Laboratory of Neurological Physiotherapy Research, Department of Physiotherapy, Federal University of São Carlos (UFSCar), São Carlos, SP, Brazil.
Instituto de Ciências da Saúde (ICS), Faculdade Alfredo Nasser (UNIFAN), Aparecida de Goiânia, Goiás, Brazil.
PLoS One. 2019 Jan 25;14(1):e0211332. doi: 10.1371/journal.pone.0211332. eCollection 2019.
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.
To verify the effects of elastic tape (ET) used on the paretic shoulder in upper limb (UL) performance during a drinking task.
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).
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).
The ET changed UL joint motions and posture during a drinking task in chronic hemiparetic subjects, which defines its role as an adjuvant therapy.
大约 50%至 70%的中风后患者即使在慢性期上肢（UL）功能也会下降。神经康复中广泛应用的一种辅助技术是弹性胶带应用。然而，其在中风后患者上肢治疗中的疗效仍需进一步研究。
验证在饮用任务中对瘫痪肩部使用弹性带（ET）对上肢（UL）性能的影响。
一项单中心随机假对照交叉试验将 13 名上肢轻度至中度受损的中风后患者随机分组接受第一组假胶带（ST）或第一组弹性胶带（ET），洗脱期为一个月。在每次干预（弹性和假胶带）前后，使用三维运动分析测量饮用任务的运动学测量值，并使用特征分析和统计参数映射进行研究。结局测量包括时空变量、标量运动学参数（起始角度、运动范围-ROM 和终点角度）以及躯干和上肢关节角度（肩胛胸、肩胸和肘）的时间归一化运动学波形。
弹性带在整个任务中提供了常见的变化（肩部更靠近中线，减少了肩胛骨前突和躯干前屈），并且在特定时间点发生了重要变化。在伸展阶段结束时，两组（ET 和 ST）的弹性带都增加了肘部伸展[ET：CI=12.57（6.90 至 18.17），p<0.001；ST：CI：12.89（6.79 至 18.98），p<0.001）]。在将杯子运送到嘴边的过程中，接受弹性带干预的患者肩部抬高幅度更大[ET：CI=16.40（4.28 至 28.52），p=0.007；ST：CI：15.13（5.79 至 24.48），p=0.002）]。此外，两组在将杯子运送到桌子上的过程中，肘部伸展的末端也观察到增加[ET：CI=8.13（1.48 至 14.79），p=0.014；ST：CI：8.20（4.03 至 12.38），p<0.001）]。然而，两组在任务的所有阶段都没有观察到时空参数的变化（p>0.05）。
弹性带改变了慢性偏瘫患者在饮用任务中的上肢关节运动和姿势，这定义了其作为辅助治疗的作用。
