Department of Health Science, Gachon University Graduate School, Incheon 21936, Republic of Korea.
Department of Occupational Therapy, Semyung University, Jecheon 27136, Republic of Korea.
Medicina (Kaunas). 2024 Oct 1;60(10):1609. doi: 10.3390/medicina60101609.
: Stroke patients often experience changes in their pelvic tilt, trunk impairments and decreased gait and balance. While various therapeutic interventions have been attempted to improve these symptoms, there is a need for interventions that are easy to apply and reduce the physical labor of physical and occupational therapists. We aimed to investigate the immediate effects of two different methods of trunk elastic taping on the pelvic inclination, trunk impairment, balance, and gait in chronic stroke patients. : We performed a single-blind randomized controlled trial involving 45 patients with chronic stroke. Participants were randomly assigned to one of three groups: forward rotation with posterior pelvic tilt taping (FRPPT, n = 14), backward rotation with posterior pelvic tilt taping (BRPPT, n = 14), or placebo taping (PT = 14). This study was conducted from December 2023 to January 2024. All the measurements were performed twice: before the intervention and immediately after the intervention. The pelvic inclination was assessed using the anterior pelvic tilt angle. The trunk impairment scale (TIS) was used to measure the trunk impairment. The balance and gait were evaluated using a force plate and walkway system. : The pelvic inclination was significantly different in the FRPPT and BRPPT groups compared to the PT group ( < 0.05, < 0.001). The TIS and gait were significantly increased in the FRPPT group compared to the PT group ( < 0.05). The balance significantly improved in the FRPPT and BRPPT within groups ( < 0.05). : Two different methods of posterior pelvic tilt taping improved the anterior pelvic tilt in chronic hemiplegic stroke patients compared with PT, and the FRPPT method also improved the trunk impairment and gait. Therefore, posterior pelvic tilt taping can be used as an intervention with immediate effect.
: 中风患者常经历骨盆倾斜、躯干功能障碍和步态及平衡能力下降的改变。尽管尝试了各种治疗干预措施来改善这些症状,但仍需要易于实施并减少物理治疗师体力劳动的干预措施。我们旨在探讨两种不同的躯干弹性贴扎方法对慢性中风患者骨盆倾斜、躯干功能障碍、平衡和步态的即刻影响。 : 我们进行了一项单盲随机对照试验,共纳入 45 例慢性中风患者。参与者随机分为三组:骨盆前倾后旋贴扎(FRPPT,n = 14)、骨盆后倾后旋贴扎(BRPPT,n = 14)或安慰剂贴扎(PT = 14)。该研究于 2023 年 12 月至 2024 年 1 月进行。所有测量均进行两次:干预前和干预后即刻。骨盆倾斜采用前骨盆倾斜角评估。躯干功能障碍量表(TIS)用于测量躯干功能障碍。平衡和步态通过力板和步道系统进行评估。 : FRPPT 和 BRPPT 组的骨盆倾斜与 PT 组相比差异有统计学意义( < 0.05, < 0.001)。与 PT 组相比,FRPPT 组的 TIS 和步态明显增加( < 0.05)。FRPPT 和 BRPPT 组的平衡在组内显著改善( < 0.05)。 : 两种不同的骨盆后倾贴扎方法改善了慢性偏瘫中风患者的前骨盆倾斜,与 PT 相比,FRPPT 方法还改善了躯干功能障碍和步态。因此,骨盆后倾贴扎可以作为一种具有即刻效果的干预措施。