Title: Effect of Kinesiotaping in Improving Fine Motor Hand Functions Skills in Person with Spinal Cord Injury (Tetraplegia)

Authors: Ms Anugata Roy, Mrs Priyanka Vijay, Mrs Megha Nijhawan, Mr. Sanjay Kumar Goswami

 DOI: https://dx.doi.org/10.18535/jmscr/v10i7.11

Abstract

Background: The purpose of this study was to examine the effectiveness of application of Kinesiotaping over the hand muscles for improving fine motor skills and hand functions in person with spinal cord injuries (tetraplegia).

Objective: To compare the effectiveness of kinesiotaping along with conventional therapy and conventional therapy alone for improving fine motor skills and hand functions in person with spinal cord injuries (tetraplegia).

Study Design: Parallel-Group, Randomized control trials.

Methods: 30 patients with incomplete spinal cord injury (SCI) with traumatic and non-traumatic SCI were recruited, ISIC Institute of rehabilitation sciences, New Delhi, India. These patients were selected by simple random sampling divided into two groups one was experimental group and other was control Group. The Modified Ashworth scale, Box and Blocks test & WHOQOL-BREF instruments was used for measuring hand functions.

Results: After the intervention, there was significant improvement were found in WHOQOL and BBT scores (p<0.005) in experimental group as compared to the control group, but there was no significant difference were found in MAS score (p=0.068) of fine motor skills and hand functions in person with spinal cord injuries (tetraplegia).

Conclusion: This study concluded that the application of kinesiotaping along with the conventional hand therapy is effective in improving fine motor hand function skills, & the quality of life but this study did not show reducing spasticity of hands in the person with incomplete spinal cord injury.

Keywords: Kinesiotape, Spinal cord injury, Modified Ashworth Scale, Box and Block test, World Health Organization Quality of Life -BREF.

References

  1. Dryden DM, Saunders LD, Rowe BH, May LA, Yiannakoulias N, Svenson LW, Schopflocher DP, Voaklander DC. Utilization of health services following spinal cord injury: a 6-year follow-up study. Spinal cord. 2004 Sep;42(9):513-25.DOI: 1038/sj.sc.3101629
  2. Pickett GE, Campos-Benitez M, Keller JL, Duggal N. Epidemiology of traumatic spinal cord injury in Canada. Spine. 2006 Apr 1;31(7):799-805. DOI: 1097/01.brs.0000207258.80129.03
  3. World Health Organization, International Spinal Cord Society. International perspectives on spinal cord injury. World Health Organization; 2013.REFERENCE NUMBERS; ISBN:9789241564663.
  4. Snoek GJ, IJzerman MJ, Hermens HJ, Maxwell D, Biering-Sorensen F. Survey of the needs of patients with spinal cord injury: impact and priority for improvement in hand function in tetraplegics. Spinal cord. 2004 Sep;42(9): 526-32. DOI: 1038/sj.sc.3101638
  5. Feder KP, Majnemer A. Handwriting development, competency, and intervention. Developmental Medicine & Child Neurology. 2007 Apr;49(4):312-7. https://doi.org/10.1111/j.1469-8749.2007.00312.x
  6. Caneschi WF, Paiva CC, Frade RL, Motta AR. Use of elastic bandage associated with speech therapy in the control ofsialorrhea (hypersalivation). Revista CEFAC. 2014 Sep;16:1558-66. DOI: 10.1590/1982-021620149813
  7. Roy S, Dixit J, Kumar A, Singh O. The Effect of Kinesiotaping in Improving Fine Motor Skills In Children With Spastic Diplegic Cerebral Palsy. IOSR-JDMS. 2018;17(11):79-84.Roy S, Dixit J, Kumar A, Singh O. The Effect of Kinesiotaping in Improving Fine Motor Skills In Children With Spastic Diplegic Cerebral Palsy. IOSR-JDMS. 2018;17(11):79-84.DOI: 10.9790/0853-1711057984
  8. Hoffman H, Sierro T, Niu T, Sarino ME, Sarrafzadeh M, McArthur D, Edgerton VR, Lu DC. Rehabilitation of hand function after spinal cord injury using a novel handgrip device: a pilot study. Journal of neuroengineering and rehabilitation. 2017 Dec;14(1):1-7.. doi: 10.1186/s12984-017-0234-1.

Corresponding Author

Mr. Sanjay Kumar Goswami

Occupational Therapist, MOT (Neurology), ISIC-Institute of Rehabilitation sciences, New Delhi, India