The Effect of Inhibitory Kinesio Taping Application on Spasticity, Stretch Reflex and Motor Neuron Activity

Istanbul Physical Medicine Rehabilitation Training and Research Hospital

Status: Completed

Conditions: Muscle Physiology

Treatments: Procedure: kinesio taping method; Procedure: Sham kinesio taping

Study type: Interventional

Funder types: Other

Identifiers

NCT03932591

IstPMRTRH-KT1

Details and patient eligibility

About

The first aim of this study is whether the inhibitory kinesio taping application can reduce spasticity. The second aim of this study is to investigate whether the kinesio taping application have neuromodulatory activity on motor neuron and stretch reflex.

Hypotheses of this study: unlike healthy cases, in patients with spastic hemiplegia

1. Inhibitory kinesio taping application can reduced spasticity
2. Inhibitory kinesio taping application can reduced motor neuron activity and stretch reflex

Full description

This study will include 78 spastic hemiplegic patient ( 39 controlled, 39 intervention group) Spasticity , Soleus Hmax/Mmax, Soleus T reflex, Soleus H reflex will be evaluated in this study.

Inhibitory kinesio taping method will be used in intervention group for 64-66 hours. Y shaped kinesio tape will be applied on spastic gastrocsoleus muscle. Sham kinesio taping method will be used in controlled group for 64-66 hours. 2 pieces kinesio tape 2,5 cm width, 5 cm length will be applied on gastrocnemius medial and lateral head, 1 piece kinesio tape 5 cm width, 5 cm length will be applied on achilles tendon.

Spasticity, Soleus Hmax/Mmax, Soleus T reflex and H reflex will be measured pre-application (T0), after-application ( in a few minutes) (T1), after 64-66 hours ( with band applied) (T2) and after band removed (T3). Spasticity in both groups will be evaluated with modified ashworth scale.

Enrollment: 50 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Unilateral ischemic/hemorrhagic stroke
• First stroke attack
• Gastrocsoleus muscle spasticity ( Modified Ashworth Scale 1-3)

Exclusion criteria

• Perform surgery from the related limb
• Skin problems, wounds and infections
• Allergy to the kinesio tape material
• Antispastic drug use
• Contracture in gastrocsoleus muscle or antagonists
• Peripheral nerve lesion in the lower extremity
• II.Motor neuron diseases

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

intervention

Experimental group

Description:

Inhibitory kinesio taping method will be used for intervention group. Y shaped, 34-40 cm length, 5 cm width, skin color kinesio tape will be applied on spastic gastrocsoleus muscle. The base of Y shaped tape will be strapped on calcaneus ( no stretch for first 5 cm) and the both legs of Y shaped tape will be strapped on gastrocnemius muscle medial and lateral head with 15% stretch.

Treatment:

Procedure: kinesio taping method

Control

Sham Comparator group

Description:

Sham kinesio tape will be used for controlled group. 2,5 cm width, 5 cm length, skin color 2 pieces kinesio tape will be applied on medial and lateral head of gastrocnemius muscle without stretch. 5 cm length, 5 cm width, skin color 1 piece kinesio tape will be applied on achilles tendon without stretch.

Treatment:

Procedure: Sham kinesio taping