Role of Triceps Kinesiology Taping on Elbow Flexion Tightness in Extended Erb's Palsy Infants
Phase: NA
Conditions: Deformity Flexion
Sponsor: MTI University

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Title:  
 
Role of Triceps Kinesiology Taping on 
Elbow Flexion Tightness in Extended 
Erb's Palsy Infants 
 
 
 
NCT: not yet assigned 
 
 
Document Date : 05/06/2018 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Updated 05/06/2018  
  
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FACULTY OF PHYSICAL THERAPY  
APPLICATION FOR ETHICAL REVIEW  
  
  
  
NOTES:  
  
➢ 
Answers to questions must be entered in the space provided.  
➢ 
An electronic version of the completed form should be submitted to the Research Ethics 
Officer, at the following email address: …ethical@pt.cu.edu.eg……. Please do not submit 
paper copies.  
➢ 
If you have any queries about the form, please address them to the Research Ethics Team
.  
  
  
  
 

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FACULTY OF PHYSICAL THERAPY 
APPLICATION FOR ETHICAL REVIEW  
OFFICE USE ONLY:  
Application No:  
Date Received:  
  
 
1.  TITLE OF PROPOSAL   
ROLE OF TRICEPS KINESIOLOGY TAPING ON ELBOW FLEXION TIGHTNESS IN EXTENDED 
ERB’S PALSY INFANTS  
  
  
2. THIS PROPOSAL IS:   
  
Physical Therapy Staff Research Proposal  ☐  
Physical Therapy Postgraduate Research (PGR) Student Proposal √ ☐  
 
Master ☐  
Doctoral √  ☐  
Other  ☐  
  
          Other  ☐  ( Please specify): 
    
   
3. INVESTIGATORS   
  
a) PLEASE GIVE DETAILS OF  Student (FOR PGR STUDENT PROPOSAL) or first author 
for  staff Research Proposal  
  
Name:      Title / first name / family name 
  
Highest qualification & position held:  
Department/ Faculty/ University 
Telephone:  
Email address:  
Radwa Said Shahat Ahmed  
MSc. Of Pediatric Physical Therapy, Assistant Lecturer 
at MTI University  
Pediatrics/Physical Therapy/MTI university  
+2 01004008503  
radwasaid@live.com  
  
  
a) 
PLEASE GIVE DETAILS OF ANY CO-SUPERVISORS OR CO-INVESTIGATORS (FOR 
PGR STUDENT PROPOSAL) or co- first author for staff Research Proposal b) 
  
  
Name:      Title / first name / family name 
  
Highest qualification & position held: 
Department/ Faculty/ University  
Telephone:  
Email address:  
Prof. Emam Hassan Elnegmy  
Professor  
Pediatrics/Physical Therapy/ Cairo University  
  
Emamhassan20@yahoo.com  
  
Name:      Title / first name / family name 
  
Highest qualification & position held: 
Department/ Faculty/ University  
Telephone:  
Email address:  
Prof. Gehan Mosaad Abd ElMaksoud  
Professor  
Pediatrics/Physical Therapy/ Cairo University  
  
Gehanmosaad@gmail.com  
  

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Name:      Title / first name / family name 
  
Highest qualification & position held: 
Department/ Faculty/ University  
Telephone:  
Email address:  
Prof. Amena Mohamed Hindawy  
Professor  
Pediatrics/Medicine/ Cairo University  
  
  
  
  
 
4. SUMMARY OF PROPOSAL  
 To determine the role of using Kinesiology tape on the prevention of elbow flexion tightness  
in infants with extended Erb’s palsy.  
  
PURPOSE:   
 
To determine the role of using Kinesiology tape on the prevention of elbow flexion tightness in 
infants with extended Erb’s palsy.  
  
BACKGROUND:   
  
Neglecting or even delay in BPBP management, may result in substantial and chronic impairment. 
Physiotherapy, microsurgical nerve reconstruction, secondary joint corrections, and muscle 
transpositions are employed to help the child maximize function in the affected upper extremity. 
Kinesiology taping can have an effect on muscle performance and support joint by improving 
proprioception, normalizing muscle tone, correct the inappropriate positions and stimulate skin 
receptors. The possible effect of KT on muscle strength has been investigated by numerous 
researchers that have theorized that KT facilitates an immediate increase in muscle strength by 
generating a concentric pull on the fascia.  
  
HYPOTHESES:   
  
There will be no role of Kinesiology tape on the prevention of elbow flexion tightness in infants with 
extended Erb’s palsy.  
  
RESEARCH QUESTION:  
  
Is there a role of using Kinesiology tape in preventing elbow flexion tightness in infants with 
extended Erb’s palsy?  
 
 

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5. CONDUCT OF PROJECT  
  
Please give a description of the research methodology that will be used   
  
1. 
  
Toronto active motion scale will be used to determine functional strength of the Biceps and 
Triceps Brachii muscles.  
2. The G-Pro application will be downloaded on the smartphone and used to measure the range 
of motion of elbow extension.  
3. A computerised electromyographic apparatus (Neuroscreen plus – 4 channel – version 1.59 
produced by TOENNIES, 97204 Hochberg, Germany) will be used to measure the 
percentages of degeneration of the Biceps and Triceps Brachii muscles using surface 
electrodes.  
4. 
  
  
Kinesiology Taping will be used as a facilitator to the Triceps muscle (as treatment along a 
traditional Physical Therapy treatment program). One I-shaped tape will be taped over the 
triceps muscle.  
.  
 
6. PARTICIPANTS AS THE SUBJECTS OF THE RESEARCH  
Describe the number of participants and important characteristics (such as age, gender, intellectual ability 
etc.). Specify any inclusion/exclusion criteria to be used.  
  
Thirty two infants of both genders will be recruited.  
Ages range from 3-6 months of age.  
They will be diagnosed with Obstetric Brachial Plexus palsy- Extended Erb’s Palsy (C5-6-7)   
 
7. RECRUITMENT  
Please state clearly how the participants will be identified, approached and recruited.   
  
Note: Attach a copy of any poster(s), advertisement(s) or letter(s) to be used for recruitment.  
1. 
Patients will have unilateral extended brachial plexus injury involving cervical 5, 6 and 7 
roots lesion.  
2. 
They will have positive grasp reflex.  
3. 
They will have asymmetrical Moro reflex.  
4. 
They will show evidence of degeneration of both the Triceps and Biceps Brachii muscles.  
  
Patients will be selected, evaluated and treated at the outpatient clinics of the Faculties of 
Physical Therapy of both Cairo University and Modern University for Information and 
Technology.  
  

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8. CONSENT   
Describe the process that the investigator(s) will be using to obtain valid consent.  If  consent is not to be 
obtained explain why.  If the participants are minors or for other reasons are not competent to 
consent,  describe the proposed alternate source of consent, including any permission / 
information letter to be provided to the person(s) providing the consent.  
I am  
freely and voluntarily consent to participate in a research program under the direction of 
M.Sc.   
A thorough description of the procedure has been explained and I understand that I may withdraw my 
consent and discontinue participation in this research at any time without prejudice to me.  
Date                                                               Participant  
  
  
  
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     Note: Attach a copy of the Consent Form, Participant Information Sheet (if applicable).   
   
PARTICIPANT WITHDRAWAL   
a) Describe how the participants will be informed of their right to withdraw from the project.    
  
They can withdraw at anytime without prejudice to them as mention in signed consent.  
b) Explain any consequences for the participant of withdrawing from the study and indicate what 
will 
 be done with the participant’s data if they withdraw.  
  
  
No consequences will take place. They have the utmost freedom.  

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9. CONFIDENTIALITY 
  
  
a) 
Will all participants be anonymous? 
Yes √ ☐ 
No ☐  
b) 
Will all data be treated as confidential? 
Yes √ ☐ 
No ☐  
  
Note: Participants’ identity/data will be confidential if an assigned ID code or number is used, but it will 
not be anonymous. Anonymous data cannot be traced back to an individual participant.  
  
10. SIGNIFICANCE/BENEFITS  
Outline the potential significance and/or benefits of the research   
  
Delay in the treatment of extended Erb’s palsy may result in substantial and chronic impairment due 
to many causes. One of the causes is the imbalance between the recovery of elbow exors and 
elbow extensors where the latter will be delayed. This study will determine if a debilitating tightness 
and contracture (elbow flexion) can be prevented using the kinesiology tape in infants with Extended 
Erb’s Palsy.    
11. RISKS  
  
         Outline any potential risks to INDIVIDUALS 
, including research staff, research participants, 
other 
 individuals not involved in the research  and the measures that will be taken to 
 minimise 
 any risks and  the procedures to be adopted in the event of mishap  
  
Risk of Infection: minimizing the risk through adequate sterilization of the treated areas during 
evaluation and treatment.  
12. DECLARATION BY APPLICANTS  
  
I submit this application on the basis that the information it contains is confidential and will be used by the 
Faculty of Physical Therapy for the purposes of ethical review and monitoring of the research project  
described herein, and to satisfy reporting requirements to regulatory bodies.  The information will not be 
used for any other purpose without my prior consent.  
  
  
  
  

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I declare that:  
● 
The information in this form together with any accompanying information is complete and correct 
to the best of my knowledge and belief and I take full responsibility for it.  
● 
I will report any changes affecting the ethical aspects of the project to the Faculty of Physical 
Therapy Research Ethics Officer.  
● 
I will report any adverse or unforeseen events which occur to the relevant Ethics Committee via 
the Faculty of Physical Therapy Research Ethics Officer.  
  
  
Name of Principal investigator/project supervisor:  
  
  
Date:  
  
  
  
  
Radwa Said Shahat Ahmed  
  
  
Prof. Emam Hassan ElNegmy  
  
6th of May, 2018