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Immediate effects of trunk Kinesio Taping on functional parameters in the acute stage of patients with mild stroke: a randomized controlled trial |
Gup AA, Bayar B |
Physiotherapy Theory and Practice 2024;40(7):1447-1458 |
clinical trial |
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
BACKGROUND: Improving early trunk control, balance, and sitting activity following acute stroke is critical for functional prognosis. PURPOSE: To compare the immediate efficacy of Kinesio Taping (KT) application on anterior and posterior trunk muscles in terms of improving trunk control, balance, and sit-to-stand performance in the acute stage of stroke. METHODS: Sixty-nine patients with acute mild stroke were allocated to the anterior KT group (AKT) (age 65.95 +/- 9.67; 12 females, 11 males; Modified Rankin Score 3), posterior KT group (PKT) (age 65.39 +/- 10.39; 10 females, 13 males; Modified Rankin Score 3), and control group (CG) (age 65.34 +/- 8.91; 11 females, 12 males; Modified Rankin Score 2). Trunk control, balance, and sit-to-stand performance were assessed at the baseline and after 45 minutes and 48 hours post-KT. Data were analyzed using repeated-measures ANOVA. RESULTS: All outcome measures scores improved in all groups significantly after 48 hours (p < 0.001). A significant improvement after 45 minutes was only seen in trunk control compared to the CG (p < 0.001; d = 1.32 for AKT and p = 0.038; d = 0.75 for PKT). Trunk control, balance, and sit-to-stand performance improved in both AKT and PKT compared to the CG at 48 hours post-taping. Trunk control (p < 0.001; d = 0.26) and balance (p < 0.001; d = 0.72) results were in favor of the AKT, while sit-to-stand performance results did not make a difference between KT groups (p = 0.335; d = 0.47). CONCLUSION: KT application on anterior or posterior trunk muscles was effective for improving trunk control, balance, and sit-to-stand performance in acute stage of stroke in the short term. KT application on anterior trunk muscles had the advantage of improving trunk control and balance.
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