背景:帕金森氏病是一种进行性和不可逆的神经退行性过程,其特征是休息时震颤,运动迟缓,刚度,姿势控制障碍,平衡和步态。运动学胶带具有体感刺激作用,在姿势控制方面有好处。
方法:一项针对腓肠肌和腰椎勃起者的物理治疗干预组和实验组(添加运动学胶带)的初步研究。结果评估是伯格量表,Tinetti量表(步行分量表),10m试验,TUG试验,PDQ-39和腓肠肌肌电图记录。进行了三次测量:T0(基线),T1(干预后两天)和T2(干预后一周);PDQ-39在T0和干预后一个月给药。
结果:应用纳入标准(9名女性和4名男性)后,选择了13名参与者(III期Hoehn和Yahr)。N=7实验组和N=6物理治疗组。组内对比在Berg量表(T1和T2)中显示出有利于实验组的显着改善,10m试验(T2)和较低的平均腓肠肌活性(T1)。组间对比仅证明右下肢肌肉收缩肌电图记录的差异,应用运动学胶带后,在T1。
结论:在腰椎勃起和腓肠肌双侧应用运动学胶带可以改善步态和平衡,在Hoehn和YahrIII期帕金森病患者中,但其效果并不优于常规理疗。
BACKGROUND: Parkinson\'s disease is a progressive and irreversible neurodegenerative process characterized by tremor at rest, bradykinesia, stiffness, disorders in postural control, balance and gait. Kinesiology tape has a somatosensory stimulating effect, with benefits in postural control.
METHODS: A pilot
study with a Physiotherapy Intervention Group and an Experimental Group (kinesiology tape was added) in gastrocnemius and lumbar spinal erectors. Outcome assessments were Berg scale, Tinetti scale (walking subscale), 10m test, TUG test, PDQ-39 and gastrocnemius electromyographic record. Three measurements were made: T0 (baseline), T1 (two days post-intervention) and T2 (one week post-intervention); PDQ-39 was administered at T0 and one month after the intervention.
RESULTS: Thirteen participants (stage III Hoehn and Yahr) were selected after applying the inclusion criteria (nine women and four men). N=7 Experimental Group and N=6 Physiotherapy Group. The intra-group contrast showed significant improvements in favor of the Experimental Group in Berg scale (T1 and T2), 10m test (T2) and in lower mean gastrocnemius muscle activity (T1). The inter-group contrast only evidenced differences in electromyographic recording of the muscle contraction of the right lower limb, after the application of kinesiology tape, in T1.
CONCLUSIONS: The application of kinesiology tape in the lumbar spinal erectors and gastrocnemius bilaterally could improve gait and balance, in subjects with Parkinson\'s disease in Hoehn and Yahr stage III, but its effect is not superior to conventional physiotherapy treatment.