ÖZET
Amaç:
Görsel, proprioseptif ve vestibüler duyusal bilgilerin integrasyonu ile normal postüral kontrol ve denge sağlanır. Parkinson hastaları (PH) ise bu duyuların integrasyonu yetersizliği nedeniyle postüral kontrol bozuklukları yaşarlar. Elastik bantlama, propriosepsiyonu ve gövde kaslarının aktivasyonunu artırarak beklenen postüral ayarlamaları iyileştirmede etkilidir. Bu çalışmanın amacı, erken evre PH’lerinde tek seans elastik bantlamanın denge ve postüral kontrol üzerindeki kısa süreli etkisini araştırmaktı.
Yöntemler:
Erken evre 23 PH’nin (18 erkek, 5 kadın) “On” döneminde, üst sırt bölgesine postür düzeltme teknikleri ile elastik bant uygulandı. NeuroCom Balance Master test cihazının kararlılık sınırları (LOS), Otur Kalk, Normal Yürüme ve Topuk Parmak Ucu yürüme testleri ile hastaların postüral kontrol ve denge yetenekleri değerlendirildi. Tüm PH’de elastik bantlama sonrası testler tekrarlandı.
Bulgular:
Bantlamadan sonra LOS testinin ulaşılan maksimum uzaklık ve ulaşılan son nokta puanları ve Topuk Parmak Ucu Yürüme testinin hızı anlamlı olarak arttı (Wilcoxon testi, sırasıyla; p=0,04, p=0,02, p<0,001). Elastik bantlama öncesi ve sonrası Normal Yürüme ve Otur Kalk testi sonuçları arasında anlamlı bir fark yoktu (Wilcoxon testi, p>0,05).
Sonuç:
Çalışmamız, PH’de elastik bantlamanın denge ve postüral kontrol üzerindeki kısa süreli etkilerini araştıran ilk çalışmadır. PH’de elastik bant uygulamasının zorlu karmaşık koşullar altında dinamik denge ve postüral kontrol parametrelerini kısa bir süre için iyileştirebileceği sonucuna varılmıştır.
References
1
Fukunaga JY, Quitschal RM, Doná F, Ferraz HB, Ganança MM, Caovilla HH. Postural control in Parkinson’s disease. Braz J Otorhinolaryngol 2014;80:508-14.
2
Falaki A, Huang X, Lewis MM, Latash ML. Impaired synergic control of posture in Parkinson’s patients without postural instability. Gait Posture 2016;44:209-15.
3
Song J, Sigward S, Fisher B, Salem GJ. Altered Dynamic Postural Control during Step Turning in Persons with Early-Stage Parkinson’s Disease. Parkinsons Dis 2012;2012:386962.
4
Doherty KM, van de Warrenburg BP, Peralta MC, Silveira-Moriyama L, Azulay JP, Gershanik OS, et al. Postural deformities in Parkinson’s disease. Lancet Neurol 2011;10:538-49.
5
Doná F, Aquino CC, Gazzola JM, Borges V, Silva SM, Ganança FF, et al. Changes in postural control in patients with Parkinson’s disease: a posturographic study. Physiotherapy 2016;102:272-9.
6
Morrone M, Miccinilli S, Bravi M, Paolucci T, Melgari JM, Salomone G, et al. Perceptive rehabilitation and trunk posture alignment in patients with Parkinson disease: a single blind randomized controlled trial. Eur J Phys Rehabil Med 2016;52:799-809.
7
Hajibashi A, Amiri A, Sarrafzadeh J, Maroufi N, Jalae S. Effect of kinesiotaping and stretching exercise on forward shoulder angle in females with rounded shoulder posture. JRSR 2014;1:78-83.
8
Abbasi S, Rojhani-Shirazi Z, Shokri E, García-Muro San José F. The effect of Kinesio Taping on postural control in subjects with non-specific chronic low back pain. J Bodyw Mov Ther 2018;22:487-92.
9
Bulut D, Dilek B, Kılınç A, Ellidokuz H, Öncel S. An investigation into the effects of kinesiotaping for posture correction on kyphosis angle, pain, and balance in patients with postmenopausal osteoporosis-associated thoracic kyphosis. Arch Osteoporos 2019;14:89.
10
Rojhani-Shirazi Z, Amirian S, Meftahi N. Effects of Ankle Kinesio Taping on Postural Control in Stroke Patients. J Stroke Cerebrovasc Dis 2015;24:2565-71.
11
Cabreira TS, Coelho KHV, Quemelo PRV. Kinesio Taping effect on postural balance in the elderly. Fisioterapia e Pesquisa 2014;21:333-8.
12
Morris D, Jones D, Ryan H, Ryan CG. The clinical effects of Kinesio® Tex taping: A systematic review. Physiother Theory Pract 2013;29:259-70.
13
Prabhu P, Nandakumar S. Immediate effect on balance after correcting postural hyperkyphosis of thoracic spine in elderly population using therapeutic tape. Iternational Journal of Innovative Research in Engineering & Multidisciplinary Physical Sciences 2013;1:6-12.
14
Greig AM, Bennell KL, Briggs AM, Hodges PW. Postural taping decreases thoracic kyphosis but does not influence trunk muscle electromyographic activity or balance in women with osteoporosis. Man Ther 2008;13:249-57.
15
Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology 1967;17:427-42.
16
Goetz CG, Poewe W, Rascol O, Sampaio C, Stebbins GT, Counsell C, et al. Movement Disorder Society Task Force report on the Hoehn and Yahr staging scale: status and recommendations. Mov Disord 2004;19:1020-8.
17
Chien CW, Hu MH, Tang PF, Sheu CF, Hsieh CL. A comparison of psychometric properties of the smart balance master system and the postural assessment scale for stroke in people who have had mild stroke. Arch Phys Med Rehabil 2007;88:374-80.
18
Pickerill ML, Harter RA. Validity and reliability of limits-of-stability testing: a comparison of 2 postural stability evaluation devices. J Athl Train 2011;46:600-6.
19
Harro CC, Marquis A, Piper N, Burdis C. Reliability and Validity of Force Platform Measures of Balance Impairment in Individuals With Parkinson Disease. Phys Ther 2016;96:1955-64.
20
NeuroCom International, Inc. Objective Quantification of Balance and Mobility. Clacamas, OR: 2007.
21
Hayran M. Sağlık araştırmaları için temel istatistik. Ankara. Omega yayınları. 2011.
22
Del Din S, Godfrey A, Coleman S, Galna B, Lord S, Rochester L. Time-dependent changes in postural control in early Parkinson’s disease: what are we missing? Med Biol Eng Comput 2016;54:401-10.
23
Pickering RM, Grimbergen YA, Rigney U, Ashburn A, Mazibrada G, Wood B, et al. A meta-analysis of six prospective studies of falling in Parkinson’s disease. Mov Disord 2007;22:1892-900.
24
Chastan N, Debono B, Maltête D, Weber J. Discordance between measured postural instability and absence of clinical symptoms in Parkinson’s disease patients in the early stages of the disease. Mov Disord 2008;23:366-72.
25
Kamieniarz A, Michalska J, Marszałek W, Stania M, Słomka KJ, Gorzkowska A, et al. Detection of postural control in early Parkinson’s disease: Clinical testing vs. modulation of center of pressure. PLoS One 2021;1:e0245353.
26
Chen T, Fan Y, Zhuang X, Feng D, Chen Y, Chan P, et al. Postural sway in patients with early Parkinson’s disease performing cognitive tasks while standing. Neurol Res 2018;40:491-8.
27
Okada Y, Shibata T, Tamei T, Ikeda K, Kita Y. Rehabilitation for Postural Deformities in Parkinson’s Disease: An Update and Novel Findings. J Nov Physiother 2014;4:233.
28
Cho YH, Cho K, Park SJ. Effects of trunk rehabilitation with kinesio and placebo taping on static and dynamic sitting postural control in individuals with chronic stroke: A randomized controlled trial. Top Stroke Rehabil 2020;27:610-9.
29
Mehta M, Joshua AM, Karthikbabu S, Misri Z, Unnikrishnan B, Mithra P, et al. Effect of Taping of Thoracic and Abdominal Muscles on Pelvic Alignment and Forward Reach Distance Among Stroke Subjects: A Randomized Controlled Trial. Ann Neurosci 2019;26:10-6.
30
Wei Z, Wang XX, Wang L. Effect of Short-Term Kinesiology Taping on Knee Proprioception and Quadriceps Performance in Healthy Individuals. Front Physiol 2020;11:603193.
31
Ruggiero SA, Frost LR, Vallis LA, Brown SH. Effect of short-term application of kinesio tape on the flexion-relaxation phenomenon, trunk postural control and trunk repositioning in healthy females. J Sports Sci 2016;34:862-70.
32
Lee YJ, Kim JY, Kim SY, Kim KH. The effects of trunk kinesio taping on balance ability and gait function in stroke patients. J Phys Ther Sci 2016;28:2385-8.
33
Liao LY, He XH, Li XZ, Ge YL, Gao Q. Effects of kinesiology taping on trunk function, balance, and mobility in stroke patients: a pilot feasibility study. J Phys Ther Sci 2020;32:359-64.
34
Yu Y, Liang S, Wang Y, Zhao Y, Zhao J, Li H, et al. Quantitative Analysis of Postural Instability in Patients with Parkinson’s Disease. Parkinsons Dis 2021;2021:5681870.
35
Shin YJ, Kim SM, Kim HS. Immediate effects of ankle eversion taping on dynamic and static balance of chronic stroke patients with foot drop. J Phys Ther Sci 2017;29:1029-31.
36
Cortesi M, Cattaneo D, Jonsdottir J. Effect of kinesio taping on standing balance in subjects with multiple sclerosis: A pilot study\m{1}. NeuroRehabilitation 2011;28:365-72.
37
Park H, Jung T. Limits of Stability, Tandem Walk, and Adaptation Test in individuals with symptomatic knee osteoarthritis: A case-control comparison with knee OA and healthy knee controls. Int J Hum Mov Sports Sci 2018;6:23-9.
38
Capecci M, Serpicelli C, Fiorentini L, Censi G, Ferretti M, Orni C, et al. Postural rehabilitation and Kinesio taping for axial postural disorders in Parkinson’s disease. Arch Phys Med Rehabil 2014;95:1067-75.
39
Beretta VS, Gobbi LT, Lirani-Silva E, Simieli L, Orcioli-Silva D, Barbieri FA. Challenging Postural Tasks Increase Asymmetry in Patients with Parkinson’s Disease. PLoS One 2015;10:e0137722.
40
El-Kholy WAH, Taha HM, Hamada SM, Sayed MAF. Effect of different modes of therapy on vestibular and balance dysfunction in Parkinson’s disease. Egyptian Journal of Ear, Nose, Throat and Allied Sciences 2015;16:123-31.
