Research Article  |   August 2016
Therapeutic Taping for Scapular Stabilization in Children With Brachial Plexus Birth Palsy
Author Affiliations
  • Stephanie A. Russo, MD, PhD, is Resident Physician, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center—Hamot, Erie, PA; sarusso@udel.edu
  • Luisa M. Rodriguez, OTR/L, is Occupational Therapist, Upper Extremity Center of Excellence, Shriners Hospitals for Children, Philadelphia, PA
  • Scott H. Kozin, MD, is Chief of Staff and Hand Surgeon, Upper Extremity Center of Excellence, Shriners Hospitals for Children, Philadelphia, PA, and Department of Orthopaedic Surgery, Temple University, Philadelphia, PA
  • Dan A. Zlotolow, MD, is Hand Surgeon, Upper Extremity Center of Excellence, Shriners Hospitals for Children, Philadelphia, PA, and Department of Orthopaedic Surgery, Temple University, Philadelphia, PA
  • Ross S. Chafetz, DPT, PhD, is Motion Analysis Laboratory Physical Therapist, Upper Extremity Center of Excellence, Shriners Hospitals for Children, Philadelphia, PA
  • Carolyn M. Killelea, PhD, is Motion Analysis Laboratory Engineer, Upper Extremity Center of Excellence, Shriners Hospitals for Children, Philadelphia, PA
  • Kristen F. Nicholson, PhD, is Motion Analysis Laboratory Biomechanist, Gait Analysis Laboratory, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE
  • James G. Richards, PhD, is Distinguished Professor, Department of Kinesiology and Applied Physiology, University of Delaware, Newark
Article Information
Complementary/Alternative Approaches / Hand and Upper Extremity / Children and Youth
Research Article   |   August 2016
Therapeutic Taping for Scapular Stabilization in Children With Brachial Plexus Birth Palsy
American Journal of Occupational Therapy, August 2016, Vol. 70, 7005220030p1-7005220030p11. doi:10.5014/ajot.2016.018903
American Journal of Occupational Therapy, August 2016, Vol. 70, 7005220030p1-7005220030p11. doi:10.5014/ajot.2016.018903
Abstract

OBJECTIVE. In this study, we aimed to assess whether therapeutic taping for scapular stabilization affected scapulothoracic, glenohumeral, and humerothoracic joint function in children with brachial plexus birth palsy and scapular winging.

METHOD. Motion capture data were collected with and without therapeutic taping to assist the middle and lower trapezius in seven positions for 26 children. Data were compared with one-way multivariate analyses of variance.

RESULTS. With therapeutic taping, scapular winging decreased considerably in all positions except abduction. Additionally, there were increased glenohumeral cross-body adduction and internal rotation angles in four positions. The only change in humerothoracic function was an increase of 3° of external rotation in the external rotation position.

CONCLUSION. Therapeutic taping for scapular stabilization resulted in a small but statistically significant decrease in scapular winging. Overall performance of positions was largely unchanged. The increased glenohumeral joint angles with therapeutic taping may be beneficial for joint development; however, the long-term impact remains unknown.