Effectiveness of Kinesio taping and conventional physical therapy in the management of knee osteoarthritis: a randomized clinical trial

Shahul Hameed Pakkir Mohamed, Salem F Alatawi, Shahul Hameed Pakkir Mohamed, Salem F Alatawi

Abstract

Background: Knee osteoarthritis (OA) is the most common kind of arthritis that occurs due to degeneration of the joint articular cartilage, producing pain, stiffness, and impaired movement. The objective of the study was to evaluate the short-term effectiveness of Kinesio taping (KT) plus conventional physical therapy (CPT) and CPT alone in subjects with knee OA.

Materials and methods: Forty male subjects were divided into two groups at random using a parallel assignment, double-blinded study design, viz., KT with CPT (transcutaneous electrical nerve stimulation and exercise therapy), and CPT alone for the period of 6 weeks of treatment. At baseline, third, and sixth weeks, the following outcome measures were taken, such as pain intensity (NPRS), knee range of motion (goniometry), Western Ontario and McMaster Osteoarthritis Index (WOMAC), and the Time Up and Go (TUG) test.

Statistical analysis: To reveal the patient's demographic profile concerning the outcome parameters, a descriptive statistic was applied. Furthermore, two-way mixed ANOVA and Tukey HSD post hoc tests were used to analyze within and between-group comparisons in SPSS 20.0.

Results: In both groups, pain and knee flexion were significantly improved during the 6-week period of interventions (p < 0.05). WOMAC and TUG test scores improved only in the KT plus CPT group.

Conclusion: KT combined with CPT was found to be more effective than CPT alone in the third and sixth weeks of the treatment. In knee OA, this combination of treatments was found to reduce pain, enhance range of motion, and improve physical functioning.

Keywords: Exercises; Kinesio taping; Knee osteoarthritis; TENS.

Conflict of interest statement

The authors declare no competing interests.

© 2022. The Author(s).

Figures

Fig. 1
Fig. 1
Flow chart diagram for the study design model
Fig. 2
Fig. 2
A view of the completed Kinesio taping (KT) application on the right knee

References

    1. de Rooij M, van der Leeden M, Heymans MW, et al. Course and predictors of pain and physical functioning in patients with hip osteoarthritis: systematic review and meta-analysis. J Rehabil Med. 2016;48(3):245–252. doi: 10.2340/16501977-2057.
    1. Bricca A, Juhl CB, Steultjens M, et al. Impact of exercise on articular cartilage in people at risk of, or with established, knee osteoarthritis: a systematic review of randomised controlled trials. Br J Sports Med. 2019;53(15):940–947. doi: 10.1136/bjsports-2017-098661.
    1. Hinman RS, Crossley KM, McConnell J, et al. Does the application of tape influence quadriceps sensorimotor function in knee osteoarthritis? Rheumatology (Oxford) 2004;43(3):331–336. doi: 10.1093/rheumatology/keh033.
    1. Takagi S, Omori G, Koga H, et al. Quadriceps muscle weakness is related to increased risk of radiographic knee OA but not its progression in both women and men: the Matsudai Knee Osteoarthritis Survey. Knee Surg Sports Traumatol Arthrosc. 2018;26(9):2607–2614. doi: 10.1007/s00167-017-4551-5.
    1. de Oliveira MM, Aragão FA, Vaz MA. Neuromuscular electrical stimulation for muscle strengthening in elderly with knee osteoarthritis - a systematic review. Complement Ther Clin Pract. 2013;19(1):27–31. doi: 10.1016/j.ctcp.2012.09.002.
    1. Zhao Z, Jing R, Shi Z, et al. Efficacy of extracorporeal shockwave therapy for knee osteoarthritis: a randomized controlled trial. J Surg Res. 2013;185(2):661–666. doi: 10.1016/j.jss.2013.07.004.
    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(6):375–383. doi: 10.3109/09593985.2014.896963.
    1. Kaya Mutlu E, Mustafaoglu R, Birinci T, et al. 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(1):25–33. doi: 10.1097/PHM.0000000000000520.
    1. Aktas G, Baltaci G. Does kinesiotaping increase knee muscles strength and functional performance? Isokinet Exerc Sci. 2011;19(3):149–155. doi: 10.3233/IES-2011-0408.
    1. Kase K, Wallis J, Kase T. Clinical therapeutic applications of Kinesio taping method. 2. Tokyo, Japan: Ken Ikai Co., Ltd.; 2003.
    1. Donec V, Kubilius R (2019) The effectiveness of Kinesio Taping® for pain management in knee osteoarthritis: a randomized, double-blind, controlled clinical trial. Ther Adv Musculoskelet Dis 11:1759720X19869135. 10.1177/1759720X19869135
    1. Aguilar-Ferrándiz ME, Castro-Sánchez AM, Matarán-Peñarrocha GA. Effects of kinesio taping on venous symptoms, bioelectrical activity of the gastrocnemius muscle, range of ankle motion, and quality of life in postmenopausal women with chronic venous insufficiency: a randomized controlled trial. Arch Phys Med Rehabil. 2013;94(12):2315–2328. doi: 10.1016/j.apmr.2013.05.016.
    1. Williams S, Whatman C, Hume PA. Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness. Sports Med. 2012;42(2):153–164. doi: 10.2165/11594960-000000000-00000.
    1. Parreira Pdo C, Costa Lda C, Hespanhol LC, Jr, et al. Current evidence does not support the use of Kinesio taping in clinical practice: a systematic review. J Physiother. 2014;60(1):31–39. doi: 10.1016/j.jphys.2013.12.008.
    1. Fransen M, McConnell S, Harmer AR et al (2015) Exercise for osteoarthritis of the knee. Cochrane Database Syst Rev 1:CD004376. 10.1002/14651858.CD004376
    1. Musumeci G. The effect of mechanical loading on articular cartilage. J Funct Morphol Kinesiol. 2016;1(2):154–161. doi: 10.3390/jfmk1020154.
    1. Hislop AC, Collins NJ, Tucker K, et al. Does adding hip exercises to quadriceps exercises result in superior outcomes in pain, function, and quality of life for people with knee osteoarthritis? A systematic review and meta-analysis. Br J Sports Med. 2020;54(5):263–271. doi: 10.1136/bjsports-2018-099683.
    1. Goh SL, Persson MSM, Stocks J, Hou Y, et al. Efficacy and potential determinants of exercise therapy in knee and hip osteoarthritis: a systematic review and meta-analysis. Ann Phys Rehabil Med. 2019;62(5):356–365. doi: 10.1016/j.rehab.2019.04.006.
    1. Cheing GL, Hui-Chan CW, Chan KM. Does four weeks of TENS and/or isometric exercise produce a cumulative reduction of osteoarthritic knee pain? Clin Rehabil. 2002;16(7):749–760. doi: 10.1191/0269215502cr549oa.
    1. Cherian JJ, Harrison PE, Benjamin SA, et al. Do the effects of transcutaneous electrical nerve stimulation on knee osteoarthritis pain and function last? J Knee Surg. 2016;29(6):497–501. doi: 10.1055/s-0035-1566735.
    1. Oliveira AM, Peccin MS, Silva KN, et al. Impact of exercise on the functional capacity and pain of patients with knee osteoarthritis: a randomized clinical trial. Rev Bras Reumatol. 2012;52(6):876–882. doi: 10.1590/S0482-50042012000600006.
    1. Childs JD, Piva SR, Fritz JM (2015) Responsiveness of the numeric pain rating scale in patients with low back pain. Spine (Phila Pa 1976) 30(11):1331–1334. 10.1097/01.brs.0000164099.92112.29
    1. Hjjersmstad MJ, Fayers PNM, Haugen DF, et al. Studies comparing numerical rating scales, and visual analogue scales for assessment of pain intensity in adults: a systematic literature review. J Pain Symptoms Manage. 2011;41(6):1073–1093. doi: 10.1016/j.jpainsymman.2010.08.016.
    1. Bellamy N, Buchanan WW, Goldsmith CH, et al. Validation study of WOMAC: a health status instrument for measuring clinically important patient-relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988;15(12):1833–1840.
    1. Dobson F, Hinman RS, Roos EM, et al. OARSI recommended performance-based tests to assess physical function in people diagnosed with hip or knee osteoarthritis. Osteoarthritis Cartilage. 2013;21(8):1042–1052. doi: 10.1016/j.joca.2013.05.002.
    1. Page CJ, Hinman RS, Bennell KL. Physiotherapy management of knee osteoarthritis. Int J Rheum Dis. 2011;14(2):145–151. doi: 10.1111/j.1756-185X.2011.01612.x.
    1. Altaş EU, Uçurum SG, Kaya DO. Acute effect of kinesiology taping on muscle strength, tissue temperature, balance, and mobility in female patients with osteoarthritis of the knee. Somatosens Mot Res. 2021;38(1):48–53. doi: 10.1080/08990220.2020.1840347.
    1. American Geriatrics Society Panel on Exercise and Osteoarthritis (2001) Exercise prescription for older adults with osteoarthritis pain: consensus practice recommendations. A supplement to the AGS Clinical Practice Guidelines on the management of chronic pain in older adults. J Am Geriatr Soc 49(6):808–823. 10.1046/j.1532-5415.2001.00496.x
    1. Tripathi B, Hande D. Effects of kinesiotaping on osteoarthritis of knee in geriatric population. Int J Appl Res. 2017;3(2):301–305.
    1. Wageck B, Nunes GS, Bohlen NB, et al. Kinesio taping does not improve the symptoms or function of older people with knee osteoarthritis: a randomised trial. J Physiother. 2016;62(3):153–158. doi: 10.1016/j.jphys.2016.05.012.
    1. Sedhom MG. Efficacy of kinesio-taping versus phonophoresis on knee osteoarthritis: an experimental study. Int j Physiother. 2016;3(4):494–499. doi: 10.15621/ijphy/2016/v3i4/111062.
    1. Rahlf AL, Braumann KM, Zech A. Kinesio taping improves perceptions of pain and function of patients with knee osteoarthritis: a randomized, controlled trial. J Sport Rehabil. 2019;28(5):481–487. doi: 10.1123/jsr.2017-0306.
    1. Bjordal JM, Johnson MI, Ljunggreen AE. Transcutaneous electrical nerve stimulation (TENS) can reduce postoperative analgesic consumption A meta analysis with assessment of optimal treatment parameters for postoperative pain. Eur J Pain. 2003;7(2):181–188. doi: 10.1016/S1090-3801(02)00098-8.
    1. Günaydin ÖE, Bayrakci Tunay V. Comparison of the added effects of kinesio taping and extracorporeal shockwave therapy to exercise alone in knee osteoarthritis. Physiother Theory Pract. 2022;38(5):661–669. doi: 10.1080/09593985.2020.1780657.
    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. Hunter DJ, Zhang YQ, Niu JB, et al. Patella malalignment, pain, and patellofemoral progression: the Health ABC Study. Osteoarthritis Cartilage. 2007;15(10):1120–1127. doi: 10.1016/j.joca.2007.03.020.
    1. Yamamoto H. The change in knee angle during the gait by applying elastic tape to the skin. J Phys Ther Sci. 2014;26(7):1075–1077. doi: 10.1589/jpts.26.1075.
    1. Castrogiovanni P, Giunta AD, Guglielmino C, et al. The effects of exercise and kinesio tape on physical limitations in patients with knee osteoarthritis. J Funct Morphol Kinesiol. 2016;1(4):355–368. doi: 10.3390/jfmk1040355.

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