Effect of Posterior Pelvic Tilt Taping on Pelvic Inclination, Muscle Strength, and Gait Ability in Stroke Patients: A Randomized Controlled Study

In, Tae-Sung; Jung, Jin-Hwa; Kim, May; Jung, Kyoung-Sim; Cho, Hwi-Young

doi:10.3390/jcm10112381

Cited by 8 publications

(4 citation statements)

References 28 publications

(45 reference statements)

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“…29 The taping technique strengthens weakened muscles, regulates joint instability, postural aid alignment, reduces pain, increases blood flow and lymphatic circulation, relieves flexibility, and strengthens muscle function. 30 The results of this study are supported by Shin et al (2017), where the results of their research show that walking function in chronic stroke patients improves after posterior pelvic tilt taping. These results support the hypothesis that the posterior pelvic tilt taping method decreases excessive pelvic anterior tilting and affects gait in patients with chronic stroke.…”

Section: Reviewsupporting

confidence: 83%

Exercises to escalate lower extremity muscle strength in stroke patients: a scoping review

Mewo

Chayati

2021

Bali Med J.

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Introduction: Stroke sufferers with weakness and paralysis of the lower extremities are at risk of experiencing balance disorders. It causes the risk of falling for stroke sufferers. The effects of falls can result in physical injuries such as bruises, abrasions, lacerations, and even fractures, head injuries, and bleeding. The effects of falling cause physical injury and increase the longer treatment time, so that it adds to the burden on the patient and family to pay for patient care. This literature review aims to identify the types of interventions that can increase the strength of the muscle' lower extremity to prevent falls in stroke sufferers.Method: This study used JBI Scoping Review Method (Joanna Briggs Institute) from 2 database sources: Pubmed and Ebscohost. Publication 2015-2021. Keywords to search are stroke, fall risk, intervention, body balance, muscle strength.Results: There were 1,446 articles found, and six articles were worthy of review. The interventions used are training motor imagery (MI) using structured, progressive circuit class therapy (SPCCT), taping techniques from gluteal taping and hip abductor taping using elastic bands, rehabilitation programs wearing regent suits (RS) based on electromyography (EMG), low-intensity mobility training, perturbation-based balance training (PBT) and a combined assessment of the weight-bearing ratio and the four square step test. The combination of MI with structured, SPCCT provides a greater therapeutic effect on gait and leg muscle strength in stroke patients. Gluteal taping and hip abductor taping techniques using elastic bands improve functional performance in individuals with chronic stroke. A rehabilitation program that wears an RS and EMG were more effective than usual treatment in increasing the EMG pattern during movement and activities of daily living. A PBT can help prevent falls in everyday life after stroke, and the weight-bearing ratio and four square step tests can predict falls in stroke patients more precisely than the berg balance scale.Conclusion: In conclusion, the exercises, techniques and programs performed can increase lower extremity muscle strength, improve walking balance and reduce the risk of falls in stroke patients. These interventions require different times and tools according to the training carried out.

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Section: Reviewsupporting

confidence: 83%

Exercises to escalate lower extremity muscle strength in stroke patients: a scoping review

Mewo

Chayati

2021

Bali Med J.

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“…One method of forcing the abdominal muscles to shorten is to use taping. Taping approximately 5 cm wide on the rectus abdominis and external oblique abdominal muscles 36 or on the thoracic spine and abdominal muscles to improve posterior PT 37 . These methods can potentially optimize the relationship between muscle length and tension as taping can continuously pull the fascia concentrically and shorten the distance between the origin and insertion of the muscle 38 .…”

Section: Discussionmentioning

confidence: 99%

Relationship between sacral‐abdominal wall distance and grip strength in postmenopausal osteoporotic patients

Nagai,

Miyagami,

Nakamura

et al. 2023

JCSM Rapid Communications

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BackgroundAn increase in waist circumference (WC) is a factor in lifestyle‐related diseases. The rectus abdominis muscle is a skeletal muscle that attaches to the pelvis from the xiphoid process and is thought to be affected by kyphosis deformity and posterior pelvic tilt. The purpose of this study is to examine differences between sacral‐abdominal wall distance (SAD) and WC and to determine whether they are associated with fall risk, frailty, markers of sarcopenia (grip strength and lean body mass), and spinal alignment. A secondary objective is to examine these differences by stratification by grip strength.MethodsThis retrospective study included 239 women aged 65 years or older (mean age 76.5 ± 6.7 years) attending an outpatient osteoporosis clinic. Bone mineral density and skeletal body composition (muscle mass index and trunk lean mass) were measured using dual‐energy X‐ray absorptiometry. SAD, pelvic tilt, and sagittal longitudinal axis were measured from simple X‐ray images of the spine sides. WC, grip strength, frailty, and fall risk score were investigated. Statistics were performed using Stat Flex, with two‐sided P < 0.05 being significantly different.ResultsWC was correlated with SAD (R = 0.68, P < 0.001). The SAD cut‐off value for a WC of 90 cm was 167 mm. The relationship between grip strength, SAD, and WC, weaker grip strength was associated with greater SAD; however, no significant difference was noted in WC. WC was not correlated with pelvic alignment but was correlated with body mass index (P < 0.01). Meanwhile, SAD was correlated with body mass index, pelvic tilt, sagittal longitudinal axis (P < 0.01), spinal alignment, and WC. Logistic regression analysis was performed with a grip strength of less than 18 kg as the objective variable. We found that the conditions for a grip strength of less than 18 kg were older age (P < 0.001), increased SAD (P = 0.02), and decreased trunk lean body mass. There was a decrease in grip strength (P < 0.05) and an increase in frailty (P < 0.05) and falls (P < 0.01) score in patients with SAD of 167 mm or greater.ConclusionsSAD and WC were found to be correlated; SAD was associated with body weight, posterior pelvic tilt, and anterior spinal tilt deformity, while WC was related to body weight. Increased SAD was found to be linked with decreased grip strength and increased risk of falls. This study was the first to examine a new measurement, SAD, for its utility in assessing grip strength, spinal alignment, frailty, and fall risk.

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“…These disorders may occur as a result of 1 or a combination of different factors, such as muscle weakness and abnormal muscle tone, especially involving the hip and pelvis. As the pelvis is a functional component of the lower extremity when standing or walking, changes in pelvic alignment affect balance, gait, and functional mobility (8). One of the factors affecting pelvic alignment in unilateral CP is the imbalance between the hip muscles.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Kinesio Taping Over the Gluteal Muscles on Activity and Participation in Children with Unilateral Cerebral Palsy: A Preliminary Randomized Controlled Study

KEMER

Celik²,

Özal

et al. 2023

Innov J Pediatr

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Background: Insufficiencies of gluteus medius and maximus muscles in children with unilateral cerebral palsy (CP) may restrict activity and participation by affecting gait, gross motor functions, and balance. Objectives: The present study aimed to elucidate the effect of Kinesio taping (KT) applied to the gluteus medius and maximus muscles on activity and participation in children with CP. Methods: The study was completed with 20 children with unilateral CP who were randomly divided into 2 groups: The KT group received KT and physiotherapy (n = 11), and the control group received only physiotherapy (n = 9). The KT application was administered for 4 weeks. The activity was evaluated with a BTS G-Walk Spatiotemporal Gait Analysis System, Timed Up and Go test (TUG), Functional Mobility Scale (FMS), Gross Motor Function Measure (GMFM), and Pediatric Balance Scale (PBS); in addition, participation was evaluated using the Canadian Occupational Performance Measure (COPM). Results: The KT group showed significant improvements in the gait parameter (cadence; P = 0.009), pelvic tilt symmetry (P = 0.017), pelvic rotation symmetry (P = 0.018), gait symmetry (P < 0.001), FMS (P = 0.07), TUG, GMFM, PBS, and COPM scores (P < 0.001) in the medium-term compared to the control group. It was also found that gait (cadence; P = 0.004) and functional mobility (P < 0.001) improved in the immediate term than in the KT group. Conclusions: KT combined with conventional physiotherapy can improve cadence and functional mobility in the immediate term, as well as gait and pelvic symmetry, functional mobility, gross motor function, balance, and participation in the medium term in children with unilateral CP. Further randomized controlled studies addressing large samples and long-term effects are warranted.

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Effect of Posterior Pelvic Tilt Taping on Pelvic Inclination, Muscle Strength, and Gait Ability in Stroke Patients: A Randomized Controlled Study

Cited by 8 publications

References 28 publications

Exercises to escalate lower extremity muscle strength in stroke patients: a scoping review

Exercises to escalate lower extremity muscle strength in stroke patients: a scoping review

Relationship between sacral‐abdominal wall distance and grip strength in postmenopausal osteoporotic patients

The Effect of Kinesio Taping Over the Gluteal Muscles on Activity and Participation in Children with Unilateral Cerebral Palsy: A Preliminary Randomized Controlled Study

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