Kinesio Taping in Sit to Stand Movement fo Cerebral Palsy

Study Overview
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Brief Summary
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Children with Cerebral Palsy (CP) present limited performance of functional activities and activities of daily life. Kinesio taping has been definied as a promising technique for children with CP ans has been extensively used in clinical practice. However, several studies have found a low level of evidence of its effectiveness in healthy individuals. We aim to evaluate the effects of the immediate application of Kinesio taping on the activation of the rectus femoris and anterior tibialis muscles and on the duration of sit-to-stand movement in children with CP.

Official Title
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Imediate Effects of Kinesio Tapin in Muscle Activity and Time to Perform Sit to Stand Movement in Children With Cerebral Palsy

Conditions
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Cerebral Palsy

Intervention / Treatment
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* Other: Kinesio taping
* Other: Without taping


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: diagnosed with spastic CP aged from 5 to 18 years Gross Motor Function Classification System levels I and II able to understand simple commands able to perform the sit-to-stand movement without support Exclusion Criteria: muscle shortening in hamstring, gastrocnemius and hip flexors deformities in the lower limbs such as fixed hip and knee flexion that could compromise the sit-to-stand movement surgical procedures in the lower limbs and trunk in the previous 12 months botulinum toxin injection in the previous 6 months

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: First test<br>All measures were evaluated | Other: Kinesio taping<br>* An experienced physiotherapist placed the base of the Kinesio taping strip, over rectus femoris muscle, 3cm bellow the anterior iliac spine, without tension. From this point, the Kinesio taping was placed up to the upper edge of the patella and stretched to 100% tension. It was, then, bi-sectioned, circled the patella and ended in the tuberosity of the femur, without tension. In order to avoid interference in the electromyography signals, a section was held at Kinesio taping at the point where the electrode was placed.<br>Other: Without taping<br>* Children performed functional activities without tape<br>|
| Other: Second test<br>All measures were evaluated | Other: Kinesio taping<br>* An experienced physiotherapist placed the base of the Kinesio taping strip, over rectus femoris muscle, 3cm bellow the anterior iliac spine, without tension. From this point, the Kinesio taping was placed up to the upper edge of the patella and stretched to 100% tension. It was, then, bi-sectioned, circled the patella and ended in the tuberosity of the femur, without tension. In order to avoid interference in the electromyography signals, a section was held at Kinesio taping at the point where the electrode was placed.<br>Other: Without taping<br>* Children performed functional activities without tape<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Muscle activity | An electromyography analysis was performed to evaluate the rectus femoris and tibialis anterior activity during the sit-to-stand movement and the five time sit-to-stand test. Electrodes were placed in both lower limbs. Mean root mean square (mRMS) values were used for statistical analysis. Mean root mean square values were normalized by the maximum value of each trial and individual. | on the day of evaluation | 
| Time to perform sit to stand | Children were seated with hip, knee and ankle flexed at 90°. Both feet were symmetrically positioned shoulder width apart and arms were crossed over the chest. Children should get up from the seat after the verbal command of the evaluator. Children performed the sit-to-stand movement at a speed that simulated the one usually adopted in daily routine | on the day of evaluation | 
| Time to perform five time sit-to-stand test | Children had to get up and sit down five times as fast as possible. The instructions before starting the test were: Stand up and sit down as quickly as possible for 5 times. The test will be finished when you return to the seated position the 5th time. Continue the sit-to-stand movement until I ask you to stop. If you try but cannot stand up, just let me know. Ready? go! | on the day of evaluation | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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intervention, children