The Effectiveness of California Tri-Pull Kinesiotaping In Reducing Glenohumeral Shoulder Subluxation After Stroke: AB design

Abstract

Background and Purpose: Glenohumeral subluxation (GHS) is a common complication of hemiplegia after stroke. The inferior dislocation is the most frequently encountered GHS in stroke patients, and it is important to choose the proper treatment to promote better stability after repositioning the humerus. To evaluate the short term effect of the California tri-pull taping method with elastic kinesiotape (CTPK) on pain, recovery of movement and daily life activities in Turkish hemiplegic patients. Methods: Fourteen hemiplegic participants with GHS involved in this study All patients had at least three weeks of conventional inpatient neurorehabilitation. During the rehabilitation program, all patients with GHS had kinesiotaping four times with five-day interval for three weeks. Outcome measures were a verbal descriptive pain scale (VPDS), the Katz index of independence in activities of daily living, and a radiologic and physical examination. Results: No significant difference was found between the participants with regard to sex, age, duration of stroke, and VPDS scores (p gt;0.05). Motor recovery stages were improved after CTPK, pain scores decreased, and Katz index increased with the treatment. Passive ROMs of the shoulder were significantly increased. Subluxation was found by palpation to be improved but did not show any radiographic changes. Conclusion: CTPK can reduce pain and improve quality of life, passive ROM and subluxation. Our findings suggest that radiological grading of subluxation is not sensitive enough and should not be used to evaluate improvement of inferior subluxation in stroke patients.

Keywords

• inme
• omuz
• subluksasyon
• kinezyo bantlama
• stroke
• shoulder
• kinesiotaping
• subluxation