Yam Timothy Tsz Ting, Wong Man Sang, Fong Shirley Siu Ming
School of Public Health, LKS Faculty of Medicine, The University of Hong Kong.
Department of Biomedical Engineering, Faculty of Engineering, The Hong Kong Polytechnic University, Hong Kong.
Medicine (Baltimore). 2019 Feb;98(6):e14423. doi: 10.1097/MD.0000000000014423.
This study aimed to evaluate the effectiveness of Kinesio tape (KT) on lower limb muscle activation pattern in children with developmental coordination disorder (DCD) during walking.
A parallel-group randomized controlled trial.
University laboratory setting.
Twenty-five children with DCD were randomly allocated to the KT group (mean age = 7.97 years) and 24 to the control group (mean age = 8.04 years).
KT group received KT application to the quadriceps and gastrocnemius muscles whereas the control group received no intervention.
Peak muscle activation (in percentage of maximal voluntary isometric contraction [%MVIC]) in the lower limbs during gait was measured by means of surface electromyography, electrogoniometry, and foot contact switches.
Gastrocnemius medialis activation during mid stance (23.46%MVIC, 95% CI = -32.53, -14.39) and late stance phases (3.25%MVIC, 95% CI = -5.67, -0.81) of gait increased after the application of KT in the KT group compared to baseline values. The KT group demonstrated 26.87%MVIC (95% CI = 26.87, 7.11) higher gastrocnemius medialis muscle peak activation during mid stance phase at post-test when compared with the control group. Moreover, gastrocnemius medialis and biceps femoris muscle peak activation during loading response decreased by 8.36%MVIC (95% CI = 2.71, 14.02) and 3.54%MVIC (95% CI = 1.08, 6.01), respectively, in the control group overtime.
The application of KT on children with DCD had an increased gastrocnemius medialis muscle activation during stance phase. KT could be incorporated into gait re-education programmes to facilitate muscle contraction in these children.
本研究旨在评估肌内效贴布(KT)对发育性协调障碍(DCD)儿童行走时下肢肌肉激活模式的有效性。
平行组随机对照试验。
大学实验室环境。
25名DCD儿童被随机分配到KT组(平均年龄=7.97岁),24名被分配到对照组(平均年龄=8.04岁)。
KT组在股四头肌和腓肠肌上贴KT,而对照组不进行干预。
通过表面肌电图、电子测角仪和足部接触开关测量步态期间下肢肌肉的峰值激活(以最大自主等长收缩的百分比表示[%MVIC])。
与基线值相比,KT组在应用KT后,步态中中期支撑期(23.46%MVIC,95%CI=-32.53,-14.39)和末期支撑期(3.25%MVIC,95%CI=-5.67,-0.81)的腓肠肌内侧激活增加。与对照组相比,KT组在测试后中期支撑期的腓肠肌内侧肌肉峰值激活高26.87%MVIC(95%CI=26.87,7.11)。此外,随着时间的推移,对照组在负荷反应期间腓肠肌内侧和股二头肌的肌肉峰值激活分别下降了8.36%MVIC(95%CI=2.71,14.02)和3.54%MVIC(95%CI=1.08,6.01)。
对DCD儿童应用KT可增加站立期腓肠肌内侧肌肉的激活。KT可纳入步态再教育计划,以促进这些儿童的肌肉收缩。