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IJPR.2017.110

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Type of Article:  Original Research

Volume 5; Issue 3 (May 2017)

Page No.: 2002-2009

DOI: https://dx.doi.org/10.16965/ijpr.2017.110

EFFICACY OF NEUROMUSCULAR TAPING ALONG WITH CONVENTIONAL PHYSICAL THERAPY IN POST AMPUTATION PHANTOM PAIN MANAGEMENT: AN EXPERIMENTAL STUDY

Rahul Krishnan Kutty *1, Hailay Gebremichael 2.

*1 Assistant Professor, Department of Physiotherapy, School of Medicine, College of Health Sciences, Mekelle University, Mekelle, Ethiopia, East Africa.

2 Lecturer, Department of Physiotherapy, School of Medicine, College of Health Sciences, Mekelle University, Mekelle, Ethiopia, East Africa.

Corresponding Author: Rahul Krishnan Kutty, Department of Physiotherapy, School of Medicine, College of Health Sciences, Mekelle University, Mekelle, Ethiopia, East Africa. E-Mail: physioraul@gmail.com; hagept@yahoo.com

ABSTRACT 

Background: Neuro Muscular Taping (NMT) is a biomechanical therapy method using decompressive and compressive stimuli to obtain positive effects in the musculoskeletal, vascular, lymphatic and neurological systems. Application of an elastic tape on the skin will evoke direct therapeutic effect both local and distant by reflex. The application of NMT with an eccentric and decompressive technique rises the skin and dilates the interstitial spaces and consequently improves circulation and absorption of liquids reduces subcutaneous pressure. The aim of this study is to assess the efficacy of Neuromuscular taping on the treatment of Phantom pain in post amputation subjects in Mekelle ortho-physiotherapy centre, Physiotherapy Department, Tigray region, Northern Ethiopia, 2015-16.

Materials and Methods: The study population consisted of 32 subjects between 10 and 80 years of age. Subjects who underwent lower limb amputation and having phantom pain syndrome in Mekelle-ortho physiotherapy center, Mekelle and meeting the inclusion criteria were included in the study. The 32 subjects were allocated in to two groups of which, one is experimental group (16 subjects who were treated with neuromuscular taping treatment along with conventional physiotherapy) and second control group (16 subjects who were treated with conventional physiotherapy alone).

Results: To check the effectiveness of neuromuscular taping, the results of both groups were compared with each other i.e. between the groups it revealed a statistical association, i.e. (df =16, p=0.005 level, group A= 0.059 & group B =0.501). These finding clearly suggested that for lower limb amputation patient conventional physiotherapy is effective in reduction of pain but along with neuromuscular taping it stands to very effective in reducing phantom pain in post amputation subjects and VAS scale parameters reduction resulted in 6-7 treatment sessions that is less than in 8-10 treatment sessions when compared to control group.

Conclusion: To conclude the results using the conventional physiotherapy with neuromuscular taping in the management of phantom pain in lower limb amputation subjects were found to be very effective than conventional physiotherapy alone. Hence, it is highly recommended that neuro muscular taping can be included in the treatment protocol for lower limb amputation subjects having phantom pain syndrome along with conventional physiotherapy.

Key words: Neuromuscular Taping, Phantom Pain, Chronic Pain, Physical Therapy, Conventional Physical Therapy Management, Pain Management, Physiotherapy.

REFERENCES

  1. Taping NeuroMuscolare Institute e un’attività del Savà srl, via Gavinana , Roma 00192, NeuroMuscular Taping   Institute LLC, Atlanta Georgia 30328, USA www.tapingneuromuscolare.eu
  2. NeuroMuscular Taping Institute, LLC 6065 Roswell Road, Suite 2242, Atlanta, GA 30328  (646) 801-340. info@ediermes.us www.nmtinstitute.org.
  3. McKinnon J, Wong V, Temple W, Galbraith C, Ferry P, Clynch G, Clynch C: Measurement of limb volume: laser scanning versus volume displacement. J Surg Oncol 2007;96:381-388.
  4. Ancillao A, Galli M, Vimercati SL, Albertini G. An optoelectronic based approach for handwriting capture. Comput Methods Programs Biomed 2013;111:357-65.
  5. Camerota F, Galli M, Cimolin V, Celletti C, Ancillao A, Blow D, Albertini G. Neuromuscular taping for the upper limb in Cerebral Palsy: A case study in a patient with hemiplegia. Dev Neurorehabil. 2013 Oct 2. [Epub ahead of print]
  6. Cimolin V, Beretta E, Piccinini L, Turconi AC, Locatelli F, Galli M, Strazzer S. Constraint-induced movement therapy for children with hemiplegia after traumatic brain injury: a quantitative study. The Journal of Head Trauma Rehabilitation 2012;27:177-87.
  7. Blow D. NeuroMuscular Taping: From Theory to Practice. Milano: Edi Ermes 2012.
  8. Blow D. Taping NeuroMuscolare trattamento delle edemi, ematomi e cicatrice. Milano: Edi Ermes 2013.
  9. Costantino C, Licari O, Granella F, Sghedoni S. Neuromuscular taping in multiple sclerosis. A pilot study. Acta Biomedica 2012;83:103-7.
  10. Hughes AJ, Daniel SE, Kilford L, Lees AJ. Accuracy of clinical diagnosis of idiopathic Parkinson’s disease: a clinico-pathological study of 100 cases. J Neurol Neurosurg Psychiatry 1992;55:181-184.
  11. Menegoni F, Milano E. Trotti C, Galli M, Bigoni M, Baudo S., Mauro A. Quantitative evaluation of functional limitation of upper limb movements in subjects affected by ataxia. European Journal of Neurology 2009; 16: 232-239.
  12. Finchley Memorial Hospital, Quality summary report on Musculoskeletal physiotherapy service , Finchley Memorial Hospital, London, Jan-Dec 2011, Available: http//www.clch.nhs.uk.
  13. Hof AL, van Bockel RM, Schoppen T, Postema K. Control of lateral balance in walking. Experimental findings in normal subjects and above-knee amputees. Gait and Posture. 2007;25(2):250–258. [PubMed]
  14. Kark L, Vickers D, McIntosh A, Simmons A. Use of gait summary measures with lower limb amputees. Gait and Posture. 2012;35(2):238–243. [PubMed]
  15. Vrieling AH, van Keeken HG, Schoppen T, et al. Gait adjustments in obstacle crossing, gait initiation and gait termination after a recent lower limb amputation. Clinical Rehabilitation. 2009;23(7):659–671.[PubMed]
  16. Vrieling AH, van Keeken HG, Schoppen T, et al. Gait initiation in lower limb amputees. Gait and Posture. 2008;27(3):423–430. [PubMed].
  17. Pamela Gallagher, David Allen, Malcolm MacLachlan , Phantom limb pain and residual limb pain following lower limb amputation: a descriptive analysis, Pages 522-530, Published online: 07 Jul 2009, Disability And Rehabilitation 23 , Iss. 12,2001.
  18. Disability In America, Toward A National Agenda 1994; Pp 1 -77. For Prevention. 1991, Edited ByA. M PopeAnd 4. W.Yinusa And M.E.Ugbeye, Problems Of A.RTarlov, National Academy Press, Washington Amputation Surgery In A Developing Country. D. C., Pp 1 – 73.
  19. International Orthopaedics (Sicot), 2003; Doi 10, 2. Michaels J.A., Major Amputations OfThe Lower Limb, Surgery International, 1995;30:151-156.
  20. An Introduction To Orthopaedics, Depari merit Of Orthpaedic Surgery, Aau Medical Faculty, 1. Disability In America, Toward A National Agenda 1994;1-77.
  21. Manyazewal Dessie. Preventable amputations in Ethiopia, East and Central African Journal of Surgery Vol 9. (ISSN: 1024-297).
  22. JICA country profile on disability, Federal Democratic Republic of Ethiopia, March 2002.
  23. International Labour Organization, 2014 Available http://www.ilo.org (Accessed May 6/2015)
  24. Belachew Degefe Arasho, Zebenigus Mehila, Schaller Bernhard, Guta Zenebe  MD, Neurology Training and Practice in Ethiopia Sudanese Journal of Public Health: April 2008;3(2).
  25. B, Disability status in Ethiopia in 1984, 1994 and 2007 population and husing sensus.
  26. Handicap international, Addressing disability in Ethiopia though community based rehabilitation and hos[ital based physiotherapy services final report, 27/03/2006.
  27. Daniel Mont, Measuring disability prevalence, March 2007, SP discussion paper No. 0706 Available http://www.worldbank.org/sp (Accessed May 2/2015).
  28. Karen G. et-al On the constructs of quality Physiotherapy, Australian journal of Physiotherapy, 2000;46:3-7.
  29. Woolf A, Pfleger B. Burden of major musculoskeletal conditions, Bull World Health Organ 2003;81(9):646-656.
  30. Lin JJ, Hung CJ, Yang PL.The effects of scapular taping on electromyographic muscle activity and proprioception feedback in healthy shoulders. J Orthop Res 2011;29:53-7.

Cite this article: Rahul Krishnan Kutty, Hailay Gebremichael. EFFICACY OF NEUROMUSCULAR TAPING ALONG WITH CONVENTIONAL PHYSICAL THERAPY IN POST AMPUTATION PHANTOM PAIN MANAGEMENT: AN EXPERIMENTAL STUDY. Int J Physiother Res 2017;5(3):2002-2009. DOI: 10.16965/ijpr.2017.110
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