Serebral Palsili Çocuklarda Femoral İç Rotasyon Deformitesinde Derotasyon Bantlamasının Etkinliği: Randomize Kontrollü Çalışma

Fatih Özden; İsmail Uysal; İsmet Tümtürk; Mehmet Özkeskin; Ahmet Imerci

doi:10.19161/etd.1283439

EN TR

The Efficacy of Derotation Taping in Femoral Internal Rotation Deformity of Children with Cerebral Palsy: A Randomized Controlled Trial

Abstract

Aim: The present study aimed to investigate the effect of the derotation method of Kinesio Taping in addition to conventional rehabilitation in children with hemiplegic cerebral palsy with femoral internal rotation deformity. Materials and Methods: A total of 30 children with unilateral hemiplegic spastic cerebral palsy were randomized into the Kinesio Taping and control group (Conventional Rehabilitation). All included participants have spasticity-related rotation deformity and in-toeing gait. Kinesio Taping group was treated with derotation-tape in addition to conventional rehabilitation. Data was collected before and immediately after the intervention, and also 3 days after the first assessment. The 6-Meter Walk Test, Pediatric Berg Balance Test, Modified Ashworth Scale, Edinburgh Visual Gait Score and Generic Quality-of-Life Instrument for Children were used to assess the children. Results: There was no significant difference between the groups regarding spasticity scores (p>0.05). Spasticity was decreased in hip internal rotators and knee flexors in immediate and acute periods after the intervention in the Kinesio Taping group (p<0.05). There was no difference between the two groups regarding balance, walking, and quality-of-life (p>0.05). Post-intervention improvement in 6-Meter Walk Test, Pediatric Berg Balance Test and Edinburgh Visual Gait Score scores was significant only in the Kinesio Taping group (p<0.05). Quality-of-life increased significantly after treatment in both groups. Conclusion: The results revealed that derotation Kinesio Taping reduces spasticity in the hip internal rotator and knee flexor muscles in the immediate and acute period in children with spastic hemiplegic cerebral palsy. Besides, Kinesio Taping improved balance and walking in the acute period.

Keywords

Serebral Palsili Çocuklarda Femoral İç Rotasyon Deformitesinde Derotasyon Bantlamasının Etkinliği: Randomize Kontrollü Çalışma

Öz

Amaç: Bu çalışmanın amacı femoral internal rotasyon deformitesi olan hemiplejik serebral palsili çocuklarda konvansiyonel rehabilitasyona ek olarak Kinesio Bantlama ile derotasyon yönteminin etkisini araştırmaktı. Gereç ve Yöntem: Tek taraflı hemiplejik spastik serebral palsili toplam 30 çocuk Kinesio Bantlama ve kontrol grubuna (Konvansiyonel Rehabilitasyon) randomize edildi. Tüm katılımcılar spastisiteye bağlı rotasyon deformitesine ve “in-toeing” yürüyüşe sahipti. Kinesio Bantlama grubu konvansiyonel rehabilitasyona ek olarak derotasyon bandı ile tedavi edildi. Veriler müdahaleden önce ve hemen sonra ve ayrıca ilk değerlendirmeden 3 gün sonra toplanmıştır. Çocukları değerlendirmek için 6 Metre Yürüme Testi, Pediatrik Berg Denge Testi, Modifiye Ashworth Ölçeği, Edinburgh Görsel Yürüme Skoru ve Çocuklar için Genel Yaşam Kalitesi Ölçeği kullanılmıştır. Bulgular: Spastisite skorları açısından gruplar arasında anlamlı fark yoktu (p>0.05). Kinesio Bantlama grubunda müdahaleden hemen sonra ve akut dönemde kalça iç rotator kaslarında ve diz fleksörlerinde spastisite azaldı (p<0.05). Denge, yürüme ve yaşam kalitesi açısından iki grup arasında fark yoktu (p>0.05). Müdahale sonrası 6 Metre Yürüme Testi, Pediatrik Berg Denge Testi ve Edinburgh Görsel Yürüme Skoru skorlarındaki iyileşme sadece Kinesio Bantlama grubunda anlamlıydı (p<0.05). Yaşam kalitesi her iki grupta da tedavi sonrasında anlamlı olarak artmıştı. Sonuç: Sonuçlar derotasyon yöntemi ile Kinesio Bantlamanın spastik hemiplejik serebral palsili çocuklarda acil ve akut dönemde kalça iç rotator ve diz fleksör kaslarındaki spastisiteyi azalttığını ortaya koymuştur. Ayrıca, Kinesio Bantlama akut dönemde denge ve yürümeyi geliştirmiştir.

Anahtar Kelimeler

Supporting Institution

Yok

Project Number

Yok

Thanks

Yok

References

1. Huzmeli ED, Yilmaz A, Yucekaya B, Oskay D, Okuyucu E. Short-Term Outcomes of Deep Brain Stimulation of the Subthalamic Nucleus in Patients with Parkinson’s Disease-Pilot Study. Journal of Neurological Research And Therapy. 2018;2(4):9-14.
2. Oz F, Yucekeya B, Huzmeli I, Yilmaz A. Does subthalamic nucleus deep brain stimulation affect the static balance at different frequencies? Neurocirugía. 2022.
3. Pirpiris M, Trivett A, Baker R, Rodda J, Nattrass G, Graham H. Femoral derotation osteotomy in spastic diplegia: proximal or distal? The Journal of Bone and Joint Surgery British volume. 2003;85(2):265-72.
4. Chang W-N, Tsirikos AI, Miller F, Schuyler J, Glutting J. Impact of changing foot progression angle on foot pressure measurement in children with neuromuscular diseases. Gait & posture. 2004;20(1):14-9.
5. Carty CP, Walsh HP, Gillett JG, Phillips T, Edwards JM, deLacy M, et al. The effect of femoral derotation osteotomy on transverse plane hip and pelvic kinematics in children with cerebral palsy: a systematic review and meta-analysis. Gait & posture. 2014;40(3):333-40.
6. Berker AN, Yalçın MS. Cerebral palsy: orthopedic aspects and rehabilitation. Pediatric Clinics of North America. 2008;55(5):1209-25.
7. Conner BC, Remec NM, Michaels CM, Wallace CW, Andrisevic E, Lerner ZF. Relationship between ankle function and walking ability for children and young adults with cerebral palsy: A systematic review of deficits and targeted interventions. Gait & Posture. 2022;91:165-78.
8. Kaya Kara O, Atasavun Uysal S, Turker D, Karayazgan S, Gunel MK, Baltaci G. The effects of Kinesio Taping on body functions and activity in unilateral spastic cerebral palsy: a single‐blind randomized controlled trial. Developmental Medicine & Child Neurology. 2015;57(1):81-8.

9. Te Velde A, Morgan C, Finch-Edmondson M, McNamara L, McNamara M, Paton MCB, et al. Neurodevelopmental Therapy for Cerebral Palsy: A Meta-analysis. Pediatrics. 2022;149(6).
10. Yasukawa A, Patel P, Sisung C. Pilot study: Investigating the effects of Kinesio Taping® in an acute pediatric rehabilitation setting. The American journal of occupational therapy. 2006;60(1):104-10.
11. Iosa M, Morelli D, Nanni MV, Veredice C, Marro T, Medici A, et al. Functional taping: a promising technique for children with cerebral palsy. Developmental Medicine & Child Neurology. 2010;52(6):587-9.
12. Tiwari AK, Sarkar B, Satapathy A. Efficacy of Kinesio Taping In the Management of Knee Osteoarthritis. International Journal of Health Sciences and Research October. 2017;7(10).
13. Abd El-Hakim M, Abdulrahman RS. Effects of core stabilization exercise and kinesio taping on pain, Cobb angle and endurance of trunk muscles in children and adolescents with idiopathic scoliosis. 2022.
14. Duman F. Effect of Kinesiologic Taping of Feet and Ankles on Static and Dynamic Balance in Children with Cerebral Palsy. New Trends and Issues Proceedings on Advances in Pure and Applied Sciences. 2017(8):106-15.
15. Hinman RS, Crossley KM, McConnell J, Bennell KL. Efficacy of knee tape in the management of osteoarthritis of the knee: blinded randomised controlled trial. Bmj. 2003;327(7407):135.
16. Harshita M, Kumar K, Madhavi K. Effects of kinesio taping along with quadriceps strengthening exercise on pain, joint range of motion and functional activities of knee in subjects with patellofemoral osteoarthritis. Int J Physiother. 2014;1(3):135-43.
17. Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. Journal of Pharmacology and pharmacotherapeutics. 2010;1(2):100-7.
18. Şimşek T, Türkücüoğlu B, Çokal N, Üstünbaş G, Şimşek İ. The effects of Kinesio® taping on sitting posture, functional independence and gross motor function in children with cerebral palsy. Disability and Rehabilitation. 2011;33(21-22):2058-63.
19. Zhao W, Berger VW, Yu Z. The asymptotic maximal procedure for subject randomization in clinical trials. Statistical Methods in Medical Research. 2018;27(7):2142-53.
20. Song C-Y, Huang H-Y, Chen S-C, Lin J-J, Chang AH. Effects of femoral rotational taping on pain, lower extremity kinematics, and muscle activation in female patients with patellofemoral pain. Journal of science and medicine in sport. 2015;18(4):388-93.
21. Roush J, Heick JD, Hawk T, Eurek D, Wallis A, Kiflu D. Agreement in Walking Speed Measured Using Four Different Outcome Measures: 6-Meter Walk Test, 10-Meter Walk Test, 2-Minute Walk Test, and 6-Minute Walk Test. Internet Journal of Allied Health Sciences and Practice. 2021;19(2):7.
22. Erden A, Acar Arslan E, Dündar B, Topbaş M, Cavlak U. Reliability and validity of Turkish version of pediatric balance scale. Acta Neurologica Belgica. 2021;121(3):669-75.
23. Mutlu A, Livanelioglu A, Gunel MK. Reliability of Ashworth and Modified Ashworth scales in children with spastic cerebral palsy. BMC musculoskeletal disorders. 2008;9(1):1-8.
24. Read HS, Hazlewood ME, Hillman SJ, Prescott RJ, Robb JE. Edinburgh visual gait score for use in cerebral palsy. Journal of pediatric orthopaedics. 2003;23(3):296-301.
25. Rajmil L, Herdman M, de Sanmamed M-JF, Detmar S, Bruil J, Ravens-Sieberer U, et al. Generic health-related quality of life instruments in children and adolescents: a qualitative analysis of content. Journal of adolescent Health. 2004;34(1):37-45.
26. Abd El-Kafy EM, El-Basatiny HMYM. Effect of postural balance training on gait parameters in children with cerebral palsy. American journal of physical medicine & rehabilitation. 2014;93(11):938-47.
27. Fulford GE. Surgical management of ankle and foot deformities in cerebral palsy. Clinical Orthopaedics and Related Research (1976-2007). 1990;253:55-61.
28. Davids JR, Davis RB, Jameson LC, Westberry DE, Hardin JW. Surgical management of persistent intoeing gait due to increased internal tibial torsion in children. Journal of Pediatric Orthopaedics. 2014;34(4):467-73.
29. da Costa CSN, Rodrigues FS, Leal FM, Rocha NACF. Pilot study: Investigating the effects of Kinesio Taping® on functional activities in children with cerebral palsy. Developmental neurorehabilitation. 2013;16(2):121-8.
30. Dobson F, Morris ME, Baker R, Graham HK. Gait classification in children with cerebral palsy: a systematic review. Gait & posture. 2007;25(1):140-52.
31. Halseth T, McChesney JW, DeBeliso M, Vaughn R, Lien J. The effects of kinesio™ taping on proprioception at the ankle. Journal of sports science & medicine. 2004;3(1):1.
32. Barreira CC, Forner-Cordero A, Grangeiro PM, Moura RT. Kinect v2 based system for gait assessment of children with cerebral palsy in rehabilitation settings. Journal of Medical Engineering & Technology. 2020;44(4):198-202.
33. Parisi L, Ruberto M, Precenzano F, Di Filippo T, Russotto C, Maltese A, et al. The quality of life in children with cerebral palsy. Acta medica mediterranea. 2016;32(5):1665-70.
34. Özmen T, Ece A, Zoroğlu T, Hammet I. Effect of kinesio taping on gait performance and balance in children with hemiplegic cerebral palsy. Fizyoterapi Rehabilitasyon. 2017;28(1):33-7.
35. Jung S-H, Song S-H, Kim D-R, Kim S-G, Park Y-J, Son Y-J, et al. Effects of kinesio taping on the gait parameters of children with cerebral palsy: A pilot study. Physical therapy rehabilitation science. 2016;5(4):205-9.
36. Tabatabaee M, Shamsoddini A, Cheraghifard M. Effects of lower limbs kinesio taping on balance ability in children with cerebral palsy: A pilot randomized clinical trial. Iranian Rehabilitation Journal. 2019;17(2):157-64.

Details

Primary Language

Turkish

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Fatih Özden
0000-0001-6593-3758
Türkiye

İsmail Uysal
0000-0001-9821-2180
Türkiye

İsmet Tümtürk
0000-0003-0455-5110
Türkiye

Mehmet Özkeskin ^*
0000-0002-6892-0108
Türkiye

Ahmet Imerci
0000-0002-6474-8259
Türkiye

Publication Date

December 18, 2023

Submission Date

April 14, 2023

Acceptance Date

May 16, 2023

Published in Issue

Year 2023 Volume: 62 Number: 4

DOI

https://doi.org/10.19161/etd.1283439

IZ

https://izlik.org/JA26EL58WN

Cite

RIS / Bibtex

Vancouver

1.Fatih Özden, İsmail Uysal, İsmet Tümtürk, Mehmet Özkeskin, Ahmet Imerci. Serebral Palsili Çocuklarda Femoral İç Rotasyon Deformitesinde Derotasyon Bantlamasının Etkinliği: Randomize Kontrollü Çalışma. EJM. 2023 Dec. 1;62(4):522-30. doi:10.19161/etd.1283439