SLPRCTCoDAS2024

Use of athletic tape in the speech-language-hearing treatment of post-stroke facial paralysis in the acute phase.

Raquel Karoline Gonçalves Amaral, Laélia Cristina Caseiro Vicente, Tatiana Simões Chaves and 1 others

PMID 38836824

WHAT IT FOUND

Three of four facial measurements showed no added benefit from taping over facial exercises alone after a stroke.

The tape group did better on the one taken nearest the tape, and all three groups improved, including those given no therapy.

Key findings

01The group given athletic tape plus facial muscle therapy improved more than either other group on the measurement running from the outer corner of the eye to the corner of the mouth, which is the one closest to where the tape was stuck (p = 0.002 against no treatment, p = 0.02 against therapy alone).

02The other three measurements (ear to mouth corner, inner eye corner to mouth corner, nose to inner eye corner) showed no significant difference between the three groups.

03Every group improved on at least one measurement, including the group that received no speech-language-hearing treatment at all, which the authors attribute to spontaneous recovery in the acute phase after stroke.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

No group received tape on its own, so the tape cannot be separated from the exercises, and the authors say a placebo effect cannot be ruled out. The clinician who took every measurement knew which group each patient was in, and she was also the one who applied the tape. Only one of the four facial measurements differed between groups; the other three did not. 32 of the 120 patients who consented were dropped before analysis because they were discharged early or got worse, so the results describe only those well enough to finish a 15-day admission. The study ran in one hospital stroke unit and measured outcomes only during the hospital stay, so nothing is reported about whether any gain lasted.

Declared interests

The authors declare no financial support and nothing to disclose. No funder is named.

The easy way to misread this

Do not read this as proof that the tape works. Only one of the four facial measurements separated the groups, the clinician taking that measurement knew who had tape, and the group given no therapy at all also improved, so part of every group's gain was recovery that happens on its own in the weeks after a stroke.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →