神経感染症

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Kinesio Tape vs Neuromuscular Stimulation for Conservative Treatment of Hemiplegic Shoulder: A Randomized Controlled Trial

Gul Oznur Karabicak, Burcu Talu

This study aimed to compare the effects of kinesiotaping and neuromuscular electric stimulation (NMES) on pain, and motor activity and function in patients with upper extremity hemiplegia. A total of 67 outpatients who acquired ischemic stroke with the upper extremity involvement were enrolled in the study. The patients were randomly assigned to an NMES group a kinesiotape implementation group and a control group in addition to the physiotherapy. Treatment duration was 4 weeks. Motor Activity Log- 28, Fugl–Meyer Sensorimotor Assessment Scale (FM), and visual analog scale (VAS) were used for the assessment. A significant improvement in FM (taping group, p ≤ 0.001, NMES, p ≤ 0.001, control group, p ≤ 0.001) and motor activity scores was found in all groups. Although this effect was superior in function for the taping group (p = 0.027). A significant decrease was found in the pain intensity both at rest (taping group: P ≤ 0.007; NMES: P ≤ 0.014) and with activity for the taping and NMES groups (taping: p≤ 0.010; NMES: p≤ 0.016). Whereas no significant decrease was found in the control group either at the rest or with activity (p = 0.054 for both). No reverse effect was reported. Data suggested that all the treatment options were effective on motor activity and pain but the kinesiotaping seemed to have a superior effect on function activity (p = 0.054 for both). No reverse effect was reported. Data suggested that all the treatment options were effective on motor activity and pain but the kinesiotaping seemed to have a superior effect on function.