Aim: The symptoms that occur more frequently in multiple sclerosis disease are: visual field defects, changes in somatosensory sensitivity (1), increased muscle fatigue, muscle spasticity (2) and partial or total loss of coordination, and podopostural balance (3). The purpose of this research was to investigate whether the application of Kinesiotaping (KT) on the hip joint, the patellofemoral joint and the tibio-talar joint, can improve body balance in Multiple Sclerosis (MS) patients. Methods: Fourteen subjects with MS were studied (2 males and 12 females): 9 were relapsing remitting, 3 were primary progressive and 2 were secondary progressive (height 165±7, weight 62±15 kg); with an EDSS (Extended Disability Status Scale) score of 3±2.5. All subjects underwent an assessment on a stabilometric platform (Pro-Kin, Tecnobody, Italy). Tests were carried out over one week, in two different experimental conditions: with and without KT according to a procedure named Counterbalanced Design both with open (OE) and closed eyes (CE). The following parameters were detected: 1) St_Dev_AP: the standard deviation of the movement of the center of pressure (CoP) in the sagittal plane (mm); 2) St_Dev_ML: the standard deviation of the movement of the center of pressure in the frontal plane (mm); 3) Sway mean_AP: the average sway in the sagittal plane (mm/s); 4) Sway mean¬_ML: average sway in the frontal plane (mm/s); 5) Area: 90% elliptical area (mm2) described by the CoP; 5) Perimeter: extension of the track described by the CoP. Results: Data analysis showed no statistically significant variations (Wilcoxon test) with and without KT both with OE and CE: A) OE: 1) St_Dev_AP (ns, -4%); 2) St_Dev_ML (ns, -3%); 3) Sway mean_AP (ns, -1%); 4) Sway mean_ML (ns, -0%); 5) Perimeter, -13%). B) CE: 1) St_Dev_AP (ns, -3%); 2) St_Dev_ML (ns,-4%); 3) Sway mean_AP (ns, -3%); 4) Sway mean_ML (ns, -8%); 5) Perimeter(ns, -7%). Conclusion: The use of KT in people with MS and low to medium disability produces no improvement in body balance, but provides a positive effect on the perception of the stability of the soma that can improve quality of life during the intensification of the disease (poussé). References 1. Citaker S., Guclu Gunduz A., Bosnak Guclu M., Nazliel B., Irkec C. Relatioship between foot sensation and standing balance in patients with multiple sclerosis. Gait & Posture 2011,34:275-278 2. Krishnan V., Kanekar N., Aruin AS. Anticipatory postural adjustments in individuals with multiple sclerosis. Neuroscience Letters 2012,506: 256-260 3. Sosnoff J.J., Gappmaier E., Frame A., Motl R.W. Influence of spasticity on mobility and balance in person with multiple sclerosis. JNPT 2011,35:129-132
BODY BALANCE AND KINESIOTAPING IN PATIENTS WITH MULTIPLE SCLEROSIS: AN ACUTE STUDY
GOLLIN, MASSIMILIANO;
2013-01-01
Abstract
Aim: The symptoms that occur more frequently in multiple sclerosis disease are: visual field defects, changes in somatosensory sensitivity (1), increased muscle fatigue, muscle spasticity (2) and partial or total loss of coordination, and podopostural balance (3). The purpose of this research was to investigate whether the application of Kinesiotaping (KT) on the hip joint, the patellofemoral joint and the tibio-talar joint, can improve body balance in Multiple Sclerosis (MS) patients. Methods: Fourteen subjects with MS were studied (2 males and 12 females): 9 were relapsing remitting, 3 were primary progressive and 2 were secondary progressive (height 165±7, weight 62±15 kg); with an EDSS (Extended Disability Status Scale) score of 3±2.5. All subjects underwent an assessment on a stabilometric platform (Pro-Kin, Tecnobody, Italy). Tests were carried out over one week, in two different experimental conditions: with and without KT according to a procedure named Counterbalanced Design both with open (OE) and closed eyes (CE). The following parameters were detected: 1) St_Dev_AP: the standard deviation of the movement of the center of pressure (CoP) in the sagittal plane (mm); 2) St_Dev_ML: the standard deviation of the movement of the center of pressure in the frontal plane (mm); 3) Sway mean_AP: the average sway in the sagittal plane (mm/s); 4) Sway mean¬_ML: average sway in the frontal plane (mm/s); 5) Area: 90% elliptical area (mm2) described by the CoP; 5) Perimeter: extension of the track described by the CoP. Results: Data analysis showed no statistically significant variations (Wilcoxon test) with and without KT both with OE and CE: A) OE: 1) St_Dev_AP (ns, -4%); 2) St_Dev_ML (ns, -3%); 3) Sway mean_AP (ns, -1%); 4) Sway mean_ML (ns, -0%); 5) Perimeter, -13%). B) CE: 1) St_Dev_AP (ns, -3%); 2) St_Dev_ML (ns,-4%); 3) Sway mean_AP (ns, -3%); 4) Sway mean_ML (ns, -8%); 5) Perimeter(ns, -7%). Conclusion: The use of KT in people with MS and low to medium disability produces no improvement in body balance, but provides a positive effect on the perception of the stability of the soma that can improve quality of life during the intensification of the disease (poussé). References 1. Citaker S., Guclu Gunduz A., Bosnak Guclu M., Nazliel B., Irkec C. Relatioship between foot sensation and standing balance in patients with multiple sclerosis. Gait & Posture 2011,34:275-278 2. Krishnan V., Kanekar N., Aruin AS. Anticipatory postural adjustments in individuals with multiple sclerosis. Neuroscience Letters 2012,506: 256-260 3. Sosnoff J.J., Gappmaier E., Frame A., Motl R.W. Influence of spasticity on mobility and balance in person with multiple sclerosis. JNPT 2011,35:129-132
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
