Cerebral Palsy
Conditions
Keywords
intervention, children
Brief summary
Children with Cerebral Palsy (CP) present limited performance of functional activities and activities of daily life. Kinesio taping has been definied as a promising technique for children with CP ans has been extensively used in clinical practice. However, several studies have found a low level of evidence of its effectiveness in healthy individuals. We aim to evaluate the effects of the immediate application of Kinesio taping on the activation of the rectus femoris and anterior tibialis muscles and on the duration of sit-to-stand movement in children with CP.
Interventions
OTHERKinesio taping
An experienced physiotherapist placed the base of the Kinesio taping strip, over rectus femoris muscle, 3cm bellow the anterior iliac spine, without tension. From this point, the Kinesio taping was placed up to the upper edge of the patella and stretched to 100% tension. It was, then, bi-sectioned, circled the patella and ended in the tuberosity of the femur, without tension. In order to avoid interference in the electromyography signals, a section was held at Kinesio taping at the point where the electrode was placed.
OTHERWithout taping
Children performed functional activities without tape
Sponsors
Universidade Federal de Santa Catarina
Study design
Allocation
NON_RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The person that performed data analysis was blind to all conditions.
Eligibility
Sex/Gender
ALL
Age
5 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* diagnosed with spastic CP * aged from 5 to 18 years * Gross Motor Function Classification System levels I and II * able to understand simple commands * able to perform the sit-to-stand movement without support
Exclusion criteria
* muscle shortening in hamstring, gastrocnemius and hip flexors * deformities in the lower limbs such as fixed hip and knee flexion that could compromise the sit-to-stand movement * surgical procedures in the lower limbs and trunk in the previous 12 months * botulinum toxin injection in the previous 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Muscle activity | on the day of evaluation | An electromyography analysis was performed to evaluate the rectus femoris and tibialis anterior activity during the sit-to-stand movement and the five time sit-to-stand test. Electrodes were placed in both lower limbs. Mean root mean square (mRMS) values were used for statistical analysis. Mean root mean square values were normalized by the maximum value of each trial and individual. |
| Time to perform sit to stand | on the day of evaluation | Children were seated with hip, knee and ankle flexed at 90°. Both feet were symmetrically positioned shoulder width apart and arms were crossed over the chest. Children should get up from the seat after the verbal command of the evaluator. Children performed the sit-to-stand movement at a speed that simulated the one usually adopted in daily routine |
| Time to perform five time sit-to-stand test | on the day of evaluation | Children had to get up and sit down five times as fast as possible. The instructions before starting the test were: Stand up and sit down as quickly as possible for 5 times. The test will be finished when you return to the seated position the 5th time. Continue the sit-to-stand movement until I ask you to stop. If you try but cannot stand up, just let me know. Ready? go! |
Countries
Brazil
Outcome results
None listed