The immediate effect of Kinesio taping and mirror neuron stimulation on gross motor function in Thai children with cerebral palsy

Main Article Content

Prinnapak Mahasup
Teerapat Laddawong

Abstract

Background: A cerebral palsy is a group of permanent disorders arising from many reasons in the brain during early childhood. It directly affects physical development. The combination of the Kinesio taping and mirror neurons stimulation based VCD program represents a new practical approach to treat cerebral palsy. It is possible to promote motor development in cerebral palsy.


Objective: To compare GMFM-66 scores between children who received only Kinesio taping and children who were treated by using Kinesio taping together with mirror neurons stimulation based VCD program.


Methods: The 30 participants were 512 years old children with spastic diplegia with GMFCS at level 13. The children were divided into an experimental group and a control group with 15 children in each group. In the control group, the researcher had applied Kinesio taping on tibialis anterior muscle and rectus femoris by using muscle facilitation technique and functional correction technique at ankle joint for 60 minutes. The participants in the experimental group received Kinesio taping on their lower limb and VCD program for 60 minutes. The GMFM-66 evaluated gross motor function.


Results: The GMFM-66 scores of the two groups as calculated by using ANCOVA were not statistically significantly different after the intervention (p=0.206). When comparing GMFM-66 scores within each group by applying paired   t-tests, then statistically significant differences were observed within both groups (p<0.001).


Conclusion: Both using only Kinesio taping and using Kinesio tape with mirror neurons stimulation based VCD program had immediately affected on gross motor function in children with spastic diplegia. However, there were no significant differences between groups.


 

Article Details

How to Cite
1.
Mahasup P, Laddawong T. The immediate effect of Kinesio taping and mirror neuron stimulation on gross motor function in Thai children with cerebral palsy . Thai J Phys Ther [internet]. 2021 Dec. 29 [cited 2026 Jan. 18];43(3):123-35. available from: https://he02.tci-thaijo.org/index.php/tjpt/article/view/241319
Section
Research Articles

References

Rosenbaum P, Paneth N, Leviton A. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol. Suppl 2007; 109: 8-14.

Van Naarden Braun K, Doernberg N, Schieve L. Birth Prevalence of Cerebral Palsy: A Population-Based Study. Paediatrics. 2016; 137(1).

Krebs HI, Fasoli SE, Dipietro L. Motor learning characterizes habilitation of children with hemiplegic cerebral palsy. Neurorehabil Neural Repair. 2012; 26(7): 855-60.

Buccino G, Vogt S, Ritzl A. Neural circuits underlying imitation learning of hand actions: an event-related fMRI study. Neuron. 2004; 42(2): 323-34.

Mahasup N, Sritipsukho P, Lekskulchai R, Hansakunachai T. Effects of mirror neurons stimulation on motor skill rehabilitation in children with cerebral palsy: a clinical trial. J Med Assoc Thai. 2012; 95 Suppl 1: S166-72.

Buccino G, Solodkin A, Small SL. Functions of the mirror neuron system: implications for neurorehabilitation: Cogn Behav Neurol. 2006; 19(1): 55-63.

Chaiyawat P, Kulkantrakorn K, Sritipsukho P. Effectiveness of home rehabilitation for ischemic stroke. Neurol Int. 2009; 1(e10): 36-40.

Bassett KT, Stacey LA, Ellis RF. The use and treatment efficacy of kinaesthetic taping for musculoskeletal conditions: a systematic review. N. Z. J. Physiother. 2010; 38(2): 56-62.

Williams S, Whatman C, Hume PA. Kinesio taping in treatment and prevention of sports injuries, A meta-analysis of the evidence for its effectiveness. Sports Med Arthrosc Rev. 2012; 42(2): 153-64.

Kase K, Wallis J, Kase T. Introduction to corrective techniques. In: Kase K, Wallis J, Kase T, eds. Clinical therapeutic applications of the Kinesio taping method. Tokyo: Ken Ikai Co. Ltd., 2003: 20-41.

Hsu YH, Chen WY, Lin HC, Wanga WT, Shih YF. The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. J Electromyogr Kinesiol. 2009; 19(6),1092-9.

Huang CY, Hsieh TH, Lu SC, Su FC. Effect of the Kinesio tape to muscle activity and vertical jump performance in healthy inactive people. Biomed Eng Online. 2011; 10(1): 70.

da Costa CS, Rodrigues FS, Leal FM, Rocha NA. Pilot study: Investigating the effects of Kinesio Taping(R) on functional activities in children with cerebral palsy. Dev Neurorehabil. 2013; 16(2): 121-8.

Simsek TT, Turkucuoglu B, Cokal N, Ustunbas G. The effects of Kinesio(R) taping on sitting posture, functional independence and gross motor function in children with cerebral palsy. Disabil Rehabil. 2011; 33(21-22): 2058-63.

Dos Santos AN, Visicatto LP, de Oliveira AB, Rocha N. Effects of Kinesio taping in rectus femoris activity and sit-to-stand movement in children with unilateral cerebral palsy: placebo-controlled, repeated-measure design. Disabil Rehabil. 2019; 41(17): 2049-59.

Dos Santos AN, Rocha N. Immediate effect of kinesio taping on knee extensor torque of children with Cerebral Palsy: Three case reports. NeuroRehabilitation. 2018; 43(4): 519-23.

Mahasup N, Sritipsukho P, Lekskulchai R, Keawutan P. Inter-rater and intra-rater reliability of the gross motor function measure (GMFM-66) by Thai pediatric physical therapists. J Med Assoc Thai. 2011; 94 Suppl 7: S139-44.

Hanna SE, Bartlett DJ, Rivard LM, Russell DJ. Reference curves for the Gross Motor Function Measure: percentiles for clinical description and tracking over time among children with cerebral palsy. Phys Ther. 2008; 88(5): 596-607.

Simon J, Garcia W, Docherty CL. The effect of Kinesio tape on force sense in people with functional ankle instability. Clin J Sports Med. 2014; 24(4): 289-94.

Shamsoddini A, Rasti Z, Kalantari M, Hollisaz MT. The impact of Kinesio taping technique on

children with cerebral palsy. Iran J Neurol. 2016; 15(4): 219-27.