Abstract
The purpose of this study was to investigate the effects of combined taping with scapular setting exercise on the gait performance of stroke patients. Twenty stroke patients were randomly allocated to two groups: the taping with scapular setting exercise (TSSE) group (n = 10) and scapular setting exercise (SSE) group (n = 10). Intervention was performed for one week, and pre- and postintervention results for TSSE and SSE were compared. Outcomes were determined using the inertia measurement unit, which can measure spatiotemporal gait parameters, and using the timed up-and-go test. Two-way repeated analysis was used to compare pre- and postintervention results. In the TSSE group, intervention significantly improved cadence, gait speed, stride length, step length, gait cycle, swing phase duration, double support duration, and timed up-and-go test results more than in the SSE group. TSSE was found to improve all spatiotemporal gait parameters examined; thus, we recommend TSSE be considered as an intervention to improve gait parameters in stroke patients.
Highlights
Many stroke patients have problems with motor coordination and voluntary movement due to motor paralysis and motor impairment [1,2]
Scapular stabilizers are often impaired in stroke patients, and they cannot be used to assist gait properly [16,17]. These findings suggest that limited scapular movement is likely to induce a hemiparetic gait, and that intervention targeting scapular stabilizer muscles may be important for improving gait function in stroke patients [15]
We investigate the effect of taping with scapular setting exercise (TSSE) on the gait performance of stroke patients for more effective means of intervention than setting exercise (SSE)
Summary
Many stroke patients have problems with motor coordination and voluntary movement due to motor paralysis and motor impairment [1,2]. Representative features of hemiparetic gait include slow walking speed, prolonged stance duration on the nonparetic side, increased double support time, and an asymmetric gait [2,5,6]. For this reason, improving gait performance after stroke is essential to enhance quality of life [7]. Gait control requires the coordination of lower limbs and of trunk and upper limb movements [10,11,12,13]. Upper limbs influence gait pattern [10], and upper limb involvement during gait alters lower limb muscle activation [13]
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