Lee Dongyun, Bae Youngsook
Department of Physical Therapy, Korea Su Medical Clinic, Bucheon 14643, Korea.
Department of Physical Therapy, College of Health Science, Gachon University, 191 Hambangmoe-ro, Yeonsu-gu, Incheon 21936, Korea.
Healthcare (Basel). 2021 Mar 3;9(3):271. doi: 10.3390/healthcare9030271.
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.
本研究旨在确定本体感觉神经肌肉促进法(PNF)下肢肌内效贴布对慢性卒中伴足下垂患者步态参数和动态平衡的有效性。总共22例慢性卒中患者被随机分为实验组(n = 11)和对照组(n = 11)。所有受试者均接受50分钟的常规治疗和步态训练。实验组额外根据PNF模式对胫前肌(TA)和腘绳肌进行肌内效贴布。对照组仅对TA进行肌内效贴布。步态参数方面的主要结局指标为步态速度、步频、步长和步幅。动态平衡通过计时起立行走测试(TUG)时间和特定活动平衡信心量表(ABC)进行测量,作为次要结局指标。所有测量均在干预前及干预后24小时进行。我们的结果表明,与对照组相比,实验组在步态速度、步频、步长、步幅以及TUG和ABC评分方面均有显著改善。我们得出结论,根据PNF模式应用下肢肌内效贴布的短期效果可提高慢性卒中伴足下垂患者的步态能力和动态平衡。