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Phys. Ther. Korea 2023; 30(2): 92-101
Published online May 20, 2023
https://doi.org/10.12674/ptk.2023.30.2.92
© Korean Research Society of Physical Therapy
Effects of Taping on Balance and Gait in Patients With Stroke: A Meta-analysis
Eun-Ji Kim1 
, PT, MSc, Joo-Hee Park2 , PT, PhD, Yixin Wang1 , PT, BPT, Hye-Seon Jeon2 , PT, PhD
1Department of Physical Therapy, The Graduate School, Yonsei University, 2Department of Physical Therapy, College of Health Sciences, Yonsei University, Wonju, Korea
Correspondence to: Hye-Seon Jeon
E-mail: hyeseonj@yonsei.ac.kr
https://orcid.org/0000-0003-3986-2030
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.
Background: Stroke is one of the causes affecting gait and balance. Taping is considered an effective method for improving balance and gait in stroke patients. Numerous studies have confirmed the functional effects of taping in stroke patients. However, there is still no consensus regarding the use of taping to improve gait and balance. Objects: The purpose of this review was to investigate the effects of taping on the balance and gait of patients with stroke through meta-analysis of studies.
Methods: PubMed, Medline, Embase, Web of Science, Cochrane Review, RISS, DBPia, and Science on were used to collect articles on Kinesio and non-elastic taping. The key terms were “Stroke”, “Hemiplegia”, “Taping”, “Tape”, “Balance”, and “Gait” with cut-off of October, 2022. Taping group was compared with control groups with sham, placebo, and no taping. The outcome measures included the Berg Balance Scale (BBS), Timed Up and Go (TUG) test, and gait speed (cm/s). Eighteen studies (524 patients) were selected for the meta-analysis.
Results: Overall, taping improved balance and gait in stroke patients, and Kinesio and nonelastic taping had similar effect sizes. Taping improved the BBS and TUG, and was most effective on gait speed. Contrary to the expectation that a longer duration of taping would be more affective, taping was most effective when the total taping duration was shorter than 500 minutes. In addition, the effect size of taping was greater when it was simultaneously attached to multiple locations.
Conclusion: This meta-analysis supports the use of taping to improve gait and balance in stroke patients, and provides guidelines for the location, duration, and type of tape to increase taping efficiency.
Keywords: Balance, Gait, Kinesio tape, Non-elastic tape, Stroke
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Review Article
Phys. Ther. Korea 2023; 30(2): 92-101
Published online May 20, 2023 https://doi.org/10.12674/ptk.2023.30.2.92
Copyright © Korean Research Society of Physical Therapy.
Effects of Taping on Balance and Gait in Patients With Stroke: A Meta-analysis
Eun-Ji Kim1 , PT, MSc, Joo-Hee Park2 , PT, PhD, Yixin Wang1 , PT, BPT, Hye-Seon Jeon2 , PT, PhD
1Department of Physical Therapy, The Graduate School, Yonsei University, 2Department of Physical Therapy, College of Health Sciences, Yonsei University, Wonju, Korea
Correspondence to:Hye-Seon Jeon
E-mail: hyeseonj@yonsei.ac.kr
https://orcid.org/0000-0003-3986-2030
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: Stroke is one of the causes affecting gait and balance. Taping is considered an effective method for improving balance and gait in stroke patients. Numerous studies have confirmed the functional effects of taping in stroke patients. However, there is still no consensus regarding the use of taping to improve gait and balance. Objects: The purpose of this review was to investigate the effects of taping on the balance and gait of patients with stroke through meta-analysis of studies.
Methods: PubMed, Medline, Embase, Web of Science, Cochrane Review, RISS, DBPia, and Science on were used to collect articles on Kinesio and non-elastic taping. The key terms were “Stroke”, “Hemiplegia”, “Taping”, “Tape”, “Balance”, and “Gait” with cut-off of October, 2022. Taping group was compared with control groups with sham, placebo, and no taping. The outcome measures included the Berg Balance Scale (BBS), Timed Up and Go (TUG) test, and gait speed (cm/s). Eighteen studies (524 patients) were selected for the meta-analysis.
Results: Overall, taping improved balance and gait in stroke patients, and Kinesio and nonelastic taping had similar effect sizes. Taping improved the BBS and TUG, and was most effective on gait speed. Contrary to the expectation that a longer duration of taping would be more affective, taping was most effective when the total taping duration was shorter than 500 minutes. In addition, the effect size of taping was greater when it was simultaneously attached to multiple locations.
Conclusion: This meta-analysis supports the use of taping to improve gait and balance in stroke patients, and provides guidelines for the location, duration, and type of tape to increase taping efficiency.
Keywords: Balance, Gait, Kinesio tape, Non-elastic tape, Stroke
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Table 1 . Overview of study characteristics of the meta-analysis.
Study Year Experimental group Control group Taping type Taping site Taping target Outcome Duration/total treatment session/total taping duration PEDro scale Lee [24] 2022 Taping + conventional therapy Conventional therapy Kinesio tape Ankle and knee Muscle and joint TUG, BBS, Gait speed Immediate/1/30 min 6 Seo Mun [25] 2017 Taping + treadmill Treadmill Kinesio tape Ankle and knee Joint TUG, Gait speed Immediate/1/30 min 6 Kim et al. [26] 2012 Taping + conventional therapy Conventional therapy Kinesio tape Ankle Muscle and joint TUG 8 weeks/24/720 min 6 Sheng et al .[27] 2019 Taping None Kinesio tape Ankle Joint TUG Immediate/1/none 6 Rojhani-Shirazi
et al. [28]2015 Taping None Kinesio tape Ankle Joint TUG, BBS 1 day/1/1,440 min 5 Park et al. [29] 2020 Taping + treadmill Treadmill Non-elastic tape Ankle Joint Gait speed Immediate/1/10 min 7 Lee et al. [30] 2012 Taping + conventional therapy + treadmill Conventional therapy + treadmill Non-elastic tape Ankle Joint TUG 2 weeks/10/2,400 min 6 Kim et al. [31] 2021 Taping + treadmill Sham taping + treadmill Kinesio tape Ankle Muscle Gait speed 4 weeks/20/600 min 8 Wang et al. [32] 2022 Taping + conventional therapy + treadmill Sham taping + conventional therapy + treadmill Non-elastic tape Hip Muscle BBS 6 weeks/12/600 min 6 Nam et al. [33] 2015 Taping + conventional therapy + treadmill Conventional therapy + treadmill Non-elastic tape Knee Muscle TUG, BBS 6 weeks/18/540 min 6 Seo et al. [34] 2020 Taping + treadmill Treadmill Kinesio tape Trunk Muscle TUG, BBS 6 weeks/18/540 min 6 Hyun et al. [35] 2015 Taping Placebo taping Non-elastic tape Knee Joint Gait speed Immediate/1/none 5 Gill et al. [36] 2022 Taping + treadmill Treadmill Kinesio tape Ankle Muscle TUG 4 weeks/12/480 min 6 Jeong et al. [37] 2016 Taping + treadmill Treadmill Kinesio tape Ankle Muscle TUG 6 weeks/30/1,500 min 6 Shin and Chung [38] 2015 Taping + treadmill Treadmill Non-elastic tape Knee Joint Gait speed 4 weeks/20/600 min 5 Gill [39] 2022 Taping + treadmill Treadmill Kinesio tape Ankle Muscle TUG 4 weeks/12/480 min 6 Gill [39] 2022 Taping + treadmill Treadmill Non-elastic tape Ankle Muscle TUG 4 weeks/12/480 min 6 Kim and Knag [40] 2018 Taping + treadmill Treadmill Kinesio tape Ankle Muscle TUG 6 weeks/30/1,500 min 6 Lee and Cho [41] 2018 Taping Sham taping Kinesio tape Hip Muscle TUG Immediate/1/none 7 TUG, Timed Up and Go; BBS, Berg Balance Scale..
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Table 2 . Effect sizes by meta-analysis.
Subgroup N Effected size 95% confidence interval Standard error Total 19 0.567 0.391–0.743 0.090 Taping type Kinesio tape 12 0.555 0.338–0.750 0.105 Non-elastic tape 7 0.484 0.174–0.820 0.165 Outcome Berg Balance Scale 5 0.410 0.072–0.747 0.172 Timed Up and Go 14 0.457 0.250–0.664 0.106 Gait speed 6 0.925 0.615–1.235 0.158 Total taping duration Immediate 6 0.741 0.426–1.056 0.161 Less than 500 min 3 0.590 0.151–1.029 0.224 Less than 1,000 min 6 0.391 0.084–0.697 0.156 More than 1,000 min 4 0.402 0.033–0.771 0.188 Taping site Ankle 11 0.535 0.313–0.757 0.113 Knee 3 0.565 0.135–1.178 0.266 Ankle and knee 2 0.999 0.440–1.559 0.285 Hip 2 0.144 –0.216–0.696 0.233 Trunk 1 0.024 –0.853–0.900 0.447 Taping target Muscle 10 0.360 0.106–0.614 0.130 Joint 7 0.610 0.351–0.870 0.133 Muscle and joint 2 1.021 0.440–1.602 0.296