Kinesio Taping Versus Interferential Current Therapy in Treating Knee Osteoarthritis

March 3, 2024 updated by: Norhan Elsaid Ahmed Elsaid, Cairo University

Kinesio Taping Versus Interferential Current Therapy in Treating Knee Osteoarthritis: a Comparative Study

The purpose of this study will be to compare the combined effect of using Kinesio taping versus interferential current with an exercise program on knee pain, function, knee range of motion, knee muscle strength, and functional mobility in chronic knee osteoarthritis.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

Knee osteoarthritis (KOA) is the most common form of degenerative joint disease affecting 15%-40% of people over 40 years of age. In 2020, the global incidence of KOA was 86.7 million individuals. KOA is responsible for substantial health and economic costs. KOA is the most common cause of pain and disability among older persons. The key symptoms of KOA are pain, functional disability, and decreased patient quality of life through its negative effects on mobility, mood, and sleep. Other symptoms are swelling, stiffness, joint deformity, and muscular atrophy.

The Treatment goals for KOA are to decrease pain and improve physical function. Physical therapy decreased pain and functional disability in patients with KOA. The therapeutic techniques include therapeutic exercises, electrotherapy, and manual therapy. Several meta-analysis and systematic reviews have evidence of various types of exercises including aerobic and resistance exercises which is effective in reducing pain and functional disabilities in a patient with KOA especially quadriceps muscle strengthening with open and closed chain training. Specific recommendations including physical activity, reducing body weight, reducing sedentary time, and managing diabetes disease can improve function and symptoms of KOA. To improve the individual's function, and reduce pain and disability, several interventions had been investigated to promote physical activity.

Kinesio taping (KT) is a conservative therapeutic technique used for the treatment of several musculoskeletal disorders which has increased attention from physicians and physiotherapists in recent years. KT, first introduced in 1979 in Japan, is used for the treatment and prevention of several sports injuries and several clinical conditions. In 2011, KT is recommended by the American College of Rheumatology (ACR) for the treatment of patients with knee OA, and it is commonly used to treat knee OA.

Kinesio taping (KT) is an alternative taping technique which is an elastic woven cotton strip with heat-sensitive acrylic adhesive, a high-stretch elastic adhesive material, it is applied directly to the skin and can be left on the skin for several days due to its strong adherence. The application of KT for four weeks can reduce the pain so the patient can reduce the use pain killers. Kinesio taping (KT) is a low-cost, safe, noninvasive, non-pharmacological method, that has minimal side effects and can be a convenient option for the treatment of musculoskeletal disorders such as knee OA.

Interferential current (IFC) is a simple, non-invasive, non-pharmacological, more comfortable treatment used to relieve pain. IFC known as kilohertz-frequency alternating current, which is a pair of signal generators with one fixed frequency of 4000 Hz and the other varying in frequency between 4000 and 4250 Hz. IFC can reduce skin impedance, reach deeper tissue, and can be utilized as an alternative medication or supplement to drugs in treating pain. IFC is the most effective pain relief treatment for the management of KOA.

Exercises play a major role in treating patients with KOA; it can improve both pain and function. Therefore What about comparing the application of kinesio taping combined with exercises versus the IFC therapy combined with exercises in treating patients with KOA?

Study Type

Interventional

Enrollment (Estimated)

48

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Forty-eight Male and female patients aged between 40 and 65 years old were diagnosed clinically and radiologically as knee osteoarthritis grade mild and moderate chronic knee osteoarthritis.
  • BMI ranges between 20 and 32 kg/m2.
  • Knee OA grades 1 and 2 are based on Kellgren and Lawrence's grades. Narrowing of joint space, definite osteophytes.
  • Unilateral knee osteoarthritis.

  • Knee pain for most days of the prior month, in addition to at least 3 of the following:

    1. Crepitus on active joint motion
    2. Morning stiffness less than 30 minutes duration
    3. Age older than 50 years
    4. Bony enlargement of the knee on examination
    5. Bony tenderness of the knee on examination
    6. No palpable warmth.

Exclusion Criteria:

  • Patients having the following conditions will be excluded from the study:

    • Comorbidities such as (rheumatoid arthritis, cancer, osteoporosis, and joint infection).
    • Previous surgery for knee OA.
    • BMI more than 33 kg/m2.
    • Suffering from polyarticular disease.
    • Severe mechanical deformity (diaphyseal Varus deformity of 4° and valgus of 16°).
    • Previous arthroscopy within the last year.
    • Systemic autoimmune rheumatoid disease (connective tissue disease and systemic necrotizing vasculitis).

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Other: Control group
Other: exercise
exercise only
Experimental: interferential current plus exercise
interferential current plus exercise group
Device: interferential current
IFC plus exercise
Other Names:
  • IFC
Experimental: kinesio taping plus exercise
kinesio taping plus exercise group
Other: kinesio taping
KT plus exercise
Other Names:
  • KT

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
knee flexion range of motion
Time Frame: pre-intervention and after 4 weeks of treatment
to measure Knee joint active range of motion (flexion) by universal goniometer
pre-intervention and after 4 weeks of treatment
knee extension range of motion
Time Frame: pre-intervention and after 4 weeks of treatment
to measure Knee joint active range of motion (extension) by universal goniometer
pre-intervention and after 4 weeks of treatment
quadriceps muscle strength
Time Frame: pre-intervention and after 4 weeks of treatment
to test the isometric quadriceps muscle strength by hand-held dynamometer
pre-intervention and after 4 weeks of treatment
The Western Ontario and McMaster Universities Osteoarthritis Index
Time Frame: pre-intervention and after 4 weeks of treatment
to measure knee function and knee pain degree
pre-intervention and after 4 weeks of treatment
Timed up and go test
Time Frame: pre-intervention and after 4 weeks of treatment
to measure knee function mobility by the Timed up and go test
pre-intervention and after 4 weeks of treatment

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Cairo University

Investigators

  • Principal Investigator: Salwa Fadl Abd Elmageed, Prof.Dr, Professor at Department of Physical Therapy for Musculoskeletal Disorders and Its Surgery

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

June 25, 2024

Primary Completion (Estimated)

June 1, 2025

Study Completion (Estimated)

September 1, 2025

Study Registration Dates

First Submitted

February 18, 2024

First Submitted That Met QC Criteria

February 28, 2024

First Posted (Actual)

March 1, 2024

Study Record Updates

Last Update Posted (Actual)

March 5, 2024

Last Update Submitted That Met QC Criteria

March 3, 2024

Last Verified

March 1, 2024

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • Treating knee osteoarthritis

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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