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The effects trunk correction taping on trunk muscle activity and stability, upper extremity function in stroke patients

몸통교정테이핑 융합치료가 뇌졸중환자의 몸통 근활성도 및 안정성, 팔 기능에 미치는 영향

  • Park, Shin-Jun (Dept. of Physical therapy, Gangdong College) ;
  • Cho, Kyun-Hee (Dept. of Physical therapy, Yongin University graduate school)
  • 박신준 (강동대학교 물리치료과) ;
  • 조균희 (용인대학교 물리치료학과)
  • Received : 2016.11.28
  • Accepted : 2017.02.20
  • Published : 2017.02.28

Abstract

This study was to investigate whether a trunk correction taping plus scapular setting exercises has an effect on trunk muscle activation and trunk balance and upper extremity function in patients with stroke. Twenty stroke patients were randomly divided into a trunk correction taping with scapular setting exercise group (n=10) and a scapular setting exercise group (n=10), and each group performed given interventions for 30 minutes for 4 weeks. In the experimental group, there were significant increases in muscle activation, K-TIS, and MFT (p<.05), and a significant improvement was detected in K-TIS and MFT compared to the control group (p<.05). This study suggests that a trunk correction taping with scapular setting exercises was more effective on trunk muscle activation, trunk balance, and upper extremity function in stroke patients compared to a scapular setting exercise. It could be clinically more significant if the change in the onset time of muscle activity is confirmed in the further researches.

본 연구는 어깨뼈 설정 운동과 몸통 교정 테이핑 융합이 뇌졸중 환자의 몸통 근활성도, 몸통 균형 및 팔 기능개선에 효과적인지 알아보고자 하였다. 뇌졸중환자 20명을 연구군(테이핑+어깨뼈 설정) 10명과 대조군(어깨뼈 설정) 10명으로 나눈 뒤 4주간 주당 30분의 중재를 실시하였다. 연구군은 몸통 교정 테이핑을 적용받았고 동시에 어깨뼈 설정운동을 받았다. 측정은 몸통 근활성도, 몸통손상척도(Korean version Trunk Impairment Scale, K-TIS), 팔 기능검사 (Manual Function Test of upper extremity, MFT)를 실시하였다. 중재 전 후 연구군에서 몸통 근활성도, K-TIS, MFT 점수에 유의한 증가를 보였고(P<.05), 대조군 보다 K-TIS와 MFT 점수에 유의한 개선을 보였다(P<.05). 본 연구를 통해 어깨뼈 설정 단일 운동 보다 몸통 교정테이핑 융합 적용이 뇌졸중 환자의 몸통 근활성도, 몸통 균형 및 팔 기능개선에 더욱 효과적인 것을 알 수 있었다. 향후 연구에서 개별 근수축 개시시간(onset time)에 관한 변화를 확인한다면 더욱 임상적 의의가 있겠다.

Keywords

References

  1. S. G. Roh, J. H. Kim, "Acute Cerebrovascular Accident in Korea." Korea Convergence Society, Vol. 3. No. 4, pp. 23-28. 2013.
  2. Rathore, S. S., Hinn, A. R., Cooper, L. S., Tyroler, H. A., Rosamond, W. D., "Characterizatio of incident stroke signs and symptoms findings from the atherosclerosis risk in communities study." Stroke, Vol. 33, No. 11, pp. 2718-2721, 2002. https://doi.org/10.1161/01.STR.0000035286.87503.31
  3. J. R. Jung, W. H. Lee, "The Study of asymmetrical of the serratus anterior and lower trapezius muscles in chronic stroke patients." J Korean Soc Phys Med, Vol. 10, No. 4, pp. 81-90, 2015. https://doi.org/10.13066/kspm.2015.10.4.81
  4. De Baets, L., Van Deun, S., Monari, D., Jaspers, E., "Three-dimensional kinematics of the scapula and trunk, and associated scapular muscle timing in individuals with stroke." Human movement science, Vol. 48, pp. 82-90, 2016. https://doi.org/10.1016/j.humov.2016.04.009
  5. Y. J. Jung, K. M. Jung, "The effect of Scapula setting intervention on the function of upper extremity and walking in the patients with stroke." The Journal of Korean Society for Neurotherapy, Vol. 17, No. 1, pp. 39-44, 2013.
  6. Almeida, A. I., "Scapula setting stability versus mobility." http://www.bbta.org.uk/free/resources/download/38. Sept. 19, 2016.
  7. Dickstein, R., Shefi, S., Marcovitz, E., Villa, Y., "Anticipatory postural adjustment in selected trunk muscles in poststroke hemiparetic patients." Archives of physical medicine and rehabilitation, Vol. 85, No. 2, pp. 261-267, 2004. https://doi.org/10.1016/j.apmr.2003.05.011
  8. Dickstein, R., Shefi, S., Marcovitz, E., Villa, Y., "Electromyographic activity of voluntarily activated trunk flexor and extensor muscles in post-stroke hemiparetic subjects." Clinical neurophysiology, Vol. 115, No. 4, pp. 790-796, 2004. https://doi.org/10.1016/j.clinph.2003.11.018
  9. Geurts, A. C., de Haart, M., van Nes, I. J., Duysens, J., "A review of standing balance recovery from stroke." Gait & posture, Vol. 22, No. 3, pp. 267-281, 2005. https://doi.org/10.1016/j.gaitpost.2004.10.002
  10. Messier, S., Bourbonnais, D., Desrosiers, J., Roy, Y., "Kinematic analysis of upper limbs and trunk movement during bilateral movement after stroke." Archives of physical medicine and rehabilitation, Vol. 87, No. 11, pp. 1463-1470, 2006. https://doi.org/10.1016/j.apmr.2006.07.273
  11. T. W. Kang, E. J. Lee, T, Y, Kim, "Pain After Stroke : Systematic Review." Kor J Neural Rehabil, Vol. 5 No.2, pp. 60-72, 2015.
  12. Jaraczewska, E., Long, C., "Kinesio(R) Taping in Stroke: Improving Functional Use of the Upper Extremity in Hemiplegia." Topics in stroke rehabilitation, Vol. 13, No. 3, pp. 31-42, 2006. https://doi.org/10.1310/33KA-XYE3-QWJB-WGT6
  13. Capecci, M., Serpicelli, C., Fiorentini, L., Censi, G., Ferretti, M., Orni, C., Provinciali, L., Ceravolo, M. G., "Postural rehabilitation and Kinesio taping for axial postural disorders in Parkinson's disease." Archives of physical medicine and rehabilitation, Vol. 95, No. 6, pp. 1067-1075, 2014. https://doi.org/10.1016/j.apmr.2014.01.020
  14. Bennell, K. L., Matthews, B., Greig, A., Briggs, A., Kelly, A., Sherburn, M., Larsen, J., Wark, J., "Effects of an exercise and manual therapy program on physical impairments, function and quality-of-life in people with osteoporotic vertebral fracture: a randomised, single-blind controlled pilot trial." BMC musculoskeletal disorders, Vol. 11, No. 1, pp. 1, 2010. https://doi.org/10.1186/1471-2474-11-1
  15. Y. H. Baek, J. C. Seo, J. D. Lee, "The effect of taping therapy on the activity of daily living of poststroke-hemiplegic patients: A clinical study." The Journal of Korean Acupuncture & Moxibustion Society, Vol. 18, No. 2, pp. 175-185, 2001.
  16. S. M. Kim, "The effects of taping on musculoskeletal system pain and dysfunction." Journal of Coaching Development, Vol. 9, No. 3, pp. 81-93, 2007.
  17. Y. S. Lee, C. S. Kwak, C. I. Lee, T. G. Kim, "Effects of lower extremity stability by kinesio taping method in elite speed skating athletes' one-leg jumping." Digital Convergence, Vol. 13, No. 8, pp. 495-502. 2015.
  18. M. K. Kim, S. K. Ji, H. J. Jun, C. R. Lee, M. H. Lee, "The Effect of Modified CIMT Combined with Kinesio-Taping on Upper Limb Function in Hemiplegic Patients." Journal of the Korean Society of Physical Medicine, Vol. 4, No. 3, pp. 183-192, 2009.
  19. S. J. Kang, I. S. Kim, "Effects of a Taping Therapy on Shoulder Range of Motion and Pain, Physical Function and Depression of Stroke Patients with Hemiplegia." Korean J Adult Nurs, Vol. 24, No. 3, pp. 294-304, 2012. https://doi.org/10.7475/kjan.2012.24.3.294
  20. SSimssek, T. T., Turkucuogglu, B., Cokal, N., Ustunbass, G., SSimssek, I. E., "The effects of $Kinesio^{(R)}$ taping on sitting posture, functional independence and gross motor function in children with cerebral palsy." Disability and rehabilitation, Vol. 33, No. 21-22, pp. 2058-2063, 2011. https://doi.org/10.3109/09638288.2011.560331
  21. Ibrahim, M. M., "Investigatingthe Effect of Therapeutic Taping on Trunk Posture and Control in Cerebral Palsy Children with Spastic Diplegia." JMSCR, Vol. 3, No. 9, pp. 7452-7459, 2015.
  22. Massion, J., "Postural control system." Current opinion in neurobiology, Vol. 4, No. 6, pp. 877-887, 1994. https://doi.org/10.1016/0959-4388(94)90137-6
  23. D. J. Yang, Y. H. Uhm, J. H. Kim, "The biofeedback scapular stabilization exercise in stroke patients effect of muscle activity and function of the upper extremity." The Journal of Korean Physical Therapy, Vol. 27 No. 5, pp. 325-331, 2015. https://doi.org/10.18857/jkpt.2015.27.5.325
  24. M. H. Lee, "Effects of the neck stabilizing ecercise combined with the respiratory reeducation ecercise in breathing function in patients with stroke." Department of rehabilitation sicence, Graduate school, Daegu University. 2013.
  25. J. Y. Ko, Y. Y. You, "Reliability and responsiveness of the korean version of the trunk impairment scale stroke patients." J Korean Phys Ther, Vol. 27, No. 4, pp. 175-182, 2015. https://doi.org/10.18857/jkpt.2015.27.4.175
  26. Verheyden, G., Nieuwboer, A., Mertin, J., Preger, R., Kiekens, C., De Weerdt, W., "The Trunk Impairment Scale: a new tool to measure motor impairment of the trunk after stroke." Clinical rehabilitation, Vol. 18, No. 3, pp. 326-334, 2004. https://doi.org/10.1191/0269215504cr733oa
  27. M. Y. Kim, "A study of manual functional test for C.V.A." The Korean Society of Occupational Therapy, Vol. 2, No. 1, pp. 19-26, 1994.
  28. Miyamoto, S., Kondo, T., Suzukamo, Y., Michimata, A., Izumi, S. I., "Reliability and validity of the Manual Function Test in patients with stroke." American Journal of Physical Medicine & Rehabilitation, Vol. 88, No. 3, pp. 247-255, 2009. https://doi.org/10.1097/PHM.0b013e3181951133
  29. J. N. Lee, C. G. Lim, "Effects of Scapular Taping on Muscle Activity, Pain, Range of Motion and Proprioception in Subacute Stroke Patients." Journal of the Korea Academia-Industrial cooperation Society, Vol. 14, No. 11, pp. 5689-5697, 2013. https://doi.org/10.5762/KAIS.2013.14.11.5689
  30. K. S. Jung, Y. J. Jung, "Anticipatory Postural Adjustment in Selected Trunk Muscles Associated With Voluntary Arm and Leg Movement in the Persons With Stoke." Physical Therapy Korea, Vol. 16, No. 2, pp. 1-8, 2009.
  31. S. H. Bae, J. H. Lee, K. A. Oh, K. Y. Kim, "The effects of kinesio taping on potential in chronic low back pain patients anticipatory postural control and cerebral cortex." Journal of physical therapy science, Vol. 25, No. 11, pp. 1367, 2013. https://doi.org/10.1589/jpts.25.1367
  32. Iyengar, Y. R., Vijayakumar, K., Abraham, J. M., Misri, Z. K., Suresh, B. V., Unnikrishnan, B., "Relationship between postural alignment in sitting by photogrammetry and seated postural control in post-stroke subjects." NeuroRehabilitation, Vol. 35, No. 2, pp. 181-190, 2014.
  33. B. H. Lee, S. Y. Kim, J. S. Lee, "The Effects of Core Stability on Postural Control, Balance and Upper Motor Function in Patients with Stroke." J Oriental Rehab Med, Vol. 19, No. 3, pp. 69-80, 2009.
  34. Michaelsen, S. M., Luta, A., Roby-Brami, A., Levin, M. F., "Effect of trunk restraint on the recovery of reaching movements in hemiparetic patients." Stroke, Vol. 32, No. 8, pp. 1875-1883, 2001. https://doi.org/10.1161/01.STR.32.8.1875
  35. Gillen, G., Boiangiu, C., Neuman, M., Reinstein, R., Schaap, Y., "Trunk posture affects upper extremity function of adults." Perceptual and motor skills, Vol. 104, No. 2, pp. 371-380, 2007. https://doi.org/10.2466/pms.104.2.371-380
  36. Kebaetse, M., McClure, P., Pratt, N. A., "Thoracic position effect on shoulder range of motion, strength, and three-dimensional scapular kinematics." Archives of physical medicine and rehabilitation, Vol. 80, No. 8, pp. 945-950, 1999. https://doi.org/10.1016/S0003-9993(99)90088-6
  37. Y. H. Uhm, "The Feedback Mirror Therapy in Stroke Patients Effect of Muscle Activity and Function of the Upper Extremity." Journal of Digital Convergence, Vol. 13, No. 6, pp. 205-212, 2015. https://doi.org/10.14400/JDC.2015.13.6.205
  38. K. U. Kim, T. S. Kim, H. W. Oh, "The Effect of Convergency : Using Digital Contents Action Observation Educations and Task-Oriented Occupational Therapy on Activity of Daily Living and Upper Extremity Function in Patients With Stroke." Journal of Digital Convergence, Vol. 13, No. 7, pp. 445-452, 2015. https://doi.org/10.14400/JDC.2015.13.7.445
  39. D. H. Bang, T. W. Kang, D. K. Oh, "Comparison of the effect of Action Observational training and Task-oriented training on Upper Limb Function and activities of daily living in People with Chronic stroke." Journal of Digital Convergence, Vol. 10, No. 9, pp. 409-416, 2012. https://doi.org/10.14400/JDPM.2012.10.9.409
  40. K. H. Lee, K. C. Hwang, "Virtual Reality-based Training Program Using Computer-human Interface for Recovery of Upper Extremity Use in Stroke Patients." Journal of Digital Convergence, 2016, Vol. 14, No. 1, pp. 285-290, 2015. https://doi.org/10.14400/JDC.2016.14.1.285
  41. M. S. Song, T. W. Kang, S. M. Kim, H. J. Noh, "Effects of Mechanical Horseback Riding Training on Trunk Control and Balance function in Stroke patients." Journal of Digital Convergence, Vol. 11, No. 12, pp. 487-494, 2013. https://doi.org/10.14400/JDPM.2013.11.12.487