Effects of Kinesio Taping and Modified Constraint-Induced Movement Therapy on Upper Extremity Function, Quality of Life, and Spasticity in Individuals Recovering from Stroke
Article Sidebar
Main Article Content
Abstract
Background: Cerebral palsy is a neurological condition affecting children and adolescents, often resulting in hemiparesis and impaired upper limb functionality. Constraint-Induced Movement Therapy (CIMT) has shown promise in rehabilitation, and Kinesio Taping (KT) is increasingly considered for its potential benefits. This study explores the synergistic impact of CIMT and KT on upper limb function and muscle tone in this population, filling a critical gap in research.
Objective: To investigate the combined effects of CIMT and KT on upper limb functionality and spasticity in children and adolescents with hemiparesis.
Methods: A comprehensive randomized clinical trial adhering to CONSORT guidelines was conducted. Forty-six participants aged 6 to 17 years, diagnosed with hemiparesis due to cerebral palsy, were divided into two groups: CIMT-only and CIMT + KT. Baseline assessments included age, gender, stroke type, time since stroke, and initial upper limb function (FMA-UE, BBT, SF-36, MAS). CIMT sessions were conducted intensively over four weeks, with the CIMT + KT group additionally receiving KT application. Post-intervention assessments were conducted using the same measures.
Results: Both the CIMT and CIMT + KT groups demonstrated significant improvements in the use of the affected limb for daily tasks, as indicated by the Motor Activity Log (MAL) scores. The CIMT-only Group showed a mean change in MAL score of 15.4 ± 8.1, while the CIMT + KT Group exhibited a mean change of 10.2 ± 6.5. Strong performance in upper limb functionality, assessed through the Wolf Motor Function Test (WMFT) Functional Ability Scale (FAS), was observed in both groups. The CIMT-only Group demonstrated a mean change in WMFT FAS score of 12.3 ± 6.2, and the CIMT + KT Group had a mean change of 8.4 ± 5.1. Additionally, both groups experienced a notable reduction in muscle tone, assessed using the Modified Ashworth Scale (MAS). The CIMT-only Group had a mean change in MAS score of -0.6 ± 0.4, while the CIMT + KT Group had a mean change of -0.4 ± 0.5. No statistically significant differences were observed between the two groups regarding the quality and quantity of movement.
Conclusion: Integrating Kinesio Taping with Constraint-Induced Movement Therapy effectively reduces muscular tone in the wrist and fingers, enhancing upper limb functionality in children and adolescents with hemiparesis. While Kinesio Taping alone and in combination with CIMT demonstrates efficacy, further research is warranted to optimize therapeutic applications.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Pulman J, Buckley E. Assessing the efficacy of different upper limb hemiparesis interventions on improving health-related quality of life in stroke patients: a systematic review. Top Stroke Rehabil. 2013;20(2):171-88.
Pulman J, Buckley E, Clark-Carter D. A meta-analysis evaluating the effectiveness of two different upper limb hemiparesis interventions on improving health-related quality of life following stroke. Top Stroke Rehabil. 2013;20(2):189-96.
Abo M, Kakuda W, Momosaki R, Harashima H, Kojima M, Watanabe S, et al. Randomized, multicenter, comparative study of NEURO versus CIMT in poststroke patients with upper limb hemiparesis: the NEURO-VERIFY Study. International journal of stroke : official journal of the International Stroke Society. 2014;9(5):607-12.
Pollock A, Farmer SE, Brady MC, Langhorne P, Mead GE, Mehrholz J, et al. Interventions for improving upper limb function after stroke. The Cochrane database of systematic reviews. 2014;2014(11):Cd010820.
Corbetta D, Sirtori V, Castellini G, Moja L, Gatti R. Constraint-induced movement therapy for upper extremities in people with stroke. The Cochrane database of systematic reviews. 2015;2015(10):Cd004433.
Huang YC, Leong CP, Wang L, Wang LY, Yang YC, Chuang CY, et al. Effect of kinesiology taping on hemiplegic shoulder pain and functional outcomes in subacute stroke patients: a randomized controlled study. European journal of physical and rehabilitation medicine. 2016;52(6):774-81.
Kirton A, Andersen J, Herrero M, Nettel-Aguirre A, Carsolio L, Damji O, et al. Brain stimulation and constraint for perinatal stroke hemiparesis: The PLASTIC CHAMPS Trial. Neurology. 2016;86(18):1659-67.
Haddad MM, Uswatte G, Taub E, Barghi A, Mark VW. Relation of depressive symptoms to outcome of CI movement therapy after stroke. Rehabilitation psychology. 2017;62(4):509-15.
da Silva ESM, Santos GL, Catai AM, Borstad A, Furtado NPD, Aniceto IAV, et al. Effect of aerobic exercise prior to modified constraint-induced movement therapy outcomes in individuals with chronic hemiparesis: a study protocol for a randomized clinical trial. BMC neurology. 2019;19(1):196.
Abdullahi A, Truijen S, Umar NA, Useh U, Egwuonwu VA, Van Criekinge T, et al. Effects of Lower Limb Constraint Induced Movement Therapy in People With Stroke: A Systematic Review and Meta-Analysis. Frontiers in neurology. 2021;12:638904.
Hsieh HC, Liao RD, Yang TH, Leong CP, Tso HH, Wu JY, et al. The clinical effect of Kinesio taping and modified constraint-induced movement therapy on upper extremity function and spasticity in patients with stroke: a randomized controlled pilot study. European journal of physical and rehabilitation medicine. 2021;57(4):511-9.
Rocha LSO, Gama GCB, Rocha RSB, Rocha LB, Dias CP, Santos LLS, et al. Constraint Induced Movement Therapy Increases Functionality and Quality of Life after Stroke. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. 2021;30(6):105774.
Christie LJ, Fearn N, McCluskey A, Lannin NA, Shiner CT, Kilkenny A, et al. Remote constraint induced therapy of the upper extremity (ReCITE): A feasibility study protocol. Frontiers in neurology. 2022;13:1010449.
Yingying P, Zang L, Wang X, Yang X. Effect of Continuous Care Combined with Constraint-Induced Movement Therapy Based on a Continuing Care Health Platform on MBI and FMA Scores of Acute Stroke Patients. Journal of healthcare engineering. 2022;2022:5299969.
Zhou M, Tu Y, Cui J, Gao P, Yi T, Wang J, et al. Effect of constraint-induced movement therapy on lower extremity motor dysfunction in post-stroke patients: A systematic review and meta-analysis. Frontiers in neurology. 2022;13:1028206.
Dboba MM, Mohd Nordin NA, Manaf H, Mohd Rasdi HF. Effect of constraint-induced movement therapy combined with neuromuscular electrical stimulation on upper extremity function in stroke survivors: A protocol for systematic review. Medicine. 2023;102(28):e34249.
Garrido MM, Álvarez EE, Acevedo PF, Moyano VÁ, Castillo NN, Cavada Ch G. Early transcranial direct current stimulation with modified constraint-induced movement therapy for motor and functional upper limb recovery in hospitalized patients with stroke: A randomized, multicentre, double-blind, clinical trial. Brain stimulation. 2023;16(1):40-7.
Safdar Z, Asghar M, Tahir M. Level of Quality of Life among Post Stroke Patients; A Cross Sectional Survey. Journal of Health and Rehabilitation Research. 2023;3(2):299-304.
Tahir M, Tehzeeb K, Javaid F, Khan UA, Ayyaz A, Usama M. EFFECTS OF ROUTINE PHYSICAL THERAPY WITH AND WITHOUT HIGH INTENSITY INTERVAL TRAINING ON BALANCE, QUALITY OF LIFE AND FUNCTION IN PARKINSON’S DISEASE PATIENTS. Journal of Population Therapeutics and Clinical Pharmacology. 2023;30(19):483-90.
Khan MT, Shareef F, Farooq U, Tahir A. Impact of Facility Characteristics on Patient Safety, Patient Experience, and Service Availability for Procedures in Hospitals. Pakistan Journal of Rehabilitation. 2022;11(1):136-44.
Makki ARK, Tahir M, Amin U, Tabassum MMB, Kamran M, Tahir F. Mechanism of Meniscal Injury and its Impact on Performance in Athletes: Meniscal Injury in Athletes. The Healer Journal of Physiotherapy and Rehabilitation Sciences. 2022;2(3):232-7.
Malik J, Farooq U, Tahir M, Ayyaz A, khalid Makki AR. Impact of Attending Online Classes on Mental Health Among University Students During COVID-19 Pandemic in Lahore: Impact of Online Classes in Covid-19. The Healer Journal of Physiotherapy and Rehabilitation Sciences. 2022;2(2):162-9.
Saeed A, Kemall F, Iqbal J, Sarwar R, Mustafa M, Tahir M. Effect of Resistance Exercise Training Program on Quality of Life in Women with and without Polycystic Ovary Syndrome; A Cross Sectional Survey. Pakistan Journal of Medical & Health Sciences. 2022;16(07):956-.
Tahir A, Fatima A, Khan MT. Association of depression in patients with fibromyalgia syndrome. Pakistan Journal of Rehabilitation. 2022;11(1):174-83.
Asghar M, Safdar Z, Tahir M. Quality of life and functional Outcomes among Burn Patients: A Cross Sectional Survey. Journal of Health and Rehabilitation Research. 2023;3(2):293-8.
Tahir M, Maqsood M, Azhar N, Safdar Z, Amin U, Waheed TS. Association of Knee Pain in Long Standing and Sitting among University Teachers: Association of Knee Pain in University Teachers. The Healer Journal of Physiotherapy and Rehabilitation Sciences. 2023;3(1):314-21.
Tahir M, Tariq F, Saeed HW, Nauman M, Usman M, Ali S. Impact of Air Pollution on Respiratory Health of Traffic Wardens in Lahore: Air Pollution and Respiratory Health. The Healer Journal of Physiotherapy and Rehabilitation Sciences. 2023;3(7):703-9.