Is Kinesio Taping Effective for Knee Osteoarthritis? Randomised, Controlled, Double-blind Study

Doğan, Nesibe; YILMAZ>, Hayriye; Ince, Bugra; Akcay, Seniz

doi:10.29271/jcpsp.2022.11.1441

Cited by 3 publications

(9 citation statements)

References 5 publications

(12 reference statements)

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“…The intervention durations ranged from 1 to 12 weeks. Forty-five studies ( 39 , 41 , 43 – 46 , 49 – 55 , 58 , 60 , 62 , 64 – 66 , 68 , 69 , 73 , 74 , 78 , 79 , 82 , 85 , 86 , 88 – 96 , 100 , 101 , 104 , 107 – 111 ) reported follow-up durations ranging from 4 to 24 weeks. The nine non-drug therapies included extracorporeal shock waves (ESW), radiofrequency (RF), acupotomy (AT), laser therapy (LT), Tuina therapy (TT), kinesio taping (KT), electroacupuncture (EA), platelet-rich plasma injection (PRP), and ozone therapy (OT).…”

Section: Resultsmentioning

confidence: 99%

“…Of the 80 RCTs, 75 reported the generation of random sequences, whereas the remainder mentioned only random assignments. Thirty-three studies ( 34 – 36 , 39 , 41 , 43 – 47 , 53 – 56 , 59 – 61 , 64 , 69 , 71 , 72 , 75 , 77 , 80 , 86 , 89 , 96 , 98 , 105 – 107 ) using random number tables, 21 ( 42 , 49 , 50 , 63 , 65 , 66 , 70 , 74 , 78 , 82 , 88 , 90 , 92 – 95 , 100 , 101 , 103 , 104 , 109 ) using computer allocation randomization, 15 ( 40 , 51 , 57 , 58 , 67 , 73 , 79 , 81 , 83 , 91 , 97 , 99 , 108 , 110 , 111 ) using the envelope method, and one ( 102 ) study using the lottery method were all rated as low risk. Three ( 32 , 33 , 76 ) studies randomly selected patients according to different treatment methods, one ( 87 ) according to the patient’s wishes, and one ( 84 ) according to the order of admission, all of which were rated as high risk.…”

Section: Resultsmentioning

confidence: 99%

“…Three ( 32 , 33 , 76 ) studies randomly selected patients according to different treatment methods, one ( 87 ) according to the patient’s wishes, and one ( 84 ) according to the order of admission, all of which were rated as high risk. Thirty-five studies mentioned blinding: 14 ( 40 – 42 , 49 , 50 , 52 , 57 , 63 , 73 , 97 , 101 , 103 , 110 , 111 ) were single-blinded, 21 ( 43 , 51 , 58 , 62 , 64 – 66 , 74 , 78 , 79 , 81 , 82 , 88 – 92 , 94 , 95 , 104 , 108 ) were double-blinded, and 22 ( 40 , 51 , 57 , 58 , 62 , 64 , 66 , 67 , 73 , 79 , 81 , 83 , 91 , 92 , 94 , 97 , 99 , 101 , 103 , 108 , 110 , 111 ) used allocation concealment rated as low risk. The remaining studies did not mention blinding or allocation concealment.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 80 RCTs, 75 reported the generation of random sequences, whereas the remainder mentioned only random assignments. Thirty-three studies (34-36, 39, (40,51,57,58,67,73,79,81,83,91,97,99,108,110,111) using the envelope method, and one (102) study using the lottery method were all rated as low risk. Three (32,33,76) studies randomly selected patients according to different treatment methods, one (87) according to the patient's wishes, and one (84) according to the order of admission, all of which were rated as high risk.…”

Section: Risk Of Bias Assessmentsmentioning

confidence: 99%

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Effects of externally-applied, non-pharmacological Interventions on short- and long-term symptoms and inflammatory cytokine levels in patients with knee osteoarthritis: a systematic review and network meta-analysis

Wang,

Xu,

Wang

et al. 2023

Front. Immunol.

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BackgroundWith the continuous development of clinical medicine, an increasing number of non-pharmacological interventions have been applied for the treatment of knee osteoarthritis (KOA), with the results of several recent randomized controlled trials (RCTs) showing that a variety of externally-applied, non-pharmacological interventions (EANPI) can improve symptoms and inflammation in patients with KOA. However, the relative benefits and disadvantages of non-drug therapies remain uncertain, and an optimal treatment strategy has not yet been determined.ObjectiveThis study applied network meta-analysis (NMA) to compare and rank the effectiveness of EANPI on the short- and long-term clinical symptoms and inflammatory cytokine levels in patients with KOA.MethodsTwo independent researchers searched online databases and performed manual retrieval of related citations to identify RCTs that met the selection criteria for the network meta-analysis. These researchers retrieved studies indexed from database inception to August 2023 and performed data extraction and assessment of the risk of bias.ResultsThe analysis included 80 RCTs involving 8440 participants and nine externally-applied, non-pharmacological therapies, namely extracorporeal shock wave, radiofrequency, acupotomy, laser therapy, Tuina therapy, kinesio taping, electroacupuncture, platelet-rich plasma injection, and ozone therapy. The treatment courses ranged from 1 to 12 weeks, with follow-up periods ranging from 4 to 24 weeks. The results of the NMA indicated that each non-drug therapy was superior to sham intervention in improving all outcome indicators. Except for the visual analog scale (VAS) and Western Ontario MacMaster (WOMAC) pain outcomes, all non-drug therapies had better efficacy than pharmacological treatments. For short-term VAS and tumor necrosis factor-alpha (TNF-α), extracorporeal shock wave performed better than other therapies (90.2% and 85.2% respectively). Radiofrequency therapy may be the most promising method to reduce long-term VAS, short- and long-term WOMAC pain, and interleukin (IL)-1β level (84.8%, 97.8%, 90.1%, 94.8% respectively). Tuina therapy may be a significant choice for short- and long-term outcomes of WOMAC function and range of motion (ROM).ConclusionsThe results of the comprehensive comparison of the outcome indicators in 9 different EANPI indicated that radiofrequency and Tuina therapy were more effective and consistently ranked high in improving clinical symptoms in the short and long term. Radiofrequency is effective at relieving pain, and Tuina therapy can be given priority for treatment when hypofunction is the main symptom. EANPI to improve pain symptoms may be related to the regulation of inflammatory cytokine levels, which may be a potential mechanism of action.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?, identifier CRD42023464177.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Risk Of Bias Assessmentsmentioning

confidence: 99%

See 2 more Smart Citations

Effects of externally-applied, non-pharmacological Interventions on short- and long-term symptoms and inflammatory cytokine levels in patients with knee osteoarthritis: a systematic review and network meta-analysis

Wang,

Xu,

Wang

et al. 2023

Front. Immunol.

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“…Similar to prior studies on functional performance, range of motion and postural stability (Dogan et al, 2022; Wu et al, 2022; Öğüt et al, 2018); we evaluated dynamic balance and mobility using the TUG test. We observed a significant improvement in mobility scores before and after taping in both the KT group and the placebo group.…”

Section: Discussionmentioning

confidence: 99%

Acute Effect of Kinesiology Taping on Muscle Activation, Functionality and Proprioception in Patients With Knee Osteoarthritis: A Randomized Controlled Trial

Ataş,

Abit Kocaman,

Karaca

et al. 2023

Percept Mot Skills

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Data on the mechanism of kinesiology taping (KT) for providing mechanical support, facilitating or inhibiting muscles, and increasing functionality in the treatment of knee osteoarthritis (OA) have been contradictory, with no study evaluating acute muscle activation. Our aim in this study was to determine the acute effect of KT applied to the rectus femoris muscle on this muscle’s activation, functionality and proprioception in patients with knee osteoarthritis. We divided 40 individuals diagnosed with knee osteoarthritis into two groups: (a) KT group (taping with tension facilitation) and (b) a placebo group (taping with no tension facilitation). We applied taping to the participants’ left and right side rectus femoris muscles for 30 minutes, but with muscle facilitation in the KT group and without tension in the placebo group. We assessed participants for muscle activation with surface electromyography (sEMG), for functionality with the Timed Up and Go Test (TUG), and for proprioception/joint sense with the Five Times Sit-to-Stand Test (5TSTS) before and after taping. Demographic and clinical characteristics of the groups before these interventions were similar ( p > .05). Muscle activation did not change significantly in either group compared to before taping ( p > .05), but there were improvements in both knees for proprioception/joint sense ( p < .05). Both groups were similar in terms of functionality (5TSTS, TUG) results ( p > .05). We concluded that KT applied bilaterally to the rectus femoris did not affect rectus femoris muscle activation and functionality in patients with knee OA, but it did improve proprioception.

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Minimal clinically important change of knee flexion in people with knee osteoarthritis after non-surgical interventions using a meta-analytical approach

Silva,

Woodward,

Fearon

et al. 2024

Syst Rev

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Background Minimal clinically important change (MCIC) represents the minimum patient-perceived improvement in an outcome after treatment, in an individual or within a group over time. This study aimed to determine MCIC of knee flexion in people with knee OA after non-surgical interventions using a meta-analytical approach. Methods Four databases (MEDLINE, Cochrane, Web of Science and CINAHL) were searched for studies of randomised clinical trials of non-surgical interventions with intervention duration of ≤ 3 months that reported change in (Δ) (mean change between baseline and immediately after the intervention) knee flexion with Δ pain or Δ function measured using tools that have established MCIC values. The risk of bias in the included studies was assessed using version 2 of the Cochrane risk-of-bias tool for randomised trials (RoB 2). Bayesian meta-analytic models were used to determine relationships between Δ flexion with Δ pain and Δ function after non-surgical interventions and MCIC of knee flexion. Results Seventy-two studies (k = 72, n = 5174) were eligible. Meta-analyses included 140 intervention arms (k = 61, n = 4516) that reported Δ flexion with Δ pain using the visual analog scale (pain-VAS) and Δ function using the Western Ontario and McMaster Universities Osteoarthritis Index function subscale (function-WOMAC). Linear relationships between Δ pain at rest-VAS (0–100 mm) with Δ flexion were − 0.29 (− 0.44; − 0.15) (β: posterior median (CrI: credible interval)). Relationships between Δ pain during activity VAS and Δ flexion were − 0.29 (− 0.41, − 0.18), and Δ pain-general VAS and Δ flexion were − 0.33 (− 0.42, − 0.23). The relationship between Δ function-WOMAC (out of 100) and Δ flexion was − 0.15 (− 0.25, − 0.07). Increased Δ flexion was associated with decreased Δ pain-VAS and increased Δ function-WOMAC. The point estimates for MCIC of knee flexion ranged from 3.8 to 6.4°. Conclusions The estimated knee flexion MCIC values from this study are the first to be reported using a novel meta-analytical method. The novel meta-analytical method may be useful to estimate MCIC for other measures where anchor questions are problematic. Systematic review registration PROSPERO CRD42022323927.

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Is Kinesio Taping Effective for Knee Osteoarthritis? Randomised, Controlled, Double-blind Study

Abstract: Objective: To determine the effects of Kinesio taping on pain, functional performance, range of motion, and postural stability in patients with knee osteoarthritis. Study Design: Randomised double-blind controlled trial.

Cited by 3 publications

References 5 publications

Effects of externally-applied, non-pharmacological Interventions on short- and long-term symptoms and inflammatory cytokine levels in patients with knee osteoarthritis: a systematic review and network meta-analysis

Effects of externally-applied, non-pharmacological Interventions on short- and long-term symptoms and inflammatory cytokine levels in patients with knee osteoarthritis: a systematic review and network meta-analysis

Acute Effect of Kinesiology Taping on Muscle Activation, Functionality and Proprioception in Patients With Knee Osteoarthritis: A Randomized Controlled Trial

Minimal clinically important change of knee flexion in people with knee osteoarthritis after non-surgical interventions using a meta-analytical approach

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