Systematic Review on Effectiveness of shoulder taping in Hemiplegia

J Stroke Cerebrovasc Dis. 2019 Jun;28(6):1463-1473. doi: 10.1016/j.jstrokecerebrovasdis.2019.03.021. Epub 2019 Apr 5.

Abstract

Background: Shoulder pain and subluxation are the commonly encountered problems among subjects with hemiplegia. Rehabilitating the shoulder following stroke is a challenging task among physiotherapists in rehabilitation set up. There is a need to validate the effectiveness of externally applied taping materials in hemiplegic shoulder.

Objective: This systematic review analyses the efficacy of taping on hemiplegic shoulder in terms of alleviating pain and managing subluxation.

Methods: Systematic review of randomized controlled trials (RCTs) was conducted to determine the effects of taping on hemiplegic shoulder. Articles were electronically searched from the year 2000 to 2017 in the 4 databases, Google scholar, CINAHL, Pubmed, and Pedro. Reviewers graded the papers according to Lloyd-Smith's hierarchy of evidence scale. Papers were quality appraised using a systematic review of RCT tool developed by National Heart, Lung and Blood Institute (United States), named as quality assessment of controlled intervention studies tool.

Results: Eight papers were included, totaling 132 participants. All the RCT's included in this review were good quality. There was a significant effect on taping method for reduction of pain and subluxation among subjects with stroke.

Conclusions: This systematic review provides sufficient evidence to suggest taping is a beneficial method for reducing pain and shoulder subluxation among stroke subjects.

Keywords: Hemiplegia; Kinesio-taping; Stroke; Subluxation; Taping.

Publication types

  • Systematic Review

MeSH terms

  • Athletic Tape* / adverse effects
  • Disability Evaluation
  • Hemiplegia / diagnosis
  • Hemiplegia / etiology
  • Hemiplegia / physiopathology
  • Hemiplegia / therapy*
  • Humans
  • Pain Management / adverse effects
  • Pain Management / instrumentation*
  • Pain Measurement
  • Randomized Controlled Trials as Topic
  • Shoulder Dislocation / diagnosis
  • Shoulder Dislocation / etiology
  • Shoulder Dislocation / physiopathology
  • Shoulder Dislocation / therapy*
  • Shoulder Pain / diagnosis
  • Shoulder Pain / etiology
  • Shoulder Pain / physiopathology
  • Shoulder Pain / therapy*
  • Stroke / complications
  • Stroke / diagnosis
  • Stroke / physiopathology
  • Stroke / therapy*
  • Stroke Rehabilitation / adverse effects
  • Stroke Rehabilitation / instrumentation*
  • Treatment Outcome