Bae Youngsook, Park Donghwan
Department of Physical Therapy, College of Health Science, Gachon University, Incheon, Republic of Korea.
Department of Physical Therapy, Graduate School, College of Health Sciences, Kyungnam University, Changwon, Republic of Korea.
J Stroke Cerebrovasc Dis. 2022 May;31(5):106425. doi: 10.1016/j.jstrokecerebrovasdis.2022.106425. Epub 2022 Mar 4.
Kinesio taping (KT) and proprioceptive neuromuscular facilitation (PNF) are interventions mainly used in clinical settings to improve gait after stroke. Lower-leg KT using the concept of PNF (PNF-KT) has been shown to enhance the recovery of gait speed in patients with stroke. But, the effect of PNF-KT on the ankle movement and gait parameters in stroke patients is unclear. We aimed to investigate the immediate effects of PNF-KT on ankle dorsiflexion range of motion (DF-ROM) and gait parameters in patients with stroke with foot drop.
For the A-KT condition, tape was attached to the gastrocnemius and tibialis anterior muscles, and tape for eversion was attached. In the PNF-KT condition, tape was attached to the tibialis anterior, extensor hallucis and digitorum muscles. Ankle movement was measured as the ankle DF-ROM using an iSEN system. Gait ability was assessed using the GAITRite system. The measured gait variables were gait velocity, cadence, and step length (both sides).
A-KT and PNF-KT significantly improved the ankle DF-ROM, gait velocity, cadence, and the affected- and unaffected-side step length compared to that with no taping. Moreover, PNF-KT significantly increased the ankle DF-ROM, gait velocity, cadence, and the affected- and unaffected-side step length compared to that with A-KT.
PNF-KT applied to the affect side improved ankle DF-ROM and gait parameters in hemiplegic stroke patients than no taping, A-KT. Lower-leg PNF-KT may be a useful intervention in a rehabilitation program to improve ankle DF-ROM and gait parameters in chronic stroke patients with foot drop in clinical settings.
肌内效贴布（KT）和本体感觉神经肌肉促进法（PNF）是主要用于临床环境以改善中风后步态的干预措施。已证明采用PNF概念的小腿KT（PNF-KT）可提高中风患者的步态速度恢复。但是，PNF-KT对中风患者踝关节运动和步态参数的影响尚不清楚。我们旨在研究PNF-KT对足下垂中风患者踝关节背屈活动度（DF-ROM）和步态参数的即时影响。
对于A-KT组，将贴布贴于腓肠肌和胫骨前肌，并贴上外翻贴布。在PNF-KT组中，将贴布贴于胫骨前肌、拇长伸肌和趾长伸肌。使用iSEN系统测量踝关节运动，以踝关节DF-ROM表示。使用GAITRite系统评估步态能力。测量的步态变量包括步态速度、步频和步长（双侧）。
与不贴布相比，A-KT和PNF-KT均显著改善了踝关节DF-ROM、步态速度、步频以及患侧和健侧步长。此外，与A-KT相比，PNF-KT显著增加了踝关节DF-ROM、步态速度、步频以及患侧和健侧步长。
与不贴布、A-KT相比，应用于患侧的PNF-KT改善了偏瘫中风患者的踝关节DF-ROM和步态参数。小腿PNF-KT可能是临床环境中康复计划的一种有用干预措施，可改善慢性中风足下垂患者的踝关节DF-ROM和步态参数。
