Stephanie A. Russo, Luisa M. Rodriguez, Scott H. Kozin, Dan A. Zlotolow, Ross S. Chafetz, Carolyn M. Killelea, Kristen F. Nicholson, James G. Richards; Therapeutic Taping for Scapular Stabilization in Children With Brachial Plexus Birth Palsy. Am J Occup Ther 2016;70(5):7005220030. https://doi.org/10.5014/ajot.2016.018903
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© 2021 American Occupational Therapy Association
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.
Reduced limb length (Abzug & Kozin, 2010; Bae, Ferretti, & Waters, 2008; Terzis & Kokkalis, 2010) and girth (Abzug & Kozin, 2010; Bae et al., 2008),
Abnormal scapular morphology (Duff, Dayanidhi, & Kozin, 2007; Kambhampati, Birch, Cobiella, & Chen, 2006; Kozin, 2004; Kozin et al., 2006; Kozin, Chafetz, Shaffer, Soldado, & Filipone, 2010; Soldado & Kozin, 2005; Van Heest, Glisson, & Ma, 2010; Waters, Smith, & Jaramillo, 1998),
Glenohumeral (GH) dysplasia and subluxation (Bhardwaj, Burgess, Sabapathy, Venkataramani, & Ilayaraja, 2013; Breton et al., 2012; Dodwell et al., 2012; Kambhampati et al., 2006; Kozin, 2004; Kozin et al., 2006, 2010; Pearl, Woolwine, van de Bunt, Merton, & Burchette, 2013; van Gelein Vitringa, van Royen, & van der Sluijs, 2013; Van Heest et al., 2010; Waters et al., 1998),
Muscle weakness, and
Range of motion (ROM) limitations (Abzug & Kozin, 2010; Bae, Waters, & Zurakowski, 2003; Fitoussi et al., 2009; Kozin et al., 2010; Mosqueda et al., 2004; Nikolaou et al., 2014).
Facilitation of the middle and lower trapezius with therapeutic tape produces a small decrease in scapular winging at the time of tape application in children with scapular winging because of BPBP.
Facilitation of the middle and lower trapezius with therapeutic tape achieves small increases in GH joint angles in positions of rest, internal rotation, hand to mouth, and hand to spine at the time of tape application in children with scapular winging because of BPBP.
Facilitation of the middle and lower trapezius with therapeutic tape has little effect on overall shoulder function, measured by HT joint orientations and angular displacements.
The changes in ST and GH joint function have the potential for long-term benefit; however, the effect of therapeutic tape over time and the long term remains unknown.
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