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Kinesiology Taping in Duchenne Muscular Dystrophy: Effects on Performance, Gait Characteristics, and Energy Consumption
study id #: NCT03529240
condition: Performance, Energy, Gait, Duchenne Muscular Dystrophy
Investigators investigated that the effects of kinesilogy taping on performance, energy consumption and gait characteristics in patients with Duchenne Muscular Dystrophy
intervention: Kinesiology Taping
mechanism of action: No pharmaceutical intervention
last updated: November 22, 2018
start date: June 10, 2017
estimated completion: October 5, 2017
phase of development: N/A
size / enrollment: 45
Forty-five patients from Level 1 and 2 according to the Brooke Lower Extremity Functional Classification were included in the study. Performance was assessed by measuring the distance in 6-minute walk test (6MWT) and the duration of timed performance tests; energy consumption by Physiological Consumption Index (PCI), and gait characteristics by footprint method on powdered ground at baseline. Kinesiology taping with facilitation technique was applied on bilateral quadriceps and tibialis anterior muscles and the assessments were repeated 1 hour after application. The comparison between before and after taping was analyzed.
- Six Minute Walk Test [ Time Frame: 6 minute ]
Six Minute Walk Test was used commonly in DMD were found to be valid, reliable and easy to apply in the clinic. Children were asked to walk during 6 minutes as fast as they can at a corridor specified by two cones and walking distances were recorded as meter (m) for 6MWT. The time passed during timed performance tests were recorded as seconds.
- Energy Consumption [ Time Frame: 6 minutes ]
Physiologic Consumption Index (PCI) was used to evaluate energy consumption of children during 6MWT. energy consumption was calculated by using the formula of PCI (walking heart rate)-(resting heart rate)/(walking speed)
- Gait [ Time Frame: 2 minutes ]
Gait analysis of the children was performed by footprint method on 10-meters powdered floor. First and last 2 meters of this floor were dissociated from the assessment, and both the right and left stride lengths, both right and left foot angles, and stride width were analyzed in the middle 6-meter section.. Stride length was measured by measuring the distance between right and left midpoint heels. Double stride length was sum of right and left stride length. Stride width was measured by horizontal distance between heel midpoints. Foot angles were measured by a goniometer considering the line between the first and second metatarsal heads and the heel midpoints of both feet separately 24. The number of steps during 6MWT was also calculated by pedometer (Omron, Walking style One 2.0 HJ-320-E) and recorded.
- Timed Performance Test [ Time Frame: 10 minutes ]
Ascending-descending standard 4 steps, walking 10m, standing from lying position were used in order to assess the performance of children.The time passed during timed performance tests were recorded as seconds.
• Duchenne Muscular Dystrophy diagnosis,
• age 5 to 14 years,
• able to cooperate with instructions of physiotherapist,
• able to walk independently,
• climb 4 steps independently/with minimal support from handrails.
• severe contracture at lower extremities,
• other disease except for DMD, and
• history of any injury or orthopaedic/neurologic surgery within the past 6 months.
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