Efficacy of three therapeutic taping configurations for children with brachial plexus birth palsy
Date
2017-04-25
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier
Abstract
Study
Design:
Cross-sectional
clinic al
measurement
study.
Introduction:
Scapular
winging
is
a
frequent
complaint
among
children
with
brachial
plexus
birth
palsy
(BPBP).
Therapeutic
taping
for
scapular
stabilization
has
been
reported
to
decrease
scapular
wingi
ng.
Purpose
of
the
Study:
This
study
aimed
to
determine
which
therapeutic
tapi
ng
construct
was
most
effective
for
children
with
BPBP
.
Methods:
Twenty-eight
chil
dren
wit
h
BPBP
participated
in
motion
ca pture
assessment
with
4
taping
conditions:
(1)
no
tape,
(2)
facilitation
of
rhomboid
major
and
rhomboid
minor,
(3)
faci
litation
of
middle
and
lower
trapezius,
and
(4)
facilitation
of
rhomboid
major
,
rhomboid
minor,
and
middle
and
lower
trapezius
(combination
of
both
2
and
3,
referred
to
as
comb
ined
taping).
The
par
ticipants
held
their
arms
in
4
positions:
(1)
neutral
with
arms
by
their
si
des,
(2)
hand
to
mouth,
(3)
hand
to
belly,
and
(4)
maximum
crossbody
adduction
(CBA).
The
scapulothoracic,
glenohumeral
and
humerothoracic
(HT)
joint
angles
and
joint
angular
displace
ments
were
compared
using
multivariate
an
alyses
of
variance
with
Bonferroni
corrections.
Results:
Scapular
winging
was
significantly
decreased
in
both
the
trapezius
and
combined
taping
con-
ditions
in
all
position
s
compared
with
no
tape.
Rhomboids
taping
had
no
effect.
Combined
taping
reduced
HT
CBA
in
the
CBA
position.
Conclusions:
Rhomboid
taping
cannot
be
recommended
for
treatment
of
children
with
BPBP
.
Both
trapezius
and
combined
taping
approaches
reduced
scapular
winging,
but
HT
CBA
was
limited
with
combined
taping.
Therefore,
therapeutic
taping
of
middle
and
lower
trapezius
was
the
most
effective
configuration
for
scapular
stabi
lization
in
children
with
BPBP
.
Resting
posture
improved,
but
perfor
-
mance
of
the
positi
ons
was
not
significantly
improved.
Level
of
Evidence:
Level
II.
Description
Author's manuscript
Keywords
Citation
Russo, Stephanie A., et al. "Efficacy of 3 therapeutic taping configurations for children with brachial plexus birth palsy." Journal of Hand Therapy (2017).