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An investigation into the immediate effect of patellar taping on knee control in patients with adult acquired hemiplegia due to stroke

Thesis (MScPhysio (Physiotherapy))--University of Stellenbosch, 2009.

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Main Author: Dreyer, Sonette
Other Authors: Unger, M.
Format: Thesis
Language:English
Published: Stellenbosch : University of Stellenbosch 2009
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access_status_str Open Access
author Dreyer, Sonette
author2 Unger, M.
author_browse Dreyer, Sonette
Unger, M.
author_facet Unger, M.
Dreyer, Sonette
author_sort Dreyer, Sonette
collection Thesis
dc_rights_str_mv University of Stellenbosch
description Thesis (MScPhysio (Physiotherapy))--University of Stellenbosch, 2009.
format Thesis
id oai:scholar.sun.ac.za:10019.1/1671
institution Stellenbosch University (South Africa)
language English
last_indexed 2026-06-10T12:43:28.625Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2009
publishDateRange 2009
publishDateSort 2009
publisher Stellenbosch : University of Stellenbosch
publisherStr Stellenbosch : University of Stellenbosch
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/1671 An investigation into the immediate effect of patellar taping on knee control in patients with adult acquired hemiplegia due to stroke Dreyer, Sonette Unger, M. Frieg, A. University of Stellenbosch. Faculty of Health Sciences. Dept. of Interdisciplinary Health Sciences. Physiotherapy. Dissertations -- Physiotherapy Theses -- Physiotherapy Cerebrovascular disease -- Patients -- Rehabilitation -- Case studies Hemiplegia -- Patients -- Rehabilitation -- Case studies Knee jerk Thesis (MScPhysio (Physiotherapy))--University of Stellenbosch, 2009. The ability to walk has been rated by stroke patients as one of the most important goals of their rehabilitation. Knee control is a key element in normal gait. Currently, treatment options aimed at improving poor knee control in stroke patients are often costly, need specialised equipment and have poor patient compliance. The purpose of the current study was to assess whether medial patellar taping could improve knee control in stroke patients. Gait speed, dynamic standing balance, knee alignment and whether the subjects experienced any subjective stabilising effect on the knee after taping were tested. Twenty subjects diagnosed with hemiplegia after a stroke served as their own controls in a repeated measures experimental study. Results indicated that dynamic standing balance as tested by the Step Test (p=0.063) and the Timed-up-and-go test (p=0.099) (Wilcoxon test) showed marginal improvement after taping. This improvement in dynamic standing balance may indicate that neuro-motor control and/or eccentric knee control had improved. There was no change in walking speed and knee alignment as tested by change in the Q-angle (Wilcoxon test). However, a decrease in the Q-angle correlated with an improvement in dynamic standing balance as tested by the Step Test (p=0.029) (Spearman‟s test). Participants with decreased Q-angles after taping possibly had better knee alignment and were more willing to accept weight on their affected leg indicating a change in quadriceps activation. No change in walking speed (p=0.351) (Wilcoxon test) before and after taping may indicate that there was no change in the magnitude of contraction and/or concentric activity in the quadriceps muscle. Thirty percent of the participants reported a subjective change in knee stability after taping. Subjective change did not, however, significantly correlate with either of the balance tests, walking speed or Q-angle measurements. The possibility that medial patellar taping may be useful in treating poor knee control in stroke patients during dynamic balance activities should be investigated further. 2009-02-24T20:38:39Z 2010-06-01T08:30:18Z 2009-02-24T20:38:39Z 2010-06-01T08:30:18Z 2009-03 Thesis http://hdl.handle.net/10019.1/1671 en University of Stellenbosch application/pdf Stellenbosch : University of Stellenbosch
spellingShingle Dissertations -- Physiotherapy
Theses -- Physiotherapy
Cerebrovascular disease -- Patients -- Rehabilitation -- Case studies
Hemiplegia -- Patients -- Rehabilitation -- Case studies
Knee jerk
Dreyer, Sonette
An investigation into the immediate effect of patellar taping on knee control in patients with adult acquired hemiplegia due to stroke
title An investigation into the immediate effect of patellar taping on knee control in patients with adult acquired hemiplegia due to stroke
title_full An investigation into the immediate effect of patellar taping on knee control in patients with adult acquired hemiplegia due to stroke
title_fullStr An investigation into the immediate effect of patellar taping on knee control in patients with adult acquired hemiplegia due to stroke
title_full_unstemmed An investigation into the immediate effect of patellar taping on knee control in patients with adult acquired hemiplegia due to stroke
title_short An investigation into the immediate effect of patellar taping on knee control in patients with adult acquired hemiplegia due to stroke
title_sort investigation into the immediate effect of patellar taping on knee control in patients with adult acquired hemiplegia due to stroke
topic Dissertations -- Physiotherapy
Theses -- Physiotherapy
Cerebrovascular disease -- Patients -- Rehabilitation -- Case studies
Hemiplegia -- Patients -- Rehabilitation -- Case studies
Knee jerk
url http://hdl.handle.net/10019.1/1671
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