Article

STCross-sectional clinical measurement study. INTRODUCTION: Scapular
winging is a frequent complaint among children with brachial plexus birth palsy
(BPBP). Therapeutic taping for scapular stabilization has been reported to
decrease scapular winging.
This study aimed to determine
which therapeutic taping construct was most effective for children with BPBP.
METHODS: Twenty-eight children with BPBP participated in motion capture
assessment with 4 taping conditions: (1) no tape, (2) facilitation of rhomboid
major and rhomboid minor, (3) facilitation of middle and lower trapezius, and (4)
facilitation of rhomboid major, rhomboid minor, and middle and lower trapezius
(combination of both 2 and 3, referred to as combined taping). The participants
held their arms in 4 positions: (1) neutral with arms by their sides, (2) hand to
mouth, (3) hand to belly, and (4) maximum crossbody adduction (CBA). The
scapulothoracic, glenohumeral and humerothoracic (HT) joint angles and joint
angular displacements were compared using multivariate analyses of variance with
Bonferroni corrections. RESULTS: Scapular winging was significantly decreased in
both the trapezius and combined taping conditions in all positions compared with
no tape. Rhomboids taping had no effect. Combined taping reduced HT CBA in the
CBA position. CONCLUSIONS: Rhomboid taping cannot be recommended for treatment of
children with BPBP. Both trapezius and combined taping approaches reduced
scapular winging, but HT CBA was limited with combined taping. Therefore,
therapeutic taping of middle and lower trapezius was the most effective
configuration for scapular stabilization in children with BPBP. Resting posture
improved, but performance of the positions was not significantly improved. LEVEL
OF EVIDENCE: Level II.
CI - Copyright (c) 2017 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS