The Cerebral Palsy (CP) is a neurological condition, non-progressive, originated by a lesion in the immature encephalon. In Brazil, the incidence of this condition is of 1 case for 1012 births. The spasticity, due to a lesion of the cortical-spinal path, is a limiting factor of the normal movement, therefore being able to affect the locomotion. The proposal of this study is to verify if the Bandage Kinesio Taping® has any effect on the spasticity in a diparetic patient.
Through this study the physiotherapist will observe or acknowledge an additional resource that can improve the spasticity and, consequently, the functions of this patient.
The subject of this study was a patient with CP of the diparetic spastic type, for 4 years, that needs help to march and that presents an equine ankle pattern.
Methods and Material
Before using the bandage, a surface electromyography was done on the anterior tibiae and triceps suralon muscles in the legs, in rest conditions and in muscular contraction. Soon afterwards, an evaluation was done to evaluate the ankle articulation with a manual goniometer and the spasticity of these muscles with the Modified Scale of Ashworth. Two revaluations were done after the beginning of the use of the bandage, the first one 3 days after the application and the second 23 days after. Only one evaluator took all the measures.
Analysis and results
The statistical analysis was made in a descriptive way in comparison to the data pre and post-application of the bandage.
Results: there was an increase of the RMS value in the electromyographic evaluation of the anterior tibiae and of the triceps sural muscles, both in the right inferior member (with bandage) and in the left inferior member (without bandage). But the articulation angle of the ankle was increased in 30 degrees in the right inferior member that was with the bandage. The Modified Scale of Ashworth reduced a point in all of the muscles and three points in the gastrocnemius of the inferior member where the bandage was applied.
through stimulation given by the Bandage Kinesio Taping a decrease of the spasticity was observed in this case, however new studies need to be done to obtain more results. Besides that, the increase of the RMS value was also observed in the left member; this finding can be due to the fact that the inferior members have the same representation in the cerebral cortex.
|1) Relevante aanleiding?|
|3) Probleem / vraagstelling te destilleren?|
|4) Voldoende informatie pathologie v/d patiënt?|
|5) Heldere onafhankelijke variabele(n)?|
|6) Heldere afhankelijke variabele(n) (AV)?|
|7) Voldoende informatie tijdsaspecten?|
|8) Voldoende informatie instrument voor bepalen van AV?|
|9) Voldoende informatie gebruikte materialen?|
|10) Alpha waarde en/of betrouwbaarheidsinterval vermeld?|
|11) Reproduceerbaar onderzoek?|
|12) Bias t.g.v. tijdsaspecten uit te sluiten?|
|13) Instrument voor bepalen AV betrouwbaar?|
|14) Gewenst instrument voor bepalen AV?|
|15) Methode van interventie goed omschreven?|
|16) Resultaten zijn een volledige weergave van AV?|
|17) Significantie vermeld?|
|18) Conclusies terecht?|
|19) Relevante resultaten?|
|20) Resultaten klinisch relevant?|
|21) Conclusies worden ondersteund door ander onderzoek?|
Department of Physical Therapy of University Mogi das Cruzes. Mogi das Cruzes. Department of Morfology f FOP/UNICAMP.Piracicaba.Brazil