Comparing Effects of Kinesio and Dynamic Tapings in Postpartum Women With Pelvic Girdle Pain

About 45% of pregnant women and 25% of women postpartum suffer from Pelvic girdle pain. Pain is often reported to be localized between costal margin and gluteal fold with or without radiation to lower limb or symphysis pubic. Kinesio taping (KT) is the application of an elastic tape, for treating musculoskeletal conditions through enhancing muscle strength, relieving spasms, pain and edema, improving blood circulation and lymph reflux, as well as stabilizing joints. However, with limited evidence and a lack of well-designed study, the effects of KT in postpartum women with PGP remains unclear. Compared with KT, the dynamic taping(DT) is recently developed and has stronger elastic resistance and recoil. The DT may have better effects than the KT, although this notion has not been examined. In this study, we make a hypothesis that PGP women in the DT group would have better improvements on pain, disability, quality of life, and PFM functions than that in the KT group and control group.

Study Overview

• Status: Completed
• Conditions: Pelvic Girdle Pain
• Intervention / Treatment: Device: Dynamic taping; Device: Kinesio taping

Detailed Description

The main purpose for this study are to investigate the effects of KT and DT on pain, disability, physical functions, and quality of life, as well as PFM functions in postpartum women with PGP. 60 postpartum women with PGP will be randomized into one of the three groups:(1) kinesio taping group,(2) dynamic taping group (3)control group, and receive 4 weeks intervention. All participants will receive 3 assessments at the baseline, immediately after first taping session, and after 4-week interventions. The outcome measures will include Visual Analog Scale measures of pain intensity, Pelvic Girdle Questionnaire/ Oswestry Disability Index/ Patient specific functional scale measures and Global rating of change score. for disability. The quality of life will be measured by 36-item Short-Form Survey， The Physical functions include Active Straight Leg Raise Fatigue task , Time up and go test,10-meter walk test. The PFM functions will be measured by Modified Oxford grading scale and Perineometer. It is expected that PGP women in both the KT group and DT group will have more improvements than the control group. But the DT group will have even more improvements than the KT groups.

• Study Type: Interventional
• Enrollment (Actual): 57
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Yi-Ju Tsai; Phone Number: 5930 06-2353535; Email: lulilutsai@gmail.com

Study Locations

• Taiwan
  • Tainan, Taiwan, 701
    • National Cheng Kung University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

1. Age: > 20 year
2. Postpartum:≥ 3 months
3. Pain onset during pregnancy
4. Pain location is located between costal margin and gluteal fold with or without radiation to lower limb or symphysis pubic
5. Clinical screening test for pelvic pain :

Active Straight Leg Raising : positive

• 2 (+) posterior pelvic pain provocation tests (+ symphysis ≥ 1)

Exclusion Criteria:

1. BMI ≥ 30
2. lumbar or pelvic surgery
3. History of fracture
4. Radiculopathy or myopathy
5. Gynaecological disorders
6. Serious cardiovascular disease
7. Tumors
8. Diagnosed psychiatric disease
9. Ongoing pregnancy
10. Allergy to acrylic

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Dynamic taping group; stabilize the Sacroiliac joints and stimulate muscle contraction	Device: Dynamic taping; Dynamic taping: Invented by Kendrick,elasticised with multi-directional rebound and with strong elastic resistance and recoil than KT
Experimental: kinesio taping group; stabilize the Sacroiliac joints and stimulate muscle contraction	Device: Kinesio taping; Kinesio taping: Invented by Japan Dr.Kase, increase circulation by creating lifts skin,release pain and inflammation, stabilize joints
Placebo Comparator: control group; use Kinesio taping for placebo effect	Device: Kinesio taping; Kinesio taping: Invented by Japan Dr.Kase, increase circulation by creating lifts skin,release pain and inflammation, stabilize joints

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual Analog Scale	for pain	Change from baseline pain intensity up to 4 weeks
Pelvic Girdle Questionnaire	for disability	Change from disability baseline up to 4 weeks
Oswestry Disability Index	for disability	Change from baseline disability up to 4 weeks
Patient specific functional scale measures	for disability	Change from baseline disability up to 4 weeks
Global rating of change score	for disability	Change from baseline disability up to 4 weeks
36-item Short-Form Survey	for quality of life	Change from baseline quality of life up to 4 weeks
Active Straight Leg Raise Fatigue task	for Physical functions	Change from baseline Physical functions up to 4 weeks
Time up and go test	for Physical functions	Change from baseline Physical functions up to 4 weeks
10-meter walk test	for Physical functions	Change from baseline Physical functions up to 4 weeks
Modified Oxford grading scale	for PFM functions	Change from baseline PFM functions up to 4 weeks
Perineometer	for PFM functions	Change from baseline PFM functions up to 4 weeks

Collaborators and Investigators

• Sponsor: National Cheng Kung University

Study record dates

Study Major Dates

• Study Start (Actual): October 5, 2020
• Primary Completion (Actual): May 1, 2021
• Study Completion (Actual): May 1, 2021

Study Registration Dates

• First Submitted: April 27, 2021
• First Submitted That Met QC Criteria: April 30, 2021
• First Posted (Actual): May 5, 2021

Study Record Updates

• Last Update Posted (Actual): March 26, 2024
• Last Update Submitted That Met QC Criteria: March 24, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Keywords: Postpartum; Dynamic taping; Kinesio taping
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Musculoskeletal Pain; Pelvic Pain; Pelvic Girdle Pain
• Other Study ID Numbers: NCKU-Taping

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No