Eight-point binding as a physical therapeutic resource for rehabilitation of functional performance after a stroke

A stroke may leave neurological, motor and sensory sequelae, interfering with the function of movements and culminating in gait and balance changes. Therefore, it is necessary to demonstrate the efficacy of eight-point binding, a low-cost technique that functions to provide proprioceptive information and promote the biomechanical alignment of the ankle, acting against mechanisms that lead to equinovarus foot. This study aims to determine the immediate effect of eight-point binding as a physical therapy resource for the rehabilitation of function performance after a stroke. To this end, 22 patients who were able to walk alone without an orthosis were evaluated, and performed the Timed Up and Go (TUG) functional mobility test, a gait speed assessment and the Berg Balance Scale, with and without the eight-point binding in the paretic lower limb. When comparing the results after the eight-point binding, it was possible to observe a statistically significant difference (p<0.05) in all of the studied variables. After analyzing the results, it was concluded that after a single application of eight-point binding, it is possible to identify statistically significant improvement in gait speed, functional mobility and balance after a stroke.

脑卒中（stroke）可遗留神经、运动及感觉后遗症，干扰运动功能，最终导致步态与平衡功能异常。因此，有必要验证八点绑定疗法（eight-point binding）的临床疗效：该技术成本低廉，可提供本体感觉信息，促进踝关节生物力学对位，对抗导致马蹄内翻足（equinovarus foot）的病理机制。本研究旨在明确八点绑定疗法作为物理康复手段，对脑卒中后运动功能恢复的即时效应。为此，本研究纳入22名无需矫形器即可独立行走的脑卒中患者，分别在偏瘫侧下肢应用与未应用八点绑定疗法的状态下，对其实施计时起身行走（Timed Up and Go, TUG）功能移动能力测试、步态速度评估以及伯格平衡量表（Berg Balance Scale）测评。对比应用八点绑定疗法后的测评结果，可观察到所有研究变量均存在统计学意义上的显著差异（p<0.05）。经结果分析后可得出结论：单次应用八点绑定疗法后，脑卒中患者的步态速度、功能移动能力与平衡功能均可获得具有统计学意义的显著改善。