Assessment of gait patiem following Kinesiology Taping application in patients after cerebral stroke

Beata Michalak, Bartłomiej Halat, Wojciech Kufel, Marta Kopa, Jacek Łuniewski, Katarzyna Bogacz, Magdalena Wilk, Marcin Krajczy, Anna Lipińska, Jan Szczegielniak, Zbigniew Śliwiński

Beata Michalak, Bartłomiej Halat, Wojciech Kufel, Marta Kopa, Jacek Łuniewski, Katarzyna Bogacz, Magdalena Wilk, Marcin Krajczy, Anna Lipińska, Jan Szczegielniak, Zbigniew Śliwiński – Assessment of gait patiem following Kinesiology Taping application in patients after cerebral stroke. Fizjoterapia Polska 2009; 9(2); 133-142

Abstract
Background. The authors present an assessment of gait pattern in stroke patients subjected to comprehensive physiotherapy inclu-ding Kinesiology Taping applications. Material and methods. The KT group included 20 patients (13 men and 7 women) who were subjected to Kinesiology Taping. KT applications were not used in the control group, which consisted of 5 women and 15 men. Ali patients underwent physical, neurological and functional examinations, which constituted the basis for designing a rehabilitation program. Results. The analysis of the results indicates that functional KT application to the anterior tibial muscie, ligamentous KT application to the Achilles tendon and muscular KT application to the soleus muscie significantly contributed to improving ankle joint function. Patients treated with KT applications demonstrated improved gait patterns, visible as balanced step length and an extended support phase main-taining the body weight. When learning and analyzing the gait pattern, the midstance phase (fuli loading) is a significant element prece-ding the propulsion phase. This assessment of gait patterns following KT application in stroke patient is an innovative study. Conclusions. Muscular and ligamentous Kinesiology Taping applications reduce the spastic tension of the lower limb muscles para-lyzed as a result of cerebral stroke, The beneficial effect of Kinesiology Taping described by the founders ofthis method reduces the congestive edema of the limbs paralyzed as a result of a cerebral stroke and improve the gait pattern. The rehabilitation program applied in this study increased the gait speed of the stroke patients.
Key words:
Kinesiology Taping, muscular applications, ligamentous applications, corrective applications, cerebral stroke
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Magnetic field stimulation and the quality of life in MS patients

Wojciech Fibiger, Anna Starowicz, Magdalena Wilk

Wojciech Fibiger, Anna Starowicz, Magdalena Wilk – Magnetic field stimulation and the quality of life in MS patients. Fizjoterapia Polska 2010; 10(3); 202-210

Abstract
Background. The aim of our study was to evaluate the effectiveness of magnetic field stimulation and exercise on the quality of life in multiple sclerosis patients undergoing home-based rehabilitation. Material and methods. The study involved a group of 87 patients with advanced multiple sclerosis (minimum grade 6 in the Expanded Disability Status Scale). Patients were divided into two groups. In Group I magnetic field was applied from a Viofor JPS apparatus once daily for 20 days. Group II (controls) did not receive magnetic field therapy. Patients from both groups carried out exercises at home. The clinical status was evaluated using Cendrowski’s numerical scale and the Expanded Disability Status Scale. Quality of life was examined by using an extended Testa and Simonson questionnaire. Patients were evaluated twice: before and after 20 days of rehabilitation at home. Results. An improvement was obtained in Group I, where magnetic field stimulation was applied, with regard to everyday functioning and such activities as personal hygiene, getting dressed, eating meals, or locomotion. There was a statistically significant improvement in muscle strength, sphincter control, a decrease in muscle tone, fatiguability, sensory disturbances and balance dis­tur­bances. There was also a significant improvement in the patients’ mental state and emotional function, less depression and fear and increased satisfaction with life.Conclusions. Magnetic field stimulation had a significant impact on the quality of life in multiple sclerosis patients. Exercise and magnetic field therapy in patients with advanced disability improved not only their motor ability but also mental state. Magnetic field stimulation supported and facilitated rehabilitation exercises performed at home by the MS patients.
Key words:
magnetic field stimulation, rehabilitation, multiple sclerosis, quality of life
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