Kinesio Taping Relieves Pain and Improves Isokinetic Not Isometric Muscle Strength in Patients with Knee Osteoarthritis-A Systematic Review and Meta-Analysis

Hsin-Yu Mao, Meng-Tzu Hu, Yea-Yin Yen, Shou-Jen Lan, Shin-Da Lee, Hsin-Yu Mao, Meng-Tzu Hu, Yea-Yin Yen, Shou-Jen Lan, Shin-Da Lee

Abstract

This study investigated the effects of kinesio taping (KT) or KT plus conventional therapy on pain, muscle strength, funrefction, and range of motion in patients with knee osteoarthritis (OA). Data sources: Databases included PubMed, Ovid Medline, CINAHL, Airiti Library, EMBASE, and WOS search engines. Search terms related to KT and knee OA were combined and searched. Articles that met the inclusion criteria and were graded with a Jadad score ≥3 were included in a meta-analysis to calculate the total effect. The exclusion criteria were non-English-language articles, non-original articles, non-full-text articles, no description of the intervention, or articles with a Jadad score ≤2. Eleven articles were included in the meta-analysis. KT treatment had a significant small total effect on pain reduction (p < 0.001; n = 1509; standardized mean difference (SMD) = -0.42; 95% CI = -0.65 to -0.18) and a significant moderate total effect on isokinetic muscle strength improvement (p = 0.001; n = 447; SMD = 0.72; 95% CI = 0.28 to 1.16). No significant total effects of KT on isometric muscle strength, time to complete functional tasks, or ROM improvement were found. KT or KT plus conventional therapy has a significant effect on pain relief and isokinetic but not isometric muscle strength improvement in patients with knee OA. KT can be an effective tool for treating knee OA pain and is especially valuable for aiding in isokinetic muscle strength. (PROSPERO register ID: CRD42021252313).

Keywords: degenerative joint disease; isokinetic torque; kinesiology tape; pain.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flowchart of literature search (OA = osteoarthritis; TKR = total knee replacement; KT = kinesio tape).
Figure 2
Figure 2
Pooled estimate of effects on pain with kinesio taping ** p < 0.05 (n = number of subjects; SMD = standard mean difference; CI = confidence interval; SSCT = standardized stair climbing task; df = degree of freedom).
Figure 3
Figure 3
Pooled estimate of the effects of kinesio taping in peak isokinetic torque and maximal isometric strength measured by HHD ** p < 0.05 (n = number of subjects; SMD = standard mean difference; flex. = flexion; ext. = extension; MVIC = maximal voluntary isometric contraction; df = degree of freedom; HHD = handheld dynamometer).
Figure 4
Figure 4
Pooled estimate of the effects of kinesio taping in completing functional tasks and range of motion (n = number of subjects; SMD = standard mean difference; SSCT = standardized stair climbing task; ROM = range of motion; AROM = active range of motion; int. = internal, ext. = external; df = degree of freedom).

References

    1. Fransen M., McConnell S., Bell M.M. Exercise for osteoarthritis of the hip or knee. Cochrane Database Syst. Rev. 2001:1–128. doi: 10.1002/14651858.CD004376.
    1. Xie F., Kovic B., Jin X., He X., Wang M., Silvestre C. Economic and humanistic burden of osteoarthritis: A systematic review of large sample studies. Pharmacoeconomics. 2016;34:1087–1100. doi: 10.1007/s40273-016-0424-x.
    1. Jongbloed L., van Twist D., Swart N. Kinesio Taping Improves Pain, Range of Motion, and Proprioception in Older Patients With Knee Osteoarthritis. Am. J. Phys. Med. Rehabil. 2016;95:e7. doi: 10.1097/PHM.0000000000000393.
    1. Donec V., Kriščiūnas A. The effectiveness of Kinesio Taping® after total knee replacement in early postoperative rehabilitation period. A randomized controlled trial. Eur. J. Phys. Rehabil. Med. 2014;50:363–371.
    1. Huang C.-Y., Hsieh T.-H., Lu S.-C., Su F.-C. Effect of the Kinesio tape to muscle activity and vertical jump performance in healthy inactive people. Biomed. Eng. Online. 2011;10:70. doi: 10.1186/1475-925X-10-70.
    1. Anandkumar S., Sudarshan S., Nagpal P. Efficacy of kinesio taping on isokinetic quadriceps torque in knee osteoarthritis: A double blinded randomized controlled study. Physiother. Theory Pract. 2014;30:375–383. doi: 10.3109/09593985.2014.896963.
    1. Campolo M., Babu J., Dmochowska K., Scariah S., Varughese J. A comparison of two taping techniques (kinesio and mcconnell) and their effect on anterior knee pain during functional activities. Int. J. Sports Phys. Ther. 2013;2:105–110.
    1. Kim H., Lee B. The effects of kinesio tape on isokinetic muscular function of horse racing jockeys. J. Phys. Ther. Sci. 2013;25:1273–1277. doi: 10.1589/jpts.25.1273.
    1. Serra M.V., Vieira E.R., Brunt D., Goethel M.F., Gonçalves M., Quemelo P.R. Kinesio Taping effects on knee extension force among soccer players. Braz. J. Phys. Ther. 2015;19:152–158. doi: 10.1590/bjpt-rbf.2014.0075.
    1. Murray H. Effects of kinesio taping on muscle strength after ACL-repair. J. Orthop. Sports Phys. 2000;30:14.
    1. de Almeida Lins C.A., Neto F.L., de Amorim A.B.C., de Brito Macedo L., Brasileiro J.S. Kinesio Taping® does not alter neuromuscular performance of femoral quadriceps or lower limb function in healthy subjects: Randomized, blind, controlled, clinical trial. Man. Ther. 2013;18:41–45. doi: 10.1016/j.math.2012.06.009.
    1. Parreira P.D.C.S., Costa L.D.C.M., Junior L.C.H., Lopes A.D., Costa L.O.P. Current evidence does not support the use of Kinesio Taping in clinical practice: A systematic review. J. Physiother. 2014;60:31–39. doi: 10.1016/j.jphys.2013.12.008.
    1. Logan C.A., Bhashyam A.R., Tisosky A.J., Haber D.B., Jorgensen A., Roy A., Provencher M.T. Systematic review of the effect of taping techniques on patellofemoral pain syndrome. Sports Health. 2017;9:456–461. doi: 10.1177/1941738117710938.
    1. Chang W.-D., Chen F.-C., Lee C.-L., Lin H.-Y., Lai P.-T. Effects of Kinesio taping versus McConnell taping for patellofemoral pain syndrome: A systematic review and meta-analysis. Evid. Based Complement. Altern. Med. 2015;2015:471208. doi: 10.1155/2015/471208.
    1. Yam M.L., Yang Z., Zee B.C.-Y., Chong K.C. Effects of Kinesio tape on lower limb muscle strength, hop test, and vertical jump performances: A meta-analysis. BMC Musculoskelet. Disord. 2019;20:212. doi: 10.1186/s12891-019-2564-6.
    1. Lu Z., Li X., Chen R., Guo C. Kinesio taping improves pain and function in patients with knee osteoarthritis: A meta-analysis of randomized controlled trials. Int. J. Surg. 2018;59:27–35. doi: 10.1016/j.ijsu.2018.09.015.
    1. Jadad A.R., Moore R.A., Carroll D., Jenkinson C., Reynolds D. J., Gavaghan D. J., McQuay H.J. Assessing the quality of reports of randomized clinical trials: Is blinding necessary? Control Clin. Trials. 1996;17:1–12. doi: 10.1016/0197-2456(95)00134-4.
    1. Faraone S.V. Interpreting estimates of treatment effects: Implications for managed care. Pharm. Ther. 2008;33:700–711.
    1. Donec V., Kubilius R. The effectiveness of Kinesio Taping(R) for pain management in knee osteoarthritis: A randomized, double-blind, controlled clinical trial. Adv. Musculoskelet. Dis. 2019;11:1759720X19869135. doi: 10.1177/1759720X19869135.
    1. Kocyigit F., Turkmen M.B., Acar M., Guldane N., Kose T., Kuyucu E., Erdil M. Kinesio taping or sham taping in knee osteoarthritis? A randomized, double-blind, sham-controlled trial. Complement. Clin. Pract. 2015;21:262–267. doi: 10.1016/j.ctcp.2015.10.001.
    1. Cho H.Y., Kim E.H., Kim J., Yoon Y.W. Kinesio taping improves pain, range of motion, and proprioception in older patients with knee osteoarthritis: A randomized controlled trial. Am. J. Phys. Med. Rehabil. 2015;94:192–200. doi: 10.1097/PHM.0000000000000148.
    1. Wageck B., Nunes G.S., Bohlen N.B., Santos G.M., de Noronha M. Kinesio Taping does not improve the symptoms or function of older people with knee osteoarthritis: A randomised trial. J. Physiother. 2016;62:153–158. doi: 10.1016/j.jphys.2016.05.012.
    1. Mutlu E.K., Mustafaoglu R., Birinci T., Ozdincler A.R. Does kinesio taping of the knee improve pain and functionality in patients with knee osteoarthritis?: A randomized controlled clinical trial. Am. J. Phys. Med. Rehabil. 2017;96:25–33. doi: 10.1097/PHM.0000000000000520.
    1. Aydogdu O., Sari Z., Yurdalan S.U., Polat M.G. Clinical outcomes of kinesio taping applied in patients with knee osteoarthritis: A randomized controlled trial. J. Back Musculoskelet. Rehabil. 2017;30:1045–1051. doi: 10.3233/BMR-169622.
    1. Öğüt H., Güler H., Yildizgören M.T., Velioğlu O., Turhanoğlu A.D. Does kinesiology taping improve muscle strength and function in knee osteoarthritis? A single-blind, randomized and controlled study. Arch. Rheumatol. 2018;33:335–343. doi: 10.5606/ArchRheumatol.2018.6598.
    1. León-Ballesteros S., Espinosa-Morales R., Clark-Peralta P., Gómez-Pineda A.G., Guadarrama-Becerril J.H. Kinesiotape and quadriceps strengthening with elastic band in women with knee osteoarthritis and overweight or obesity. A randomized clinical trial. Reumatol. Clín. (Engl. Ed.) 2020;16:11–16.
    1. Rahlf A.L., Braumann K.M., Zech A. Kinesio Taping Improves Perceptions of Pain and Function of Patients With Knee Osteoarthritis: A Randomized, Controlled Trial. J. Sport Rehabil. 2019;28:481–487. doi: 10.1123/jsr.2017-0306.
    1. Srikanth V.K., Fryer J.L., Zhai G., Winzenberg T.M., Hosmer D., Jones G. A meta-analysis of sex differences prevalence, incidence and severity of osteoarthritis. Osteoarthr. Cartil. 2005;13:769–781. doi: 10.1016/j.joca.2005.04.014.
    1. Balki S., Göktaş H.E., Öztemur Z. Kinesio taping as a treatment method in the acute phase of ACL reconstruction: A double-blind, placebo-controlled study. Acta Orthop. Traumatol. Turc. 2016;50:628–634. doi: 10.1016/j.aott.2016.03.005.
    1. Hart J.M., Pietrosimone B., Hertel J., Ingersoll C.D. Quadriceps activation following knee injuries: A systematic review. J. Athl. Train. 2010;45:87–97. doi: 10.4085/1062-6050-45.1.87.
    1. Hassan B., Doherty S., Mockett S., Doherty M. Effect of pain reduction on postural sway, proprioception, and quadriceps strength in subjects with knee osteoarthritis. Ann. Rheum. Dis. 2002;61:422–428. doi: 10.1136/ard.61.5.422.
    1. Kim W.K., Kim D.-K., Seo K.M., Kang S.H. Reliability and validity of isometric knee extensor strength test with hand-held dynamometer depending on its fixation: A pilot study. Ann. Rehabil. Med. 2014;38:84–93. doi: 10.5535/arm.2014.38.1.84.
    1. Zapparoli F.Y., Riberto M. Isokinetic evaluation of the hip flexor and extensor muscles: A systematic review. J. Sport Rehabil. 2017;26:556–566. doi: 10.1123/jsr.2016-0036.
    1. Pamuk U., Yucesoy C.A. MRI analyses show that kinesio taping affects much more than just the targeted superficial tissues and causes heterogeneous deformations within the whole limb. J. Biomech. 2015;48:4262–4270. doi: 10.1016/j.jbiomech.2015.10.036.

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