke identify the risk of falling during the first year: Postural stroke study in Gothenburg (POSTGOT) J. Rehabil. Med. 2011;43:348–353. doi: 10.2340/16501977-0677.
    1. Bower K., Thilarajah S., Pua Y.-H., Williams G., Tan D., Mentiplay B., Denehy L., Clark R. Dynamic balance and instrumented gait variables are independent predictors of falls following stroke. J. Neuroeng. Rehabil. 2019;16:1–9. doi: 10.1186/s12984-018-0478-4.
    1. Schinkel-Ivy A., Inness E.L., Mansfield A. Relationships between fear of falling, balance confidence, and control of balance, gait, and reactive stepping in individuals with sub-acute stroke. Gait Posture. 2016;43:154–159. doi: 10.1016/j.gaitpost.2015.09.015.
    1. Ekiz T., Aslan M.D., Özgirgin N. Effects of Kinesio Tape application to quadriceps muscles on isokinetic muscle strength, gait, and functional parameters in patients with stroke. J. Rehabil. Res. Dev. 2015;52:323–332. doi: 10.1682/JRRD.2014.10.0243.

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