The effect of Kinesio Taping on hand grip and active range of motion of hand in children with Cerebral Palsy

Zabih Allah rasti, alireza shamsoddini, Hamid Dalvand, sina labaf




Objective: Kinesio taping is a relatively new technique which uses in rehabilitation of neurologic disease. The aim of this study was to investigate the effects of kinesio taping on hand grip and active range of motion of hand in children with Cerebral Palsy.

Materials and Methods: In experimental study with pre-test and three post-test, Thirty two children with cerebral palsy randomly were placed in experimental (n=17) and control group (n=15).  Kinesio taping was applied on dorsum of forearm and hand. Evaluation was performed initially, two days after taping and two days after tape removal. Goniometer was used to evaluate active range of motion of wrist extension. Also, vigorimeter was used to evaluate of grip strength.

Results: In all variable, data showed that in pre-test there is no difference between groups but in post-tests; initially after application of taping with p<0.05, two days after application of taping with p<0.05 and follow-up (two days after removed taping) with p<0.05 were significantly differences between trial and control group.

Conclusion: Kinesio taping in neurorehabilitation of children with cerebral palsy can be a useful option to promote power or grip strength and active range of motion of wrist and thumb. 


Cerebral palsy; Kinesio Taping; Grip strength; Range of motion

Full Text:




Shamsoddini A, Amirsalari S, Hollisaz M-T, Rahimnia A, Khatibi-Aghda A. Management of Spasticity in Children with Cerebral Palsy. Iran J Pediatr. 2014;24(4):345-51.

Shamsoddini A. Comparison between the effect of neurodevelopmental treatment and sensory integration therapy on gross motor function in children with cerebral palsy. Iranian Journal of Child Neurology. 2010;4(1):31-8.

Gage J. Analysis in cerebral palsy. London: Clinics in developmental medicine; 1991.

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.

Amirsalari S, Dalvand H, Dehghan L, Feizy A, Hosseini SA, Shamsoddini A. The efficacy of botulinum toxin type A injection in the hamstring and calf muscles with and without serial foot casting in gait improvement in children with cerebral palsy (in persion). Tehran Univ Med J. 2011;69(8):509-17.

Yasukawa A, Patel P, Sisung C. Pilot study: investigating the effects of Kinesio Taping in an acute pediatric rehabilitation setting. Am J Occup Ther. 2006;60(1):104-10.

Burtner PA, Poole JL, Torres T, Medora AM, Abeyta R, Keene J, et al. Effect of wrist hand splints on grip, pinch, manual dexterity, and muscle activation in children with spastic hemiplegia: a preliminary study. J Hand Ther. 2008;21(1):36-42; quiz 3.

Sadeghi moghadam R, lajvardi L. effect of wrist kinesio taping on hand function in children with diplegic spastic cerebral palsy (in persion). Journal of novin rehabilitation. 1391;6(1):26-31.

Pfeifer LI, Santos TR, Silva DB, Panuncio Pinto MP, Caldas CA, Santos JL. Hand function in the play behavior of children with cerebral palsy. Scand J Occup Ther. 2014;21(4):241-50.

Beckung E, Hagberg G. Neuroimpairments, activity limitations, and participation restrictions in children with cerebral palsy. Dev Med Child Neurol. 2002;44(5):309-16.

Keklicek H, Uygur F, Yakut Y. Effects of taping the hand in children with cerebral palsy. Journal of Hand Therapy. 2015;28(1):27-33.

Bhardwaj P, Nayak SS, Kiswar AM, Sabapathy SR. Effect of static wrist position on grip strength. Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India. 2011;44(1):55-8.

O'Driscoll SW, Horii E, Ness R, Cahalan TD, Richards RR, An KN. The relationship between wrist position, grasp size, and grip strength. J Hand Surg Am. 1992;17(1):169-77.

Parvatikar V, Mukkannavar P. Comparative study of grip strength in different positions of shoulder and elbow with wrist in neutral and extension positions. Journal of Exercise Science & Physiotherapy. 2009;5(2):67-75.

case-Smith J, O'Brien J. Occupational therapy for children. Maryland: Mosby Elsevier; 2010.

Kalantari M, Hasani M, Hasani K, Taghizade G. Evaluation of Hand Stereognosis Level in 3-6 years Old Children with Spastic Hemiplegia and Diplegia (in persion). journal of rehabilitation summer 2013;14 no.2:93-101.

Steultjens EM, Dekker J, Bouter LM, van de Nes JC, Cup EH, van den Ende CH. Occupational therapy for stroke patients: a systematic review. Stroke. 2003;34(3):676-87.

Löwing K, Thews K, Haglund-Åkerlind Y, Gutierrez-Farewik EM. Effects of Botulinum Toxin-A and Goal-Directed Physiotherapy in Children with Cerebral Palsy GMFCS Levels I & II. Physical & Occupational Therapy In Pediatrics. 2016:1-15.

Cao J, Khan B, Hervey N, Tian F, Delgado MR, Clegg NJ, et al. Evaluation of cortical plasticity in children with cerebral palsy undergoing constraint-induced movement therapy based on functional near-infrared spectroscopy. Journal of biomedical optics. 2015;20(4):046009-.


Mazzone S, Serafini A, Iosa M, Aliberti MN, Gobbetti T, Paolucci S, et al. Functional taping applied to upper limb of children with hemiplegic cerebral palsy: a pilot study. Neuropediatrics. 2011;42(6):249-53.

Wong EC, Man DW. Gross motor function measure for children with cerebral palsy. International Journal of Rehabilitation Research. 2005;28(4):355-9.

Basu AP, Pearse J, Kelly S, Wisher V, Kisler J. Early intervention to improve hand function in hemiplegic cerebral palsy. Improving outcomes in cerebral palsy with early intervention: new translational approaches. 2015:147.

Novak I, Mcintyre S, Morgan C, Campbell L, Dark L, Morton N, et al. A systematic review of interventions for children with cerebral palsy: state of the evidence. Developmental Medicine & Child Neurology. 2013;55(10):885-910.

Choi YK, Nam CW, Lee JH, Park YH. The Effects of Taping Prior to PNF Treatment on Lower Extremity Proprioception of Hemiplegic Patients. J Phys Ther Sci. 2013;25(9):1119-22.

LABAF S, SHAMSODDINI A, HOLLISAZ MT, SOBHANI V, Shakibaee A. Effects of Neurodevelopmental Therapy on Gross Motor Function in Children with Cerebral Palsy. Iranian journal of child neurology. 2015;9(2):36.

Shamsoddini A, Hollisaz M. Effect of sensory integration therapy on gross motor function in children with cerebral palsy. Iran J Child Neurol. 2009;3(1):43-8.

Lee SH, Shim JS, Kim K, Moon J, Kim M. Gross Motor Function Outcome After Intensive Rehabilitation in Children With Bilateral Spastic Cerebral Palsy. Annals of rehabilitation medicine. 2015;39(4):624-9.

Shamsoddini A, HOLISAZ M. Comparison of immediate effect of taping technique and counterforce brace on muscle strength and range of motion, wrist extension and eorearm supination of patients with tennis elbow. ANNALS OF MILITARY AND HEALTH SCIENCES RESEARCH. 2006;4(3):873-6.

Zabih Allah Rasti Mk, Alireza Shamsoddini. Effects of Kinesio Taping Technique in children with Cerebral Palsy: review. Journal of Rehabilitation Medicine 2016;5(1):235-43.

Shamsoddini A, Hollisaz MT, Hafezi R, Amanellahi A. Immediate Effects of Counterforce Forearm Brace on Grip Strength and Wrist Extension Force in Patients With Lateral Epicondylosis. Hong Kong Journal of Occupational Therapy. 2010;1(20):8-12.

Taylor RL, O'Brien L, Brown T. A scoping review of the use of elastic therapeutic tape for neck or upper extremity conditions. J Hand Ther. 2014;27(3):235-46.

Mackin E, Callahan A, Skirven T, Schneider L. Rehabilitation of the hand and upper extremity. United States of America: Mosby; 2002.

Jaraczewska E, Long C. Kinesio taping in stroke: improving functional use of the upper extremity in hemiplegia. Top Stroke Rehabil. 2006;13(3):31-42.

Shamsoddini A HM, Azad A, Keyhani M. Comparison of initial effect of taping technique and Counterforce brace on pain and grip strength of patients with lateral epicondylitis (in persion). Journal of Rehabilitation. 2006;7(1):38-42.

Yi-Liang K, Yueh-Chu H. Effects of the Application Direction of Kinesio Taping on Isometric Muscle Strength of the Wrist and Fingers of Healthy Adults — A Pilot Study. Journal of Physical Therapy Science. 2013;25(3):287–91.

Shamsoddini A, Hollisaz MT. Effects of Taping on Pain, Grip Strength and Wrist Extension Force in Patients with Tennis Elbow. Trauma monthly. 2013;18(2):71.

Shamsoddini A, Hollisaz MT, Hafezi R. Initial effect of taping technique on wrist extension and grip strength and pain of Individuals with lateral epicondylitis. Iranian Rehabilitation Journal. 2010;8(11):24-8.

Simsek TT, Turkucuoglu B, Cokal N, Ustunbas G, Simsek IE. 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.

Irwin CB, Sesto ME. Reliability and validity of the multiaxis profile dynamometer with younger and older participants. J Hand Ther. 2010;23(3):281-8; quiz 9.

Molenaar HM, Zuidam JM, Selles RW, Stam HJ, Hovius SE. Age-specific reliability of two grip-strength dynamometers when used by children. J Bone Joint Surg Am. 2008;90(5):1053-9.

Mitchell J. A measurement of hand function in the normal child and the cerebral palsied child. The Australian journal of physiotherapy. 1976;22(4):161-5.

Lee J-h, Yoo W-g, An D-h. The Effects of Extensor Pattern Position and Elastic Taping of Non-Dominant Hand on the Grip Strength of Dominant Hand. Physical Therapy Korea. 2009;16(4):8-15.

Gajdosik RL, Bohannon RW. Clinical measurement of range of motion. Review of goniometry emphasizing reliability and validity. Physical therapy. 1987;67(12):1867-72.

Pendleton H, Schultz-Krohn W. Occupational therapy practice skills for physical dysfunction. California: Mosby Elsevier; 2006.

Pendleton H, Schultz-Krohn W. Occupational therapy practice skills for physical dysfunction. 2006:461.

Herrero P, Carrera P, Garcia E, Gomez-Trullen EM, Olivan-Blazquez B. Reliability of goniometric measurements in children with cerebral palsy: a comparative analysis of universal goniometer and electronic inclinometer. A pilot study. BMC Musculoskelet Disord. 2011;12:155.

Mutlu A, Livanelioglu A, Gunel MK. Reliability of goniometric measurements in children with spastic cerebral palsy. Medical science monitor : international medical journal of experimental and clinical research. 2007;13(7):CR323-9.

Speth LA, Leffers P, Janssen-Potten YJ, Vles JS. Botulinum toxin A and upper limb functional skills in hemiparetic cerebral palsy: a randomized trial in children receiving intensive therapy. Developmental medicine and child neurology. 2005;47(7):468-73.

Demirel A, Tunay Bayrakcı V. The effect of kinesio tape on active wrist range of motion in children with cerebral palsy: a pilot study. Journal of Orthopedics. 2014;6(2):69-74.

Women's NCCf, Health Cs. Spasticity in children and young people with non-progressive brain disorders: Management of spasticity and co-existing motor disorders and their early musculoskeletal complications. 2012.

Pendleton H, Schultz-Krohn W. Occupational therapy practice skills for physical dysfunction. California: Mosby Elsevier; 2006. 1011 p.

Eliasson AC, Ekholm C, Carlstedt T. Hand function in children with cerebral palsy after upper-limb tendon transfer and muscle release. Dev Med Child Neurol. 1998;40(9):612-21.

Kaya Kara O, Atasavun Uysal S, Turker D, Karayazgan S, Gunel MK, Baltaci G. The effects of Kinesio Taping on body functions and activity in unilateral spastic cerebral palsy: a single-blind randomized controlled trial. Dev Med Child Neurol. 2015;57(1):81-8.

Morris D, Jones D, Ryan H, Ryan C. The clinical effects of Kinesio® Tex taping: A systematic review. Physiotherapy theory and practice. 2013;29(4):259-70.

Kase K. Until today from birth of Kinesio taping method. Albuquerque, NM: KMS. 2001;200:7-30.

Chitaria SB, Narayan A, Ganesan S, Biswas N. Short-Term Effects of Kinesiotaping on Fine Motor Function in Children with Cerebral Palsy−A Quasi-Experimental Study. Crit Rev Phys Rehabil Med. 2015;27(1):43-52.

Lemos TV, Pereira KC, Protássio CC, Lucas LB, Matheus JPC. The effect of Kinesio Taping on handgrip strength. Journal of Physical Therapy Science. 2015;27(3):567-70.

Zeynep Bahadır Ağce, Sedef Karayazgan, Özge Müzezzinoğlu MY, Hatice Abaoğlu, Akel S. Effect of wrist correction kinesio taping application on hand span in children with cerebral palsy. Developmental Medicine & Child Neurology. 2015;57(Supplement S5):30-.

Chitaria SB, Narayan A, Ganesan S, Biswas N. Short-Term Effects of Kinesiotaping on Fine Motor Function in Children with Cerebral Palsy− A Quasi-Experimental Study. Critical Reviews™ in Physical and Rehabilitation Medicine. 2015;27(1).

Chang HY, Chou KY, Lin JJ, Lin CF, Wang CH. Immediate effect of forearm Kinesio taping on maximal grip strength and force sense in healthy collegiate athletes. Phys Ther Sport. 2010;11(4):122-7.

Kouhzad Mohammadi H, Khademi Kalantari K, Naeimi SS, Pouretezad M, Shokri E, Tafazoli M, et al. Immediate and delayed effects of forearm kinesio taping on grip strength. Iran Red Crescent Med J. 2014;16(8):e19797.



  • There are currently no refbacks.

Copyright (c) 2017 Iranian Journal of Child Neurology