Abstract
Objective: Pelvic alignment asymmetry in stroke patients negatively affects postural control ability. This study aimed to investigate the effect of posterior pelvic tilt taping on pelvic inclination, muscle strength, and gait ability in stroke patients. Methods: Forty stroke patients were recruited and randomly divided into the following two groups: the posterior pelvic tilt taping (PPTT) group (n = 20) and the control group (n = 20). All participants underwent sitting-to-standing, indoor walking, and stair walking training (30 min per day, 5 days per week, for 6 weeks). The PPTT group applied posterior pelvic tilt taping during the training period, while the control group did not receive a tape intervention. Pelvic inclination was measured using a palpation meter (PALM). A hand-held dynamometer and the 10-meter walk test were used to measure muscle strength and gait ability. Results: Significantly greater improvements in the pelvic anterior tilt were observed in the PPTT group than in the control group (p < 0.05). Muscle strength in the PPTT group was significantly increased compared to the control group (p < 0.05). Significantly greater improvements in gait speed were observed in the PPTT group than the control group. Conclusions: According to our results, posterior pelvic tilt taping may be used to improve the anterior pelvic inclination, muscle strength, and gait ability in stroke patients.
Highlights
The pelvis is an important structure that connects the torso and lower limbs to support and transmit weight to the lower limbs when performing various functional movements.In addition, the pelvis is a part of the lower trunk in the sitting position but becomes a functional element of the lower limb when standing or walking [1]
We investigated whether the application of posterior pelvic tilt taping in stroke patients with an anterior pelvic inclination affected pelvic inclination
In a study that investigated the effect of taping in lower-back pain patients with increased lordosis, the anterior pelvic tilt was reduced by applying tape to the rectus abdominis (RA) and external oblique (EO)
Summary
The pelvis is a part of the lower trunk in the sitting position but becomes a functional element of the lower limb when standing or walking [1]. In stroke patients, body deficits such as loss of sensation, impaired motor function of the upper and lower extremities, spasticity, and muscle weakness are caused by damage to the blood vessels in the brain. This results in a secondary damage in body control and a change in pelvic alignment, resulting in decreased weight support on the paralyzed side [9]
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