Investigating the use of taping for children with cerebral palsy.
Research type
Research Study
Full title
Elastic therapeutic taping (ETT) of the thigh in children with Cerebral Palsy and spastic hemiplegia or diplegia: A phase 1 trial investigating mechanisms of action and a phase 2 proof of concept cross over trial investigating the effects of ETT on neuromuscular impairment and walking
IRAS ID
244115
Contact name
Jonathan Marsden
Contact email
Sponsor organisation
University of Plymouth
Duration of Study in the UK
2 years, 0 months, 1 days
Research summary
Approximately 67% of children with Cerebral Palsy (CP) are able to walk with 70% having a presentation characterised by excessive stretch reflex activation (spasticity) and weakness(1). This increases energy expenditure and reduces participation in activities(2). Elastic therapeutic taping (ETT) is a potential adjunct to physiotherapy management that may reduce spasticity and improve muscle extensibility (length) in keeping with work in healthy adults(3). However, research investigating its effectiveness in CP is limited and lacks a theoretical basis. It is hypothesised that ETT alters somatosensory inputs which reduces stretch reflex size and thus the resistance to movements.
Following MRC guidelines for developing and evaluating complex interventions, we will investigate firstly the theoretical underpinnings of ETT and then investigate the immediate effects of ETT on impairment and function. In children with CP (n=15), the effects of 3 conditions (ventral thigh ETT; dorsal thigh ETT; no taping) on hamstring stretch reflex amplitude and latency elicited by stereotyped motor-driven stretches will be investigated. Secondly, we will undertake a proof of concept trial with 20 children with CP. ETT will be compared to no-taping. The immediate effects of ETT on hamstring extensibility, limb stiffness, the speed of knee bending and straightening while walking and ability to stand up from sitting will be assessed. This project will provide a theoretical basis for ETT and inform future clinical trials aimed at assessing the long term impact of ETT on ability and participation.
REC name
South West - Cornwall & Plymouth Research Ethics Committee
REC reference
18/SW/0180
Date of REC Opinion
5 Sep 2018
REC opinion
Favourable Opinion