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KINESIO TAPING IN CHILDREN WITH CERVICAL SPINE DORSOPATHY

O. N. KHAMIDULINA (1), I. A. POGHOSYAN (1), YU. V. MARCHUK (2) SCIENTIFIC AND PRACTICAL CENTER «BONUM», YEKATERINBURG, RUSSIA

Objective: evaluation of the effectiveness of kinesio taping in treatment of children with functional disorders of the musculoskeletal system (posttraumatic cervical spine dorsopathy).
Materials and Methods: the research involved 91 children aged 3-11 years old with the diagnosis: Cervical spine dorsopathy of post-traumatic genesis. Postural defects. Walking abnormalities (imbalance). (M53.2, M40, R 26.8). 48 boys and 43 girls were examined. All children had C1-2 rotary subluxation diagnosed with functional cervical spine radiographs. The patients were divided into 3 groups: The I and II groups received exercise therapy, physical modalities treatment, orthopedic shoes with allotted block and outwards removal of the heel. In group I these methods were combined with kinesio taping of the neck and collar areas muscles, shins and feet. The patients of group III were received only kinesio taping of the same areas. Changes in the functional state of the musculoskeletal system were evaluated by the following clinical signs: the angle of the foot progression (Fick's angle), the severity of kyphosis, the severity of cervical-tonic syndrome. The evaluation was conducted prior to treatment, as well as 1, 3, and 6 months after treatment. Fisher's test was used to assess the reliability of the performed research.
Results: at the beginning patients of all groups demonstrated the following signs: gait disturbance (feet reduction), cervical and tonic syndromes, posture disturbance. In the groups where patients received kinesio taping therapy, the foot progression angle decreased on the second day, whereas the cervical and tonic syndrome and posture disturbance didn’t change. One month after treatment the patients of group I showed improvements in gait, posture and tonus of cervical and collar areas muscles. After three months the reduction of all clinical signs was more pronounced in group I. Only after six months the clinical parameters in all groups became approximately identical and there were no significant difference.
Conclusions: the most pronounced clinical improvements were obtained in the group where patients received kinesio taping in addition to the standard treatment. Positive effects of kinesio taping therapy on functional musculoskeletal diseases were identified alreay during the first days of application. Improvement of posture by 2,4-2,7 points on average and decrease of foot angle progression by 1,5-1,8 points remained during the entire period of observation, which was more than six months.
Keywords: 
kinesio taping; children; dorsopathy; craniovertebral zone; cervical spine; functional disorders of the musculoskeletal system.