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pISSN 2288-6982
eISSN 2288-7105

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Phys. Ther. Korea 2022; 29(1): 19-27

Published online February 20, 2022

https://doi.org/10.12674/ptk.2022.29.1.19

© Korean Research Society of Physical Therapy

발등굽힘근 촉진 다이나믹 테이핑이 발 처짐이 있는 뇌졸중 환자의 정적, 동적 균형과 보행 속도에 미치는 즉각적 효과

임진구1, 김선엽2

1대전대학교 대학원 물리치료학과, 2대전대학교 보건의료과학대학 물리치료학과

Immediate Effects of Ankle Dorsiflexor Facilitation Dynamic Taping on Static and Dynamic Balance and Gait Speed in Stroke Patients With Foot Drop

Jin-gu Im1 , PT, BHSc, Suhn-yeop Kim2 , PT, PhD

1Department of Physical Therapy, Graduate School, Daejeon University, 2Department of Physical Therapy, College of Health and Medical Science, Daejeon University, Daejeon, Korea

Correspondence to: Suhn-yeop Kim
E-mail: kimsy@dju.kr
https://orcid.org/0000-0002-0558-7125

Received: October 12, 2021; Revised: October 20, 2021; Accepted: November 1, 2021

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: Foot drop is a common symptom in stroke patients. Tape applications are widely used to manage foot drop symptoms. Previous studies have evaluated the effects of static and dynamic balance and gait on foot drop using kinesiology tape; however, only few studies have used dynamic tape application in stroke patients with foot drop.
Objects: The purpose of this study was to investigate the immediate effects of dynamic taping, which facilitates the dorsiflexor muscle, on static and dynamic balance and gait speed in stroke patients with foot drop.
Methods: The study included 34 voluntary patients (17 men, 17 women) with stroke. The patients were randomly assigned to the experimental group (n = 17), wherein dynamic taping was used to facilitate the dorsiflexor muscle, or the control group (n = 17), wherein kinesiology taping was used. Before the taping application, velocity average, path-length average, Berg balance scale, and timed up and go test (TUG) were recorded to measure static and dynamic balance, whereas the 10-meter walk test (10MWT) was used to measure gait speed. After the taping application, these parameters were re-evaluated in both groups. Repeated measure analysis of variance was used. Statistical significance levels were set to α = 0.05.
Results: Except for the 10MWT scores in the control group, significant differences were noted in all the parameters measured for static and dynamic balance and gait speed between the pre and post-test (p < 0.05). However, the parameters showed significant interaction effects between group and time in the TUG and 10MWT (p < 0.01).
Conclusion: These results indicate that compared with kinesiology taping, dynamic taping used in chronic stroke patients with foot drop had a more significant effect on dynamic balance and gait speed.

Keywords: Ankle dorsiflexor,Balance,Dynamic taping,Foot drop,Gait speed,Stroke

Article

Original Article

Phys. Ther. Korea 2022; 29(1): 19-27

Published online February 20, 2022 https://doi.org/10.12674/ptk.2022.29.1.19

Copyright © Korean Research Society of Physical Therapy.

발등굽힘근 촉진 다이나믹 테이핑이 발 처짐이 있는 뇌졸중 환자의 정적, 동적 균형과 보행 속도에 미치는 즉각적 효과

임진구1, 김선엽2

1대전대학교 대학원 물리치료학과, 2대전대학교 보건의료과학대학 물리치료학과

Received: October 12, 2021; Revised: October 20, 2021; Accepted: November 1, 2021

Immediate Effects of Ankle Dorsiflexor Facilitation Dynamic Taping on Static and Dynamic Balance and Gait Speed in Stroke Patients With Foot Drop

Jin-gu Im1 , PT, BHSc, Suhn-yeop Kim2 , PT, PhD

1Department of Physical Therapy, Graduate School, Daejeon University, 2Department of Physical Therapy, College of Health and Medical Science, Daejeon University, Daejeon, Korea

Correspondence to:Suhn-yeop Kim
E-mail: kimsy@dju.kr
https://orcid.org/0000-0002-0558-7125

Received: October 12, 2021; Revised: October 20, 2021; Accepted: November 1, 2021

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: Foot drop is a common symptom in stroke patients. Tape applications are widely used to manage foot drop symptoms. Previous studies have evaluated the effects of static and dynamic balance and gait on foot drop using kinesiology tape; however, only few studies have used dynamic tape application in stroke patients with foot drop.
Objects: The purpose of this study was to investigate the immediate effects of dynamic taping, which facilitates the dorsiflexor muscle, on static and dynamic balance and gait speed in stroke patients with foot drop.
Methods: The study included 34 voluntary patients (17 men, 17 women) with stroke. The patients were randomly assigned to the experimental group (n = 17), wherein dynamic taping was used to facilitate the dorsiflexor muscle, or the control group (n = 17), wherein kinesiology taping was used. Before the taping application, velocity average, path-length average, Berg balance scale, and timed up and go test (TUG) were recorded to measure static and dynamic balance, whereas the 10-meter walk test (10MWT) was used to measure gait speed. After the taping application, these parameters were re-evaluated in both groups. Repeated measure analysis of variance was used. Statistical significance levels were set to α = 0.05.
Results: Except for the 10MWT scores in the control group, significant differences were noted in all the parameters measured for static and dynamic balance and gait speed between the pre and post-test (p < 0.05). However, the parameters showed significant interaction effects between group and time in the TUG and 10MWT (p < 0.01).
Conclusion: These results indicate that compared with kinesiology taping, dynamic taping used in chronic stroke patients with foot drop had a more significant effect on dynamic balance and gait speed.

Keywords: Ankle dorsiflexor,Balance,Dynamic taping,Foot drop,Gait speed,Stroke

Fig 1.

Figure 1.Study design.
Physical Therapy Korea 2022; 29: 19-27https://doi.org/10.12674/ptk.2022.29.1.19

Fig 2.

Figure 2.Dynamic tape (Dynamic Tape Ltd, Bristol, UK) application. (A) Shortened position. (B) Application of tape.
Physical Therapy Korea 2022; 29: 19-27https://doi.org/10.12674/ptk.2022.29.1.19

Fig 3.

Figure 3.Kinesiology tape (Nippon Sigmax Co. Ltd, Tokyo, Japan) application. (A) Lengthened position. (B) Application of tape.
Physical Therapy Korea 2022; 29: 19-27https://doi.org/10.12674/ptk.2022.29.1.19

Table 1 . General characteristics of subjects.

VariablesExperimental group (n = 17)Control group (n = 17)t/χ2p-value
Age (y)62.76 ± 8.7965.41 ± 11.01–0.7750.444
Gender (man/woman)8/99/80.1180.732
Type of stroke (hemorrhage/ischemic)7/108/90.1190.730
Paretic side (right/left)10/76/111.8890.169
Onset time (mo)12.12 ± 3.9410.82 ± 2.461.1500.259
Height (cm)162.65 ± 7.85163.76 ± 9.37–0.3770.709
Weight (kg)64.87 ± 8.2064.39 ± 9.870.1530.879
Body mass index (kg/m2)24.56 ± 3.0523.93 ± 2.120.6980.490

Values are presented as number only or mean ± standard deviation..


Table 2 . Comparison of changes in static and dynamic balance between the groups at the time of measurement.

VariablesExperimental group (n = 17)Control group (n = 17)t (p)F (p)
Velocity average (cm/s)Pre2.91 ± 0.493.04 ± 0.47–0.821 (0.418)0.014a (0.905)
Post2.71 ± 0.432.85 ± 0.43–0.983 (0.333)
t (p)3.324 (0.004)3.656 (0.002)
Path-length average (cm)Pre87.18 ± 14.7391.25 ± 14.19–0.821 (0.418)0.014 (0.905)
Post81.29 ± 13.0085.64 ± 12.82–0.983 (0.333)
t (p)3.324 (0.004)3.656 (0.002)
Berg balance scale (score)Pre40.71 ± 7.5636.82 ± 8.551.403 (0.170)0.088 (0.769)
Post41.59 ± 7.3237.59 ± 8.561.464 (0.153)
t (p)–2.985 (0.009)–2.889 (0.011)
Timed up and go test (s)Pre33.40 ± 13.5229.52 ± 12.270.877 (0.387)17.494 (< 0.001)
Post30.12 ± 11.9428.74 ± 12.740.325 (0.747)
t (p)6.154 (< 0.001)2.853 (0.012)

Values are presented as mean ± standard deviation. aGroup × time..


Table 3 . Comparison of changes in gait speed between the groups at the time of measurement.

VariablesExperimental group (n = 17)Control group (n = 17)t (p)F (p)
10-meter walk test (m/s)Pre0.38 ± 0.190.47 ± 0.23–1.244 (0.223)11.942a (0.002)
Post0.42 ± 0.230.47 ± 0.23–0.626 (0.536)
t (p)–4.214 (0.001)–1.397 (0.182)

Values are presented as mean ± standard deviation. aGroup × time..