A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial

Talu, Burcu; KARABICAK, GUL OZNUR

A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial

Gül Öznur KARABIÇAK, (Adnan Menderes Üniversitesi, Fizyoterapi ve Rehabilitasyon Bölümü, Aydın, Türkiye)

Burcu TALU (İnönü Üniversitesi, Fizyoterapi ve Rehabilitasyon Bölümü, Malatya, Türkiye)

Journal of Exercise Therapy and Rehabilitation

13 5

Yıl: 2020 Cilt: 7 Sayı: 2 Sayfa Aralığı: 99 - 108 Metin Dili: İngilizce İndeks Tarihi: 08-10-2020

A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial

Öz:

Purpose: Shoulder function plays an important role for survivors to gain independency after stroke. The aim of this study was tocompare the effects of shoulder taping (Tp) and neuromuscular electric stimulation (NMES) on shoulder function, motor activity,and pain in patients with hemiplegia.Methods: Outpatients with upper extremity involvement were enrolled in the study. Sixty patients were randomly assigned tokinesio taping group (TpG), NMES, or control groups (CG) after 1-3 months of stroke. Treatment duration was 4 weeks. The Fugl–Meyer Sensorimotor Assessment Scale (FMSAS) and the Motor Activity Log-28 (MAL) were used for shoulder functionalassessment. A Visual Analog Scale was used for shoulder pain assessment.Results: Statistically significant improvements in the FMSAS (TpG p≤0.001; NMES p=0.002; CG p≤0.001) and MAL scores(TpG p≤0.001; NMES p≤0.001; CG p≤0.001) were found in within-group comparisons. Within-group comparisons showed asignificant decrease in shoulder pain intensity both at rest (TpG p=0.007 and NMES p=0.014) and with activity (TpG p≤0.01and NMES p=0.016), whereas no significant decrease was found in the CG either at rest or with activity pain (p=0.054 for both).Between-group comparisons revealed a significant change (p=0.0026) in the FMSAS in favour of TpG (p≤0.001). No differencewas found in the MAL in between-group comparisons (p>0.05).Conclusion: In the conservative treatment of patients with hemiplegia, taping and NMES options could be used to increaseisolated motor activity on the affected shoulder; however, if function is desired, kinesio taping would be more effective.

Anahtar Kelime:

Hemiplejik omuzda bantlama ile nöromüsküler elektrik stimülasyon sonuçlarının karşılaştırılması: randomize kontrollü çalışma

Öz:

Amaç: Omuz fonksiyonu, inme sonrası hayatta kalanların bağımsızlık kazanmaları için önemli bir rol oynar. Bu çalışmanın amacı, inme geçiren hastalarda omuz bantlama (Tp) ve nöromüsküler elektrik stimülasyonunun (NMES) omuz fonksiyonu, motor aktivite ve ağrı üzerindeki etkilerini karşılaştırmaktır. Yöntem: Çalışmaya üst ekstremite tutulumu olan inme hastaları alındı. Altmış hasta, inmeden 1-3 ay sonra bantlama grubu (TpG), NMES veya kontrol gruplarına (CG) rasgele ayrıldı. Tedavi süresi 4 hafta idi. Omuz fonksiyonel değerlendirmede Fugl– Meyer Duyu Motor Değerlendirme Ölçeği (FMDDÖ) ve Motor Aktivite Log-28 (MAL) kullanıldı. Omuz ağrısı değerlendirmesinde Görsel Analog Skala kullanıldı. Bulgular: Grup içi karşılaştırmalarda FMDDÖ (TpG p≤0,001; NMES p=0,002; CG p≤0,001) ve MAL skorlarında (TpG p≤0,001; NMES p≤0,001; CG p ≤0,001) istatistiksel açıdan anlamlı gelişmeler bulundu. Grup içi karşılaştırmalar hem istirahatte omuz ağrısı yoğunluğunda (TpG p=0,007 ve NMES p=0,014) hem de aktivite ile (TpG p≤0,01 ve NMES p=0,016) anlamlı bir azalma gösterirken, CG’de hem istirahatte hem de aktivite ağrısı ile anlamlı bir azalma saptanmadı (her ikisi için p=0,054). Gruplar arası karşılaştırmalar, FMDDÖ'lerde TpG lehine önemli bir değişiklik (p=0,0026) gösterdi (p≤0,001). Grup karşılaştırmalarında MAL'de fark saptanmadı (p>0,05). Sonuç: İnme hastalarının konservatif tedavisinde, etkilenen omuzda izole motor aktivitesini arttırmak için bantlama ve NMES kullanılabilir; ancak, fonksiyon için destekleyici bantlama daha etkili olacaktır

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KARABICAK G, Talu B (2020). A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial. , 99 - 108.
Chicago	KARABICAK GUL OZNUR,Talu Burcu A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial. (2020): 99 - 108.
MLA	KARABICAK GUL OZNUR,Talu Burcu A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial. , 2020, ss.99 - 108.
AMA	KARABICAK G,Talu B A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial. . 2020; 99 - 108.
Vancouver	KARABICAK G,Talu B A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial. . 2020; 99 - 108.
IEEE	KARABICAK G,Talu B "A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial." , ss.99 - 108, 2020.
ISNAD	KARABICAK, GUL OZNUR - Talu, Burcu. "A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial". (2020), 99-108.

APA	KARABICAK G, Talu B (2020). A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial. Journal of Exercise Therapy and Rehabilitation, 7(2), 99 - 108.
Chicago	KARABICAK GUL OZNUR,Talu Burcu A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial. Journal of Exercise Therapy and Rehabilitation 7, no.2 (2020): 99 - 108.
MLA	KARABICAK GUL OZNUR,Talu Burcu A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial. Journal of Exercise Therapy and Rehabilitation, vol.7, no.2, 2020, ss.99 - 108.
AMA	KARABICAK G,Talu B A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial. Journal of Exercise Therapy and Rehabilitation. 2020; 7(2): 99 - 108.
Vancouver	KARABICAK G,Talu B A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial. Journal of Exercise Therapy and Rehabilitation. 2020; 7(2): 99 - 108.
IEEE	KARABICAK G,Talu B "A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial." Journal of Exercise Therapy and Rehabilitation, 7, ss.99 - 108, 2020.
ISNAD	KARABICAK, GUL OZNUR - Talu, Burcu. "A comparison of taping and neuromuscular electric stimulation outcomes in hemiplegic shoulder: a randomized controlled trial". Journal of Exercise Therapy and Rehabilitation 7/2 (2020), 99-108.