Effect of kinesiology taping on head and trunk control in children with Duchenne muscular dystrophy

Manal Helmy Koura; Noha S. ElSerty; Lamyaa M. Kassem; Fatma Essam Amer; Hebatallah Mohamed Said Zaghloul; Hanady Abdallah Mouhamed

doi:10.47197/retos.v75.118148

Autores

Manal Helmy Koura Faculty of Physical Therapy https://orcid.org/0000-0003-0217-5798
Noha S. ElSerty Faculty of Physical Therapy
Lamyaa M. Kassem Department of Pharmacy Practice, College of Pharmacy, Qassim University, Qassim, Saudi Arabia https://orcid.org/0000-0003-1673-5303
Fatma Essam Amer Faculty of Physical Therapy
Hebatallah Mohamed Said Zaghloul
Hanady Abdallah Mouhamed Faculty of Physical Therapy

DOI:

https://doi.org/10.47197/retos.v75.118148

Palavras-chave:

Bandagem neuromuscular, controlo da cabeça, controlo do tronco, distrofia muscular de Duchenne

Resumo

Objectivos: Examinar os efeitos da ligadura neuromuscular (BNM) no controlo da cabeça e do tronco em crianças diagnosticadas com distrofia muscular de Duchenne (DMD).

Desenho do estudo: Ensaio clínico randomizado controlado.

Local: Ambulatório da Faculdade de Fisioterapia da Universidade de Benha, Egito.

Participantes: Quarenta e oito crianças diagnosticadas com DMD, com idades compreendidas entre os 8 e os 12 anos.

Intervenção: As crianças foram aleatoriamente alocadas a dois grupos iguais (n = 24 por grupo). O grupo experimental recebeu aplicação de BNM nos músculos extensores da cabeça e do tronco, em conjunto com o programa de fisioterapia tradicional (FT), durante 8 semanas. O grupo de controlo recebeu apenas o programa de FT pelo mesmo período.

Principais medidas: As principais variáveis incluíram a latência e a amplitude do reflexo H, avaliadas por eletromiografia nos músculos levantador da omoplata e iliocostal lombar. Adicionalmente, foi utilizada a Escala Multidimensional de Fadiga (MFS) do Inventário de Qualidade de Vida Pediátrica (PedsQL) tanto para as crianças como para os seus pais, tendo sido recolhidos dados no início do estudo e após a intervenção.

Resultados: Os resultados mostraram diferenças significativas nos músculos levantador da omoplata e iliocostal lombar após um período de intervenção de oito semanas, com maiores alterações no grupo experimental em comparação com o grupo controlo. Além disso, a comparação dos escores do PedsQL e da MFS antes e depois da intervenção demonstrou melhorias significativas.

Conclusões: A ligadura neuromuscular (BNM) pode melhorar o controlo da cabeça e do tronco em doentes com DMD.

Biografias do Autor

Manal Helmy Koura, Faculty of Physical Therapy

Department of Physical Therapy for pediatrics and its surgery, Benha University, Benha, Egypt
Noha S. ElSerty, Faculty of Physical Therapy

Department of Basic Science, Benha University , Benha Egypt
Fatma Essam Amer, Faculty of Physical Therapy

Department of Physical Therapy for Pediatrics, Innovation University , 10th of Ramadan city , Egypt
Hebatallah Mohamed Said Zaghloul

Department of Musculoskeletal Disorders and Its Surgery, Benha University, Benha, Egypt
Hanady Abdallah Mouhamed, Faculty of Physical Therapy

Department of Physical Therapy for Pediatrics, Benha University , Benha, Egypt

Referências

Ataş, A., Abit Kocaman, A., Karaca, Ş. B., & Kasikci Çavdar, M. (2024). Acute Effect of Kinesiology Taping on Muscle Activation, Functionality and Proprioception in Patients With Knee Osteoarthritis: A Randomized Controlled Trial. Perceptual and Motor Skills, 131(2), 446–468. https://doi.org/10.1177/00315125231222816

Aydin Yağcioğlu, G., Alemdaroğlu Gürbüz, İ., Karaduman, A., Bulut, N., & Yilmaz, Ö. (2021). Kinesiology taping in Duchenne muscular dystrophy: acute effects on performance, gait characteristics, and balance. Taylor & Francis, 24(3), 199–204. https://doi.org/10.1080/17518423.2020.1839805

Bashir, A., Amjad, F., Ahmad, A., Arooj, A., Assoc, S. G.-J. P. M., & 2023, undefined. (n.d.). Effect of physical therapy treatment in infants treated for congenital muscular torticollis-a narrative review. Academia.Edu. Retrieved December 7, 2025, from https://www.academia.edu/download/87342764/Admin-3852-2021--Final-_L.pdf_filename_UTF-8Admin-3852-2021--Final-_L.pdf

Beltrame, G., Scano, A., Marino, G., Peccati, A., Molinari Tosatti, L., & Portinaro, N. (2023). Recent developments in muscle synergy analysis in young people with neurodevelopmental diseases: A Systematic Review. Frontiersin.Org, 11. https://doi.org/10.3389/FBIOE.2023.1145937/FULL

Bulut, N., Alemdaroğlu-Gürbüz, I., Topaloğlu, H., Yılmaz, Ö., & Karaduman, A. (2022). The association between trunk control and upper limb functions of children with Duchenne muscular dystrophy. Physiotherapy Theory and Practice, 38(1), 46–54. https://doi.org/10.1080/09593985.2020.1723151

Dazzi, M. D. A. R., & Sá, C. D. S. C. De. (2023). Gait and sit-to-stand motor compensation strategies in children and adolescents with Duchenne muscular dystrophy. Journals.Sagepub.Com, 130(1), 221–238. https://doi.org/10.1177/00315125221128129

Eek, D., Ivanescu, C., Corredoira, L., Meyers, O., & Cella, D. (2021). Content validity and psychometric evaluation of the Functional Assessment of Chronic Illness Therapy-Fatigue scale in patients with chronic lymphocytic leukemia. Springer, 5(1). https://doi.org/10.1186/S41687-021-00294-1

Ghai, S., Ghai, I., & Narciss, S. (2024). Influence of taping on joint proprioception: a systematic review with between and within group meta-analysis. BMC Musculoskeletal Disorders, 25(1), 480. https://doi.org/10.1186/S12891-024-07571-2

Goyal, M., & Goyal, K. (2024). Rehabilitation in Diabetic Peripheral Neuropathy. https://link.springer.com/content/pdf/10.1007/978-981-97-9290-0.pdf

Güneş Gencer, G. Y., & Yilmaz, Ö. (2022). The effect of trunk training on trunk control, upper extremity, and pulmonary function in children with Duchenne muscular dystrophy: A randomized clinical trial. Clinical Rehabilitation, 36(3), 369–378. https://doi.org/10.1177/02692155211043265

Kennedy, R. A., Carroll, K., McGinley, J. L., & Paterson, K. L. (2020). Walking and weakness in children: a narrative review of gait and functional ambulation in paediatric neuromuscular disease. Springer, 13(1). https://doi.org/10.1186/S13047-020-0378-2

Kim, K. H., & Lee, Y. J. (2020). Immediate effects of kinesio taping of tibialis anterior and ankle joint on mobility and balance ability for chronic hemiparesis: Randomized controlled cross. Thieme-Connect.Com, 30(6), 350–357. https://doi.org/10.1055/A-1126-4616

Liu, K., Yin, L., Ma, Z., Yu, B., Ma, Y., & Huang, L. (2020). Effect of different kinesio taping interventions on the local thresholds of current perception and pressure pain in healthy adults. Frontiersin.Org, 11. https://doi.org/10.3389/FPHYS.2020.596159/FULL

Mah, J. K., Korngut, L., Dykeman, J., Day, L., Pringsheim, T., & Jette, N. (2014). A systematic review and meta-analysis on the epidemiology of Duchenne and Becker muscular dystrophy. Neuromuscular Disorders, 24(6), 482–491. https://doi.org/10.1016/J.NMD.2014.03.008

Narayan, S., Pietrusz, A., Allen, J., Dimarco, M., Docherty, K., Emery, N., Ennis, M., Flesher, R., Foo, W., Freebody, J., Gallagher, E., Grose, N., Harris, D., Hewamadduma, C., Holmes, S., James, M. K., Maidment, L., Mayhew, A., Moat, D., … Julien, Y. (2023). Duchenne muscular dystrophy: disease mechanism and therapeutic strategies. Frontiersin.Org, 14, 365–381. https://doi.org/10.3389/FPHYS.2023.1183101/FULL

Okawara, H., Sawada, T., Onuki, S., Sugai, K., Okubo, T., Ozaki, M., Tsuji, O., Nagoshi, N., Sato, Y., & Nakamura, M. (2025). Exercise therapy can effectively improve trunk performance and sitting balance in spinal cord injury: a systematic review and meta-analysis. Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 46(4), 1581–1597. https://doi.org/10.1007/S10072-024-07960-4

Orozco, M., Kestler, E., Ramirez, G., Silva, G., Cabrera, J., De la Vega, S., & Al Khleifat, A. (2025). Genetic and clinical landscape of Duchenne muscular dystrophy in Guatemala: insights from a national study. Frontiers in Genetics, 16, 1595423. https://doi.org/10.3389/FGENE.2025.1595423/BIBTEX

Pandarinath, C., & Bensmaia, S. J. (2022). The science and engineering behind sensitized brain-controlled bionic hands. Journals.Physiology.Org, 102(2), 551–604. https://doi.org/10.1152/PHYSREV.00034.2020

Pascual-Morena, C., Cavero-Redondo, I., Álvarez-Bueno, C., Jiménez-López, E., Saz-Lara, A., Martínez-García, I., & Martínez-Vizcaíno, V. (2023). Global prevalence of intellectual developmental disorder in dystrophinopathies: A systematic review and meta-analysis. Developmental Medicine and Child Neurology, 65(6), 734–744. https://doi.org/10.1111/DMCN.15481;JOURNAL:JOURNAL:14698749;WGROUP:STRING:PUBLICATION

Peeters, L. H. C., de Groot, I. J. M., & Geurts, A. C. H. (2018). Trunk involvement in performing upper extremity activities while seated in neurological patients with a flaccid trunk – A review. Gait & Posture, 62, 46–55. https://doi.org/10.1016/J.GAITPOST.2018.02.028

Qin, Y., Li, M., Han, J., Cui, G., Du, W., & Yang, K. (2023). Research hotspots and trends of Kinesio Taping from 2011 to 2020: a bibliometric analysis. Environmental Science and Pollution Research, 30(1), 2029–2041. https://doi.org/10.1007/S11356-022-22300-9

Rapporteur, P. L. (2024). Exploring the Role of Muscle Proprioception in Kinesthesia and Spinal Proprio-Motor Circuits via fMRI: From Fundamental to Clinical Perspectives. https://theses.hal.science/tel-04948014/

Rinaldi, M., Petrarca, M., Romano, A., … G. V.-C., & 2020, undefined. (n.d.). Progression of muscular co-activation and gait variability in children with Duchenne muscular dystrophy: A 2-year follow-up study. Elsevier. Retrieved December 7, 2025, from https://www.sciencedirect.com/science/article/pii/S0268003320302199

Salari, N., Fatahi, B., Valipour, E., Kazeminia, M., Fatahian, R., Kiaei, A., Shohaimi, S., & Mohammadi, M. (2022). Global prevalence of Duchenne and Becker muscular dystrophy: a systematic review and meta-analysis. Journal of Orthopaedic Surgery and Research, 17(1), 96. https://doi.org/10.1186/S13018-022-02996-8

Santos, A. L. Y. da S., Maciel, F. K. de L., Fávero, F. M., Grossklauss, L. F., & de Sá, C. dos S. C. (2021). Trunk control and upper limb function of walking and non-walking Duchenne muscular dystrophy individuals. Taylor & Francis, 24(7), 435–441. https://doi.org/10.1080/17518423.2020.1869337

Selva-Sarzo, F., Fernández-Carnero, S., Sensors, R. S.-, & 2021, undefined. (n.d.). The Direct Effect of Magnetic Tape® on Pain and Lower-Extremity Blood Flow in Subjects with Low-Back Pain: A Randomized Clinical Trial. Mdpi.Com. Retrieved December 7, 2025, from https://www.mdpi.com/1424-8220/21/19/6517

Stimpson, G., Raquq, S., Chesshyre, M., Fewtrell, M., Ridout, D., Sarkozy, A., Manzur, A., Ayyar Gupta, V., De Amicis, R., Muntoni, F., Baranello, G., Ambegaonkar, G., Alhaswani, Z., Baxter, A., Childs, A. M., Chow, G., De Goede, C., Fernandez, M., Gibbon, F., … Naismith, K. (2022). Growth pattern trajectories in boys with Duchenne muscular dystrophy. Springer, 17(1), 20. https://doi.org/10.1186/S13023-021-02158-9

Vaillend, C., Aoki, Y., Mercuri, E., Hendriksen, J., Tetorou, K., Goyenvalle, A., & Muntoni, F. (2025). Duchenne muscular dystrophy: recent insights in brain related comorbidities. Nature Communications 2025 16:1, 16(1), 1298-. https://doi.org/10.1038/s41467-025-56644-w

Vandekerckhove, I., de Beukelaer, N., van den Hauwe, M., Shuman, B. R., Steele, K. M., van Campenhout, A., Goemans, N., Desloovere, K., & Goudriaan, M. (2020). Muscle weakness has a limited effect on motor control of gait in Duchenne muscular dystrophy. Journals.Plos.Org, 15(9 September 2020). https://doi.org/10.1371/JOURNAL.PONE.0238445

Wei, Z., Wang, X. X., & Wang, L. (2020). Effect of short-term kinesiology taping on knee proprioception and quadriceps performance in healthy individuals. Frontiersin.Org, 11. https://doi.org/10.3389/FPHYS.2020.603193/FULL

Wilson, A. (2020). Abdominal and lumbar muscle size, symmetry and control in an elderly population. https://figshare.utas.edu.au/articles/thesis/Abdominal_and_lumbar_muscle_size_symmetry_and_control_in_an_elderly_population/23253851