Abstract

Glenohumeral subluxation has long plagued stroke individuals, and effective treatments remain to be further explored. In this study, we systematically evaluated the therapeutic effect of applying the kinesiology tape on glenohumeral subluxation after stroke. Randomized controlled trials on the application of kinesiology tape participation therapy in glenohumeral subluxation after stroke were collected by searching condition based maintenance, VIrus Protein database, WanFang database, China National Knowledge Infrastructure, PubMed, Embase and Cochrane library for the period of time from the establishment of the library to March 2024, which was the time period for the search. After screening the literature, Review Manager 5.4 software was used to perform meta-analysis of the data results of the outcome indicators in the included literature, and only descriptive analyses were performed for trials with effect sizes that could not be combined. A total of nine literatures were included. Meta-analysis results showed that eight randomized controlled trials that chose upper extremity Fugl-Meyer assessment rating as the outcome indicator scored better in the experimental group than in the control group after the application of kinesiology tape (95 % confidence interval (5.48, 12.46), p<0.0001); six randomized controlled trials that measured acromiohumeral interval values of the study subjects were unable to demonstrate that the experimental group scored better than in the control group after the application of kinesiology tape (95 % confidence interval (-3.84, 2.39), p=0.65), and after sensitivity analysis, two papers were excluded to re-run the meta-analysis, and the results proved that the difference between the data of the four papers was statistically significant (95 % confidence interval (-4.06, -2.50), p<0.05); the 4 randomized controlled trials that selected the modified Barthel index as an outcome indicator scored better in the experimental group than in the control group after the application of kinesiology tape (95 % confidence interval (1.69, 14.45), p=0.01). Clinical evidence from randomized controlled trials at this stage suggests that kinesiology tape is effective in improving disease progression in stroke glenohumeral subluxation.