The Effect of Kinesiotaping in Improving Fine Motor Skills In Children With Spastic Diplegic Cerebral Palsy
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
Background: The purpose of this study was to examine the effect of application of Kinesiotape over the forearm from lateral epicondyle of elbow to the tip of fingers, over the muscles belly of extensor muscles along with conventional occupational therapy to improve hand functions of children with cerebral palsy, which in turn can affect their functional performance and can effectively explore the environment with their hands. Objective: To find out the effect of kinesiotaping over the forearm muscular along with conventional occupational therapy, in improving fine motor function of children with Spastic diplegic cerebral palsy. Study Design: Pre Test and Post Test experimental study design. Method: 60 Spastic diplegic cerebral palsy children who were fulfilling the inclusion criteria were selected by convenient sampling from Occupational Therapy unit of Sir Sunderlal Hospital Banaras Hindu University, Varanasi, India. A written informed consent was obtained from the guardians and ethical permission was taken from the institute. Manual Ability Classification System (MACS) & Peabody development of motor skills (PDMS) was used as instruments for measuring improvement in fine motor skills of these children .Therapy for both groups was given for 1 hour per session. In the experimental group along with conventional occupational therapy, kinesiotape was applied over the extensor muscles from lateral epicondlye of elbow to the tip of all the fingers. KT of 5 cm width was applied in the form of “fan technique". The bands were applied for three days and then removed leaving the skin free for 24 hours, and then KT was applied again. While in the control group, children were exposed to 1 hour of conventional occupational therapy without kinesiotape. Results: Results of Wilcoxon signed rank test of PDMS are significant for experimental group and control group with P value of 0.004& 0.014 respectively with confidential interval value set at 0.05. There is significance of results of Wilcoxan signed rank test of Manual Ability Classification System (MACS) in experimental and control group. The P value for experimental group is 0.025 and for control group is 0.005 with confidential interval value set at 0.05, which shows that results were significant for experimental group as well as control group. Also the results of Mann Whitney U test show that Z value of PDMS is more i.e.-3.507 making it more sensitive to capture changes in fine motor functions of children than MACS with Z value of - 3.905 with P of 0.002 &0.001 with confidential interval value set at 0.05 . Conclusion: It can be concluded that application of kinesiotape along with conventional occupational therapy can be used to enhance & improve fine motor skills in children with Spastic diplegic cerebral palsy; so that they can have the more functional independence, and can successfully meet the demands of everyday life.
Authors and Affiliations
Sujoy Roy, Jaya Dixit, Animesh Kumar, Op Singh
Keywords
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