•  
  •  
 

Author ORCID Identifier

Julia Shin: https://orcid.org/0000-0002-3035-9714

Abstract

Background: This study explored the application of the Kinesio® Taping (KT®) method in conjunction with traditional occupational therapy (OT) intervention for a child with hypotonia. Specifically, differences in functional hand outcomes (manual dexterity and grasp pattern) were examined between the sessions with and without the application of the KT® method.

Methods: A 9-year and 5-month-old male subject, at the time of enrollment, diagnosed with hypotonia, global developmental delay, and autism spectrum disorder participated in the study. A single-subject alternating treatment design was employed. A total of 14 OT sessions were conducted across baseline (n=3), alternating treatment (n=8), and replication (n=3) phases. During the alternating treatment phase, the subject was randomly applied the KT® method in four out of the eight OT sessions. At the end of each session, the participant was administered standardized assessments.

Results: There were no statistically significant differences observed in functional hand outcomes across the baseline, alternating treatment, and replication phases. There were no statistically significant differences observed in manual dexterity and grasp pattern between the sessions with and without the application of the KT® method.

Discussion: The results from the study replicated the mixed outcomes reported in the efficacy of the KT® method in addressing functional hand outcomes; OT practitioners are recommended to consider the KT® method as an auxiliary intervention modality. Future research involving the KT® method can consider ways to better control for the confounding variables noted in the current study including the novelty effect, subject’s comorbid conditions, and number and length of sessions allotted across the baseline, alternating treatment, and replication phases.

Cited References

Arnet, U., Muzykewicz, D., Friden, J., & Lieber, R. (2013). Intrinsic hand muscle function, part 1: Creating a functional grasp. Journal of Hand Surgery, 38(11), 2093-2099. https://doi.org10.1016/j.jhsa.2013.08.099

Bae, J. H., Kang, S. H., Seo, K. M., Kim, D. K., Shin, H. I., & Shin, H. E. (2015). Relationship between grip and pinch strength and activities of daily living in stroke patients. Annals of Rehabilitation Medicine, 39(5), 752–762. https://doi.org/10.5535/arm.2015.39.5.752

Barlow, D. H., & Hayes, S. C. (1979). Alternating treatment design: One strategy for comparing the effects of two treatments in a single subject. Journal of Applied Behavior Analysis, 12(2), 199-210. https://doi.org/10.1901/jaba.1979.12-199

Bruininks, R. H., & Bruininks., B. D. (2005). Bruininks-oseretsky test of motor proficiency second edition manual. Minneapolis, MN: Pearson Assessments.

Byiers, B., Reichle, J., & Symons, F. (2012). Single-subject experimental design for evidence-based practice. American Journal of Speech-Language Pathology, 21(4), 397-414. https://doi.org/10.1044/1058-0360(2012/11-0036)

Chang, H., Chou, K., Lin, J., Lin, C., & Wang, C. (2010). Immediate effect of forearm Kinesio® taping on maximal grip strength and force sense in healthy collegiate athletes. Physical Therapy in Sport, 11(4), 122-127. https://doi.org/10.1016/j.ptsp.2010.06.007

Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). Thousand Oaks, CA: SAGE.

Deitz, J., Kartin, D., & Kopp, K. (2007). Review of the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2). Physical & Occupational Therapy In Pediatrics, 27(4), 87-102. https://doi.org/10.1080/J006v27n04_06

Engelbert, R. H. H., Juul-Kristensen, B., Pacey, V., de Wandele, I., Smeenk, S., Woinarosky, N., Sabo, S., Scheper, M. C., Russek, L., & Simmonds, J. V. (2017). The evidence-based rationale for physical therapy treatment of children, adolescents and adults diagnosed with joint hypermobility syndrome/hypermobile Ehlers-Danlos syndrome. American Journal of Medical Genetics Part C (Seminars in Medical Genetics), 175(1), 158-167. https://doi.org/10.1002/ajmg.c.31545

Ghibellini, G., Brancati, F., & Castori, M. (2015). Neurodevelopmental attributes of joint hypermobility syndrome/Ehlers-Danlos syndrome, hypermobility type: Update and perspectives. American Journal of Medical Genetics Part C (Seminars in Medical Genetics), 169(1), 107-116. https://doi.org/10.1002/ajmg.c.31424

Güçhan, Z., & Mutlu, A. (2017). The effectiveness of taping on children with cerebral palsy: A systematic review. Developmental Medicine and Child Neurology, 59, 26-30. https://doi.org/10.1111/dmcn.13213

Halseth, T., Mcchesney, J., DeBeliso, M., Vaughn, R., & Lien, J. (2004). The effects of Kinesio® taping on proprioception at the ankle. Journal of Sports Science & Medicine, 3(1), 1-7.

Hassan, B. S., Abbass, M. E., & Elshennawy, S. (2020). Systematic review of the effectiveness of Kinesio® taping for children with brachial plexus injury. Physiotherapy Research International, 25(1), e1794. https://doi.org/10.1002/pri.1794

Ibrahim, M. M. (2015). The effect of therapeutic taping on hand function in hemiplegic cerebral palsy children. International Journal of Development Research, 5(6), 4758-4761.

Jaraczewska, E., & Long, C. (2006). Kinesio taping in stroke: Improving functional use of the upper extremity in hemiplegia. Topics in Stroke Rehabilitation, 13(3), 31-42. https://doi.org/10.1310/33KA-XYE3-QWJB-WGT6

Kase, K., Wallis, J., & Kase, T. (2003). Clinical therapeutic applications of the Kinesio® taping method (2nd ed.). Tokyo, Japan: Ken Ikai Co. Ltd.

Kaur, J., Malik, M., & Rani, M. (2016). A systematic review on efficacy of Kinesiotaping® in pain management. International Journal of Physiotherapy, 3(3), 355-361.  http://doi.org/10.15621/ijphy/2016/v3i3/100846

Keklicek, H., Uygur, F., & Yakut, Y. (2015). Effects of taping the hand in children with cerebral palsy. Journal of Hand Therapy, 28(1), 27–33. https://doi.org/10.1016/j.jht.2014.09.007

Kim, K., Seo, H., & Lee, H. (2002). Effect of taping method on ADL, range of motion, hand function, and quality of life in post-stroke patients for 5 weeks. The Korean Journal of Rehabilitation Nursing, 5(1), 7-17.

Kielhofner G. (2014). A meditation on the use of hands. Scandinavian Journal of Occupational Therapy, 21(Suppl. 1), 34–47. https:/doi.org/10.3109/11038128.2014.952901

Kratochwill, T., & Levin, J. (2010). Enhancing the scientific credibility of single-case intervention research: Randomization to the rescue. Psychological Methods, 15(2), 124-144. https://doi.org/10.1037/a0017736

Martin, K., Inman, J., Kirschner, A., Deming, K., Gumbel, R., & Voelker, L. (2005). Characteristics of hypotonia in children: A consensus opinion of pediatric occupational and physical therapists. Pediatric Physical Therapy, 17(4), 275-282. https://doi.org/10.1097/01.pep.0000186506.48500.7c

Morris, D., Jones, D., Ryan, H., & Rian, C. G. (2013). The clinical effects of Kinesio® Text taping: A systematic review. Physiotherapy Theory and Practice, 29(4), 259-270. https://doi.org/10.3109/09593985.2012.731675

Mostsafavifar, M., Wertz, J., & Borchers, J. (2012). A systematic review of the effectiveness of Kinesio® taping for musculoskeletal injury. The Physician and Sportsmedicine, 40(4), 33-40.   https://doi.org/10.3810/psm.2012.11.1986

Murrey, K. J., & Woo, P. (2001). Benign joint hypermobility in childhood. Rheumatology, 40(5), 489-491. https://doi.org/10.1093/rheumatology/40.5.489

Naidoo P. (2013). Current Practices in the assessment of hypotonia in children. South African Journal of Occupational Therapy, 43(2), 12-17.

Öhman, A. M. (2012). The immediate effect of Kinesiology® taping on muscular imbalance for infants with congenital muscular torticollis. PM&R, 4(7), 504–508. https://doi.org/10.1016/j.pmrj.2012.04.006

Paleg, G., Romness, M., & Livingstone, R. (2018). Interventions to improve sensory and motor outcomes for young children with central hypotonia: A systematic review. Journal of Pediatric Rehabilitation Medicine, 11(1), 57-70. https://doi.org/10.3233/PRM-170507

Parreira, P. C. S., Costa, L. C. M., Junior, L. C. H., Lopes, A. D., & Costa, L. O. P. (2014). Current evidence does not support the use of Kinesio® taping in clinical practice: A systematic review. Journal of Physiotherapy, 60(1), 31-39. https://doi.org/10.1016/j.jphys.2013.12.008

Peredo, D. & Hannibal, M. (2009). The floppy infant. Pediatrics in Review, 30(9), e66-e76. http://dx.doi.org/10.1542/pir.30-9-e66

Prasad, A. N., & Prasad, C. (2011). Genetic evaluation of the floppy infant. Seminars in Fetal and Neonatal Medicine, 16(2), 99-108. https://doi.org/10.1016/j.siny.2010.11.002

Rastii, Z.A., Shamsoddini, A., Dalvand, H., & Labaf, S. (2017). The effect of Kinesio® taping on handgrip and active range of motion of hand in children with cerebral palsy. Iranian Journal of Child Neurology, 11(4):43-51. https://doi.org/10.22037/ijcn.v11i4.13515

Roll, S.C., & Hardison M.E. (2017). Effectiveness of occupational therapy interventions for adults with musculoskeletal conditions of the forearm, wrist, and hand: A systematic review. The American Journal of Occupational Therapy, 71(1), 7101180010p1–710118001012. https://doi.org/10.5014/ajot.2017.023234

Schreuders, T., Brandsma, J., & Stam, H. (2007). The intrinsic muscles of the hand: Function, assessment, and principles for therapeutic intervention. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 17(7). https://doi.org/10.1055/s-2007-940011

Seu, M., & Pasqualetto, M. (2012). Hand therapy for dysfunction of the intrinsic muscles. Hand Clinics, 28(1), 87-100. https://doi.org/10.1016/j.hcl.2011.09.001

Simsek, T. T., Turkucuoglu, B., Cokal, N., Ustunbas, G., & Simsek, I. E. (2011). The effects of Kinesio® taping on sitting posture, functional independence, and gross motor function in children with cerebral palsy. Disability and Rehabilitation, 33, 2058-2063. https://doi.org/10.3109/09638288.2011.560331

Strubhar, A. J., Meranda, K., & Morgan, A. (2007). Outcomes of infants with idiopathic hypotonia. Pediatric Physical Therapy, 19(3), 227-235. https://doi.org/10.1097/PEP.0b013e31811ec7af

Swanson, H. L., & Sachse-Lee, C. (2000). A meta-analysis of single-subject-design intervention research for students with LD. Journal of Learning Disabilities, 33(2), 114-136. https://doi.org/10.1177/002221940003300201

Thelen, M. D., Dauber, J. A., & Stoneman, P. D. (2008). The clinical efficacy of Kinesio® tape for shoulder pain: A randomized, double-blinded, clinical trial. Journal of Orthopaedic & Sports Physical Therapy, 38(7), 389-395. https://www.jospt.org/doi/10.2519/jospt.2008.2791

Tsai, C. T., Chang, W. D., & Lee, J. P. (2010). Effects of short-term treatment with Kinesio® taping for plantar fasciitis. Journal of Musculoskeletal Pain, 18, 71–80. https://doi.org/10.3109/10582450903495882

Tuysuz, B., Kartal, N., Erener-Ercan, T., Guclu-Geyik, F., Vural, M., Perk, Y., et al. (2014). Prevalence of Prader–Willi syndrome among infants with hypotonia. The Journal of Pediatrics. https://doi.org/10.1016/j.jpeds.2014.01.039

Waked, I. S., Eladl, H. M., & Elgohary, H. M. (2017). Impact of kinesiology taping on handgrip strength following dorsal hand burn. International Journal of Therapies and Rehabilitation Research, 6(2), 131-136. https://doi.org/10.5455/ijtrr.000000254

Yasukawa, A., Patel, P., & Sisung, C. (2006). Pilot study: Investigating the effects of Kinesio® taping in an acute pediatric rehabilitation setting. The American Journal of Occupational Therapy, 60(1), 104-110. https://doi.org/10.5014/ajot.60.1.104

Williams, S., Whatman, C., Hume, P., & Sheerin, K. (2012). Kinesio® taping in treatment and prevention of sports injuries: A meta-analysis of the evidence for its effectiveness. Sports Medicine, 42(2), 153-164. https://doi.org/10.2165/11594960-000000000-00000

Share

COinS