Kate A. Hayner; Effectiveness of the California Tri-Pull Taping Method for Shoulder Subluxation Poststroke: A Single-Subject ABA Design. Am J Occup Ther 2012;66(6):727-736. doi: 10.5014/ajot.2012.004663.
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© 2014 American Occupational Therapy Association
OBJECTIVE. I evaluated the effectiveness of the California Tri-Pull Taping method for clients with poststroke inferior shoulder subluxation of the glenohumeral joint.
METHOD. Ten participants were followed for 9 wk using an interrupted time series quasi-experimental single-subject ABA design to examine shoulder pain, activities of daily living (ADL) function, active range of motion, tape comfort, and subluxation.
RESULTS. The California Tri-Pull Taping method decreased inferior subluxation significantly from baseline to intervention but not at postintervention. Active range of motion was significantly increased in shoulder flexion and abduction between the baseline and intervention and the intervention and postintervention phases. Functional ADL scores were significant. The taping was reported to be comfortable. No significant difference in pain was found.
CONCLUSION. This intervention is a promising adjunct to the management of the hemiplegic subluxed shoulder that warrants further research.
The CTPT method offers an intervention for addressing subluxation that is quick and easy to apply and is reported to be comfortable.
This taping intervention, when applied, allows for functional use of the subluxed extremity.
This study’s findings indicate that this method reduces subluxation during the taping period.
Improvements in active shoulder flexion and abduction were significant. This improvement would allow for increased functional ability for clients with nonflaccid extremities.
The significant improvements found in functional ADLs after the taping would benefit any client working on increased independence.
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