About
Scope & Aims
Editorial office
Editorial board
Ethical standards and procedures
Abstracting and indexing
Contact
Articles & Issues
Current issue
Articles in press
Archive
For Authors
General rules
Ethics in publishing
Guide for authors
Templates
Publication charge
For Reviewers
Our reviewers
Ethics in publishing
Guide for reviewers
Books and Events
Books
Events
ORIGINAL PAPER
Functional outcomes of modified constraint-induced movement therapy versus Kinesio taping in children with Erb’s palsy
1
Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt
Submission date: 2020-05-09
Acceptance date: 2020-09-07
Publication date: 2022-09-26
Physiother Quart. 2022;30(3):51-56
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Functional improvement is the primary goal in chronic cases with neurological deficits. The aim of this study was to compare using modified constraint-induced movement therapy and Kinesio taping to improve functional outcomes in children with Erb’s palsy.
Methods:
The study investigated 46 children with Erb’s palsy aged 5–7 years. They were randomly classified into 2 equal groups. Patients in group A engaged in a modified constraint-induced movement therapy program which included restraining of the movement of the non-involved upper extremity, while those in group B received a selected rehabilitative program based on the Kinesio taping method. The treatment programs were conducted 5 times per week for 6 successive weeks. Measurements obtained included active range of motion of shoulder flexion, abduction, and external rotation, as well as modified Mallet scale scores. These measurements were recorded before and after the application of the treatment program in both groups.
Results:
There was a significant improvement in external rotation range of motion and forearm supination when comparing pre- and post-treatment mean values in each study group. There were no differences between the groups regarding any of the measured variables.
Conclusions:
According to the applied procedures and collected data, there was no evidence for a superiority of modified constraint-induced movement therapy when compared with Kinesio taping in improving functional outcomes in children with Erb’s palsy.
Functional improvement is the primary goal in chronic cases with neurological deficits. The aim of this study was to compare using modified constraint-induced movement therapy and Kinesio taping to improve functional outcomes in children with Erb’s palsy.
Methods:
The study investigated 46 children with Erb’s palsy aged 5–7 years. They were randomly classified into 2 equal groups. Patients in group A engaged in a modified constraint-induced movement therapy program which included restraining of the movement of the non-involved upper extremity, while those in group B received a selected rehabilitative program based on the Kinesio taping method. The treatment programs were conducted 5 times per week for 6 successive weeks. Measurements obtained included active range of motion of shoulder flexion, abduction, and external rotation, as well as modified Mallet scale scores. These measurements were recorded before and after the application of the treatment program in both groups.
Results:
There was a significant improvement in external rotation range of motion and forearm supination when comparing pre- and post-treatment mean values in each study group. There were no differences between the groups regarding any of the measured variables.
Conclusions:
According to the applied procedures and collected data, there was no evidence for a superiority of modified constraint-induced movement therapy when compared with Kinesio taping in improving functional outcomes in children with Erb’s palsy.
REFERENCES (41)
1.
Coroneos CJ, Voineskos SH, Coroneos MK, Alolabi N, Goekjian SR, Willoughby LI, et al. Primary nerve repair for obstetrical brachial plexus injury: a meta-analysis. Plast Reconstr Surg. 2015;136(4):765–779; doi: 10.1097/PRS.0000000000001629.
2.
Evans-Jones G, Kay SPJ, Weindling AM, Cranny G, Ward A, Bradshaw A, et al. Congenital brachial palsy: incidence, causes, and outcome in the United Kingdom and Republic of Ireland. Arch Dis Child Fetal Neonatal Ed. 2003;88(3):F185–F189; doi: 10.1136/fn.88.3.f185.
3.
Ecker JL, Greenberg JA, Norwitz ER, Nadel AS, Repke JT. Birth weight as a predictor of brachial plexus injury. Obstet Gynecol. 1997;89(5 Pt 1):643–647; doi: 10.1016/s0029-7844(97)00007-0.
4.
Bahm J, Ocampo-Pavez C, Disselhorst-Klug C, Sellhaus B, Weis J. Obstetric brachial plexus palsy: treatment strategy, long-term results, and prognosis. Dtsch Arztebl Int. 2009;106(6):83–90; doi: 10.3238/arztebl.2009.0083.
5.
Taniguchi M, Van Heest A, Partington M. Birth brachial plexus injuries: an update on evaluation and treatment. Pediatr Perspect. 2009;18(3):1–5.
6.
Duff SV, Gordon AM. Learning of grasp control in children with hemiplegic cerebral palsy. Dev Med Child Neurol. 2003;45(11):746–757; doi: 10.1017/s0012162203001397.
7.
Shumway-Cook A, Hutchinson S, Kartin D, Price R, Woollacott M. Effect of balance training on recovery of stability in children with cerebral palsy. Dev Med Child Neurol. 2003;45(9):591–602; doi: 10.1017/s0012162203001099.
8.
Levy CE, Nichols DS, Schmalbrock PM, Keller P, Chakeres DW. Functional MRI evidence of cortical reorganization in upper-limb stroke hemiplegia treated with constraint-induced movement therapy. Am J Phys Med Rehabil. 2001;80(1):4–12; doi: 10.1097/00002060-200101000-00003.
9.
Taub E, Uswatte G, Morris DM. Improved motor recovery after stroke and massive cortical reorganization following constraint-induced movement therapy. Phys Med Rehabil Clin N Am. 2003;14(1 Suppl.):77–91; doi: 10.1016/s1047-9651(02)00052-9.
10.
Numata K, Murayama T, Takasugi J, Oga M. Effect of modified constraint-induced movement therapy on lower extremity hemiplegia due to a higher-motor area lesion. Brain Inj. 2008;22(11):898–904; doi: 10.1080/02699050802425436.
11.
Page SJ, Levine P, Leonard AC. Modified constraint-induced therapy in acute stroke: a randomized controlled pilot study. Neurorehabil Neural Repair. 2005;19(1):27–32; doi: 10.1177/1545968304272701.
12.
Yu C, Wang W, Zhang Y, Wang Y, Hou W, Liu S, et al. The effects of modified constraint-induced movement therapy in acute subcortical cerebral infarction. Front Hum Neurosci. 2017;11:265; doi: 10.3389/fnhum.2017.00265.
13.
Wu C-Y, Chen C-L, Tsai W-C, Lin K-C, Chou S-H. A randomized controlled trial of modified constraint-induced movement therapy for elderly stroke survivors: changes in motor impairment, daily functioning, and quality of life. Arch Phys Med Rehabil. 2007;88(3):273–278; doi: 10.1016/j.apmr.2006.11.021.
14.
Kase K, Martin P, Yasukawa A. Kinesio taping® in pediatrics, 2nd ed. Albuquerque: Kinesio USA; 2006.
15.
De Hoyo M, Álvarez-Mesa A, Sañudo B, Carrasco L, Domínguez S. Immediate effect of kinesio taping on muscle response in young elite soccer players. J Sport Rehabil. 2013;22(1):53–58; doi: 10.1123/jsr.22.1.53.
16.
Al-Qattan MM, El-Sayed AAF, Al-Zahrani AY, Al-Mutairi SA, Al-Harbi MS, Al-Mutairi AM, et al. Narakas classification of obstetric brachial plexus palsy revisited. J Hand Surg Eur. 2009;34(6):788–791; doi: 10.1177/1753193409348185.
17.
Sunderland S. A classification of peripheral nerve injuries producing loss of function. Brain. 1951;74(4):491–516; doi: 10.1093/brain/74.4.491.
18.
Sabari JS, Maltzev I, Lubarsky D, Liszkay E, Homel P. Goniometric assessment of shoulder range of motion: comparison of testing in supine and sitting positions. Arch Phys Med Rehabil. 1998;79(6):647–651; doi: 10.1016/s0003-9993(98)90038-7.
19.
Kolber MJ, Hanney WJ. The reliability and concurrent validity of shoulder mobility measurements using a digital inclinometer and goniometer: a technical report. Int J Sports Phys Ther. 2012;7(3):306–313.
20.
Norkin CC, Levangie PK. Joint structure and function: a comprehensive analysis, 2nd ed. Philadelphia: F.A. Davis Company; 1992.
21.
Nath RK, Somasundaram C, Melcher SE, Bala M, Wentz MJ. Arm rotated medially with supination – the ARMS variant: description of its surgical correction. BMC Musculoskelet Disord. 2009;10(1):32; doi: 10.1186/1471-2474-10-32.
22.
Abdel-Kafy EM, Kamal HM, Elshemy SA. Effect of modified constrained induced movement therapy on improving arm function in children with obstetric brachial plexus injury. Egypt J Med Hum Genet. 2013;14(3):299–305; doi: 10.1016/j.ejmhg.2012.11.006.
23.
Santamato A, Panza F, Ranieri M, Fiore P. Effect of botulinum toxin type A and modified constraint-induced movement therapy on motor function of upper limb in children with obstetrical brachial plexus palsy. Childs Nerv Syst. 2011;27(12):2187–2192; doi: 10.1007/s00381-011-1609-4.
24.
Russo SA, Rodriguez LM, Kozin SH, Zlotolow DA, Chafetz RS, Killelea CM, et al. Therapeutic taping for scapular stabilization in children with brachial plexus birth palsy. Am J Occup Ther. 2016;70(5):7005220030p1–7005220030p11; doi: 10.5014/ajot.2016.018903.
25.
Hale HB, Bae DS, Waters PM. Current concepts in the management of brachial plexus birth palsy. J Hand Surg Am. 2010;35(2):322–331; doi: 10.1016/j.jhsa.2009.11.026.
26.
Hafsteinsdóttir TB, Algra A, Kappelle LJ, Grypdonck MHF. Neurodevelopmental treatment after stroke: a comparative study. J Neurol Neurosurg Psychiatry. 2005;76(6):788–792; doi: 10.1136/jnnp.2004.042267.
27.
Takeuchi N, Izumi S-I. Rehabilitation with poststroke motor recovery: a review with a focus on neural plasticity. Stroke Res Treat. 2013;2013:128641; doi: 10.1155/2013/128641.
28.
Kwakkel G, Veerbeek JM, van Wegen EEH, Wolf SL. Constraint-induced movement therapy after stroke. Lancet Neurol. 2015;14(2):224–234; doi: 10.1016/S1474-4422(14)70160-7.
29.
Shi YX, Tian JH, Yang KH, Zhao Y. Modified constraint-induced movement therapy versus traditional rehabilitation in patients with upper-extremity dysfunction after stroke: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2011;92(6):972–982; doi: 10.1016/j.apmr.2010.12.036.
30.
Wolf SL, Thompson PA, Winstein CJ, Miller JP, Blanton SR, Nichols-Larsen DS, et al. The EXCITE stroke trial: comparing early and delayed constraint-induced movement therapy. Stroke. 2010;41(10):2309–2315; doi: 10.1161/STROKEAHA.110.588723.
31.
Wittenberg GF, Schaechter JD. The neural basis of constraint-induced movement therapy. Curr Opin Neurol. 2009;22(6):582–588; doi: 10.1097/WCO.0b013e3283320229.
32.
Szaflarski JP, Page SJ, Kissela BM, Lee J-H, Levine P, Strakowski SM. Cortical reorganization following modified constraint-induced movement therapy: a study of 4 patients with chronic stroke. Arch Phys Med Rehabil. 2006;87(8):1052–1058; doi: 10.1016/j.apmr.2006.04.018.
33.
Lucas M, Ribeiro P, Cagy M, Teixeira S, Chaves F, Carvalho D, et al. Neurorestorative effects of constraint-induced movement therapy after stroke: an integrative review. Neurosci Med. 2013;4(4):253–262; doi: 10.4236/nm.2013.44036.
34.
Mostafavifar M, Wertz J, Borchers J. A systematic review of the effectiveness of kinesio taping for musculoskeletal injury. Phys Sportsmed. 2012;40(4):33–40; doi: 10.3810/psm.2012.11.1986.
35.
Hassan BS, Abbass ME, Elshennawy S. Systematic review of the effectiveness of Kinesio taping for children with brachial plexus injury. Physiother Res Int. 2020;25(1):e1794; doi: 10.1002/pri.1794.
36.
Lee YS, Bae SH, Hwang JA, Kim KY. The effects of kinesio taping on architecture, strength and pain of muscles in delayed onset muscle soreness of biceps brachii. J Phys Ther Sci. 2015;27(2):457–459; doi: 10.1589/jpts.27.457.
37.
Żuk B, Księżopolska-Orłowska K. Usefulness of Kinesiology Taping method in inflammatory rheumatic illnesses in childhood [in Polish]. Reumatologia. 2008;46(6):340–347.
38.
Kocyigit F, Turkmen MB, Acar M, Guldane N, Kose T, Kuyucu E, et al. Kinesio taping or sham taping in knee osteoarthritis? A randomized, double-blind, sham-controlled trial. Complement Ther Clin Pract. 2015;21(4):262–267; doi: 10.1016/j.ctcp.2015.10.001.
39.
Reyhan AÇ, Dereli EE, Çolak TK. Low back pain during pregnancy and Kinesio tape application. J Back Musculoskelet Rehabil. 2017;30(3):609–613; doi: 10.3233/BMR-160584.
40.
Yasukawa A, Patel P, Sisung C. Pilot study: investigating the effects of Kinesio Taping® in an acute pediatric rehabilitation setting. Am J Occup Ther. 2006;60(1):104–110; doi: 10.5014/ajot.60.1.104.
41.
Russo SA, Zlotolow DA, Chafetz RS, Rodriguez LM, Kelly D, Linamen H, et al. Efficacy of 3 therapeutic taping configurations for children with brachial plexus birth palsy. J Hand Ther. 2018;31(3):357–370; doi: 10.1016/j.jht.2017.03.001.
| eISSN: | 2544-4395 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
