Oğuzhan Bahadır DEMİR, Erbil DURSUN, Canan BAYDEMİR

İnmeli Hastalarda Omuz ve Skapula Çevresi Kaslarına Yönelik Kinezyolojik Bant Uygulamasının (The Kinesio Taping® Technique) Üst Ekstremite Fonksiyonları ve Yürüme Üzerine Olan Etkisi

Amaç: İnmeyi takiben gelişen paralizi, kas tonus değişiklikleri, motor kontrol ve denge kayıpları fiziksel kısıtlılığın başlıca nedenleridir. Üst ekstremitenin fonksiyonel olarak kullanılamamasıyla birlikte, yürüme fonksiyonları da etkilenebilir. İnmeli hastalarda üst ekstremitenin fonksiyonel kısıtlılığı yürümeyi olumsuz etkileyen faktörlerden birisi olarak görülmektedir. Randomize kontrollü bu çalışmada, inmeli hastaların omuz ve skapula çevresi kaslarına Kinesio Tex® bandın fasilitasyon tekniği ile uygulamasının üst ekstremite fonksiyonları ve yürüme üzerine olan etkilerinin araştırılması amaçlanmıştır.Yöntem: İnmeli 36 hasta (23 çalışma, 13 kontrol) çalışmaya dahil edildi. Hastaların üst ekstremite fonksiyonları Jebsen-Taylor El Fonksiyon Testi (JTEFT) ve Kutu ve Blok Testi (KBT) kullanılarak ölçüldü. VICON bilgisayarlı yürüme analizi sistemi yürüme fonksiyonları değerlendirilmesinde kullanıldı. Değerlendirmeden sonra, çalışma grubundaki hastaların trapez kası alt ve orta kısımlarına, serratus anterior kasına, deltoid kası ön ve arka kısımlarına kinezyolojik bantlama (Kinesio Tex® tape) uygulandı. Bu uygulamadan 1 gün sonra hastaların ikinci değerlendirmeleri yapıldı.Bulgular: Tedavi öncesinde gruplar arasında demografik ve klinik parametrelerde istatistiksel olarak anlamlı fark saptanmadı (p>0,05). Bantlama sonrasında JTEFT ve KBT değerlendirmelerinde çalışma grubu lehine istatistiksel olarak anlamlı farklılık tespit edildi (tüm parametreler için p<0,05). Yürüme analizi değerlendirmesinde plejik alt ekstremite çift destek fazı, adım uzunluğu, kadans ve yürüme hızı parametrelerinde anlamlı farklılık elde edildi (tüm parametreler için p<0,05).Sonuç: Bu veriler, inmeli hastada omuz ve skapula çevresi kaslarına kinezyolojik bant (Kinesio Tex® tape) uygulamasının üst ekstremite fonksiyonları ve yürüme üzerine olumlu etkileri olabileceğini düşündürmektedir.

Anahtar Kelimeler:

İnme, atletik bant, üst ekstremite

The Effects of Shoulder and Scapula Muscles Kinesio Taping (The Kinesio Taping® Technique) on Upper Extremity Functions and Gait in Patients with Stroke

Objective: Paralysis after stroke, muscle tone changes, balance and loss of motor control are the main causes of physical disability. Not only can the upper extremity be used functionally, but also the walking functions may be affected. Functional impairment of upper extremity in stroke patients is one of the factors that negatively affects walking. The purpose of this randomized controlled study is to investigate the effects of shoulder and scapula muscles Kinesio Tex® tape application by stimulation method on upper extremity functions and gait in stroke patients.Methods: Thirty-six (23 study, 13 control) patients participated in this study. The Jebsen Taylor Hand Function Test (JTHFT), Box and Block Test (BBT) was used to measure upper-limb functions. VICON motion analysis system was used to measure gait parameters of the patients. After evaluation serratus anterior, middle-lower parts of trapezius, anterior-posterior parts of deltoideus muscles of patients in study group were taped. 1 day after wearing tape all patients measurements were repeated.Results: Groups didn’t show significant difference in parameters of JTHFT, BBT and VICON gait analysis before taping (p>0.05). JTEFT and BBT evaluations after taping revealed a statistically significant difference in favor of the study group (p<0.05 for all parameters). In the gait analysis, a significant difference was found in the parameters of the double support phase, step length, cadence and walking speed (p<0.05 for all parameters).Conclusion: These results may imply that shoulder and scapula muscles taping may be beneficial on upper extremity functions and gait parameters in stroke patients

Keywords:

Stroke, athletic tape, upper extremity,

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