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Accumulative effect of ankle kinesio taping on postural control in children with hemiparetic cerebral palsy


Background and purpose

Postural control deficit is one of the primary causes of impairments in hemiparetic cerebral palsy, and ankle strategy is one of the muscle synergies to control posture. The purpose of this study was to evaluate the accumulative effect of ankle taping on postural control in children with hemiparetic cerebral palsy.

Patients and methods

A total of 30 children participated in this study, with a mean age of 6.2 ± 0.79 years, mean weight of 25.06 ± 4.43 kg, mean height of 120.6 ± 12.33 cm, and with a degree of spasticity of 1 and 1+ according to the Modified Ashworth Scale. They were divided randomly into two groups: group A and group B. Kinesio taping was applied to the involved ankle joint for children in group B for successive 5 days/week. Rehabilitation exercises were prescribed for children in both groups three times per week for successive 12 weeks. The Biodex system was used to measure dynamic stability indexes. The measurements were carried out before and after the treatment program.


The post-treatment results revealed a significant decrease in stability indexes in group B after 6 weeks of treatment and a significant decrease in stability indexes between the two groups before and after 12 weeks of treatment program (P < 0.001).


Ankle taping has an accumulative effect on postural control and it can improve postural control in conjunction with physical rehabilitation for children with hemiparetic cerebral palsy.


  1. 1

    Koman L, Smith BP, Balkrishnan R. Spasticity associated with cerebral palsy in children: guidelines for the use of botulinum A toxin. Paediatr Drugs 2003; 5:11–23.

    Article  Google Scholar 

  2. 2

    Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, et al. A report: the definition and classification of cerebral palsy. Dev Med Child Neurol Suppl 2007; 109:8–14.

    PubMed  PubMed Central  Google Scholar 

  3. 3

    Charles J, Gordon AM. Development of hand-arm bimanual intensive training (HABIT) for improving bimanual coordination in children with hemiplegic cerebral palsy. Dev Med Child Neurol 2006; 48:931–936.

    Article  Google Scholar 

  4. 4

    Bax M, Goldstein M, Rosenbaum I, Leviton A. Proposed definition and classification of cerebral palsy. Dev Med Child Neurol 2005; 47:571–576.

    Article  Google Scholar 

  5. 5

    Berger W. Characteristics of locomotor control in children with cerebral palsy. Neurosci Biobehav Rev 1998; 22:579–582.

    CAS  Article  Google Scholar 

  6. 6

    van der Heide JC, Hadders-Algra M. Postural muscle dyscoordination in children with cerebral palsy. Neural Plast 2005; 12:197–203.

    Article  Google Scholar 

  7. 7

    Ragnarsdottir M. The concept of balance. Phys Ther 1996; 82:368–375.

    Google Scholar 

  8. 8

    Walker C, Brouwer BJ, Culham EG. Use of visual feedback in retraining balance following acute stroke. Phys Ther 2000; 80:886–895.

    CAS  Article  Google Scholar 

  9. 9

    Shumway Cook A, Woollacott MH. Motor control: translating research into clinical practice. Philadelphia: Lippincott Williams & Wilkins; 2007.

    Google Scholar 

  10. 10

    Nashner L, McCollum G. The organization of human postural movements: a formal basis and experimental synthesis. Behav Brain Sci 1985; 8:135–172.

    Article  Google Scholar 

  11. 11

    Cas-smith JO. Application of motor control/motor learning to practice. In: O’Brien J, Williams, H, editors. Occupational therapy for children 6th ed. Missouri: Elsevier Inc.; 2010. 255.

    Google Scholar 

  12. 12

    Geiger RA, Allen JB, O’Keefe J, Hicks RR. Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/forceplate training. Phys Ther 2001; 81:995–1005.

    CAS  Article  Google Scholar 

  13. 13

    Chang CH, Miller F, Schuyler J. Dynamic pedobarograph in evaluation of varus and valgus foot deformities. J Pediatr Orthop 2002; 22:813–818.

    Google Scholar 

  14. 14

    Ferdjallah M, Harris GF, Smith P, Wertsch JJ. Analysis of postural control synergies during quiet standing in healthy children and children with cerebral palsy. Clin Biomech (Bristol, Avon) 2002; 17:203–210.

    Article  Google Scholar 

  15. 15

    Cho SH, Bae CH, Gak HB. Effects of Closed Kinetic Chain Exercises on Proprioception and Functional Scores of the Knee After Anterior Cruciate Ligament Reconstruction. J Phys Ther Sci 2013; 25:1239–1241.

    Article  Google Scholar 

  16. 16

    Nichols DS. The development of postural control. 4th ed. Philadelphia: F.A. Davis Co.; 2001

    Google Scholar 

  17. 17

    Macdonald R. Taping techniques principles and practice. London, New York: Butterworth–Heinemann; 1994.

    Google Scholar 

  18. 18

    Sabbour A, Omar H. The effect of kinesiotaping therapy augmented with pelvic tilting exercises on low back pain in primigravidas during the third trimester. Bull Fac Phy Ther Cairo Univ 2011; 16:53–62.

    Google Scholar 

  19. 19

    Słupik, A, Dwornik M, Bialoszewski D, Zych E. Effect of kinesio taping on bioelectrical activity of vastus medialis muscle. Preliminary report. Orthop Traumatol Rehabil 2007; 9:644–651.

    Google Scholar 

  20. 20

    Exner CE. Development of hand skills. In: Case-Smith J, Allen AS, Partt PN, editors. Occupational therapy for children. 4th ed. Elsevier Inc: Mosby; 2001:289–302.

    Google Scholar 

  21. 21

    Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther 1987; 67:206–207.

    CAS  Article  Google Scholar 

  22. 22

    Palisano RJ, Rosenbaum P, Bartlett D, Livingston MH. Content validity of the expanded and revised gross motor function classification system. Dev Med Child Neurol 2008; 50:744–750.

    Article  Google Scholar 

  23. 23

    Hewston T, Austin K, Brett KG. An illustrated guide to Taping Techniques principles and practice. 2nd ed. A Times Mirror company: Mosby Year Book, Inc; 2010.

    Google Scholar 

  24. 24

    Bonan I, Colle F, Guichard J, Viacut E, Eisenfisz M, Tran Ba Huy P, Yelnik AP. Reliance on visual information after stroke. Part I: Balance on dynamic posturography. Arch Phys Med Rehabil 2004; 85:268–273.

    Google Scholar 

  25. 25

    Morris J, Wilkinson P. Defining a minimum income for healthy living: older age. Int J Epidemiol 2007; 36:1300–1307.

    CAS  Article  Google Scholar 

  26. 26

    Barboukis V, Sykaras E, Costa F, Tsorbatzoudis H. Effectiveness of taping and bracing in balance. Percept Mot Skills 2002; 94:566–574.

    Article  Google Scholar 

  27. 27

    Spanos S, Brunswi CM, Billis E. The effect of taping on the proprioception of the ankle in a non-weight bearing position, amongst athletes. Foot 2008; 18:25–33.

    Article  Google Scholar 

  28. 28

    Wilkerson GB. Biomechanical and neuromuscular effects of ankle taping and bracing. J Athl Train 2002; 37:36–45.

    Google Scholar 

  29. 29

    Feuerbach JW, Grabiner MD, Koh TJ, Weiker GG. Effect of an ankle orthosis and ankle ligament anesthesia on ankle joint proprioception. American Journal of Sports Medicine 1994; 22: 223–229.

    CAS  Article  Google Scholar 

  30. 30

    Cools A, Witvrouw E, Danneels L. Does taping influence electromyographic muscle activity in scapular rotators in healthy shoulders? Man Ther 2002; 7:154–162.

    CAS  Google Scholar 

  31. 31

    Turton A, Pomeroy V. When should upper limb function be trained after stroke? Evidence for and against early intervention. Neurorehabilitation 2002; 17:215–224.

    Article  Google Scholar 

  32. 32

    Matsusaki T, Yokoyama S, Tsurusaki T, Inokuchi S, Okita M. Effect of ankle disk training combined with tactile stimulation to the leg and foot functional stability of the ankle. Am J Sports Med 2001; 29:25–30.

    Article  Google Scholar 

  33. 33

    Thompson NS, Baker RJ, Cosgrove AP, Saunders JL, Taylor TC. Relevance of the popliteal angle to hamstring length in cerebral palsy crouch gait. J Pediatr Orthop 2001; 21:383–387.

    CAS  Google Scholar 

  34. 34

    Murray H. The effects of Kinesio Taping® on proprioception in the ankle and in the knee. J Orthop Sports Phys Ther 2001; 3:1–7.

    CAS  Google Scholar 

  35. 35

    Austine KA, Gwymn-Brelt KA, Marshall SC. Illustrated guide to taping techniques. London: Mosby Year Books; 1994.

    Google Scholar 

  36. 36

    Yasukawa A, Patel P, Sisung C. Pilot study: investigating the effects of Kinesio Taping® in an acute pediatric rehabilitation setting. Am J Occup Ther 2006; 60:104–110.

    Article  Google Scholar 

  37. 37

    Hubbard T, Kaminski T. Kinesthesia is not affected by functional ankle instability status. J Athl Train 2002; 37:481–486.

    PubMed  PubMed Central  Google Scholar 

  38. 38

    Walters, A. Analysis of the effects of ankle taping on proprioception: a comparison before and after exercise [Master thesis]. Boise State University Library; 2000.

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Correspondence to Zeinab A. Hussein.

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Hussein, Z.A., El-Meniawy, G.H. Accumulative effect of ankle kinesio taping on postural control in children with hemiparetic cerebral palsy. Bull Fac Phys Ther 20, 154–160 (2015).

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  • cerebral palsy
  • hemiparesis
  • kinesio taping
  • postural control