The effect of Kinesio Taping on motor function in children with cerebral palsy: a systematic review and meta-analysis of randomized controlled trials.

IF 2.8 3区 医学 Q2 CLINICAL NEUROLOGY Frontiers in Neurology Pub Date : 2025-03-06 eCollection Date: 2025-01-01 DOI:10.3389/fneur.2025.1527308
Xiaoguang Lin, Jiongliang Zhang, Minmin Wu, Jinting Li, Wenjing Song, Luwen Zhu
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Abstract

Introduction: Kinesio taping (KT) is a well-known rehabilitation therapy technique used for treating children with cerebral palsy. However, no meta-analysis of kinesio taping has been conducted specifically for this purpose. This systematic review and meta-analysis aim to explore the effectiveness of kinesio taping in enhancing gross motor function, balance ability, and gait in children with cerebral palsy.

Methods: A comprehensive database search was conducted using PubMed, Embase, the Cochrane Library, Web of Science, Cnki, Wan Fang, VIP, and the Physiotherapy Evidence Database (PEDro) to identify randomized controlled trials (RCTs) investigating the impact of kinesio taping (KT) on cerebral palsy. RCTs published until May 31, 2024, that met our predetermined inclusion and exclusion criteria were included. Data extraction, literature review, and assessment of the methodological quality of the trials were performed. The meta-analysis was conducted using StataSE version 16.

Results: The primary outcome was Gross Motor Function Measure, Berg Balance Scale, Muscle Tension-Heel-Ear Test. The secondary outcomes were step frequency, step speed, step length. Our meta-analysis includes 378 children from 10 RCTs incorporated. Main result the Gross Motor Function Measure (GMFM D) (SMD = 1.00, 95%CI = 0.24-1.77, p = 0.01, I 2 = 87.3), the Gross Motor Function Measure (GMFM E) (SMD = 0.84, 95%CI = 0.22-1.46, p = 0.008, I 2 = 81.5%), the Berg Balance Scale (BBS) (SMD = 0.81, 95%CI = 0.20-1.42, p = 0.009, I 2 = 76.3%). Muscle Tension-Heel-Ear Test (SMD = 1.57, 95%CI = 0.59-2.55, p = 0.002, I 2 = 79.8%). The children showed significant improvements in gross motor function, balance and muscle tension compared to the results of the control group. The secondary step length (SMD = 0.46, 95% CI = 0.18-0.76, I 2 = 47.3%, p = 0.002) had an improvement effect, but no significant effect on step frequency and step speed.

Conclusion: To some extent, compared to the control group, the addition of kinesio taping improved motor dysfunction in children with cerebral palsy during rehabilitation.

Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/search, identifier: CRD42024528254.

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Kinesio Taping 对脑瘫儿童运动功能的影响:随机对照试验的系统回顾和荟萃分析。
介绍:肌内效贴敷(KT)是一种众所周知的康复治疗技术,用于治疗儿童脑瘫。然而,还没有针对这一目的对运动内肌贴敷进行meta分析。本系统综述和荟萃分析旨在探讨运动贴贴在脑瘫儿童大运动功能、平衡能力和步态方面的有效性。方法:通过PubMed、Embase、Cochrane图书馆、Web of Science、知网、万方、VIP、物理治疗证据数据库(PEDro)等数据库进行综合检索,找出研究运动贴贴(KT)对脑瘫影响的随机对照试验(RCTs)。纳入了2024年5月31日前发表的符合我们预定纳入和排除标准的随机对照试验。进行数据提取、文献回顾和试验方法学质量评估。meta分析使用StataSE version 16进行。结果:主要指标为大运动功能测量、伯格平衡量表、肌肉张力-脚跟-耳试验。次要结局是步进频率、步进速度、步长。我们的荟萃分析纳入了来自10项随机对照试验的378名儿童。主要结果衡量粗大运动功能(GMFM D) (SMD = 1.00,95% ci = 0.24 - -1.77,p = 0.01,我2 = 87.3),粗大运动功能测量(GMFM E) (SMD = 0.84,95% ci = 0.22 - -1.46,p = 0.008,我2 = 81.5%),Berg平衡规模(BBS) (SMD = 0.81,95% ci = 0.20 - -1.42,p = 0.009,我2 = 76.3%)。肌肉Tension-Heel-Ear测试(SMD = 1.57,95% ci = 0.59 - -2.55,p = 0.002,我2 = 79.8%)。与对照组的结果相比,这些孩子在大运动功能、平衡和肌肉紧张方面表现出显著的改善。二次步长(SMD = 0.46,95% CI = 0.18-0.76,i2 = 47.3%,p = 0.002)有改善效果,但对步频和步速无显著影响。结论:在一定程度上,与对照组相比,肌内效贴能改善脑瘫患儿康复期间的运动功能障碍。系统综述注册:https://www.crd.york.ac.uk/PROSPERO/search,标识符:CRD42024528254。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Neurology
Frontiers in Neurology CLINICAL NEUROLOGYNEUROSCIENCES -NEUROSCIENCES
CiteScore
4.90
自引率
8.80%
发文量
2792
审稿时长
14 weeks
期刊介绍: The section Stroke aims to quickly and accurately publish important experimental, translational and clinical studies, and reviews that contribute to the knowledge of stroke, its causes, manifestations, diagnosis, and management.
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