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      The effectiveness of Kinesio Taping ® for mobility and functioning improvement in knee osteoarthritis: a randomized, double-blind, controlled trial

      research-article
      ,
      Clinical Rehabilitation
      SAGE Publications
      Kinesio taping, knee osteoarthritis, gait speed, functioning, symptoms

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          Abstract

          Objective:

          To evaluate the effectiveness of the Kinesio Taping ® method for mobility and functioning improvement for patients with knee osteoarthritis (KO).

          Design:

          Randomized, double-blinded, controlled trial.

          Setting:

          Outpatient rehabilitation department.

          Subjects:

          A total of 187 subjects with symptomatic I–III grade KO participated; of these, 157 subjects were included in the analyses (intervention group, n = 81 (123 knees); control group, n = 76 (114 knees).

          Intervention:

          The intervention group received a specific Kinesio Taping application, and the control group received non-specific knee taping for a month.

          Main measures:

          Changes in Knee injury and Osteoarthritis Outcome Scores (KOOS), knee active range of motion, 10-Meter Walk, and the five times sit to stand tests (5xSST) were assessed at baseline, after four weeks of taping, and a month post taping intervention. Subjective participants’ experiences and opinions on the effect of knee taping were evaluated. The chosen level of significance was p < 0.05.

          Results:

          The mean age of participants was 68.7 ± 9.9 in intervention group and 70.6 ± 8.3 in control group ( p > 0.05). The change from baseline in gait speed in the intervention group after taping month was +0.04 ± 0.1 m/s, at follow-up +0.06 ± 0.1 m/s; in control group +0.07 ± 0.1 m/s, and +0.09 ± 0.1 m/s; the change in time needed to accomplish 5xSST was –2.2 ± 3.2 seconds, at follow-up –2.4 ± 3.1 seconds; in control group –2.8 ± 3.6 seconds, and –2.4 ± 4 seconds. Improved knee flexion and enhancement in functioning assessed by KOOS were noticed in both groups, with lasting improvement to follow up. No difference in the change in the above-mentioned outcomes was found between groups ( p > 0.05). Fewer subjects (6.2% (5) vs. 21.1% (16), χ 2 = 7.5, df = 2, p = 0.024) from Kinesio Taping group were unsure if taping alleviated their mobility and more intervention group patients indicated higher subjective satisfaction with the effect of knee taping to symptom and mobility alleviation than control group ( p < 0.005).

          Conclusion:

          Investigated Kinesio Taping technique did not produce better results in mobility and functioning improvement over non-specific knee taping; however, it had higher patient-reported subjective value for symptom attenuation and experienced mobility enhancement.

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          Most cited references28

          • Record: found
          • Abstract: not found
          • Article: not found

          Classifications in Brief: Kellgren-Lawrence Classification of Osteoarthritis.

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            • Record: found
            • Abstract: found
            • Article: not found

            Treatment of osteoarthritis of the knee: evidence-based guideline, 2nd edition.

            Treatment of Osteoarthritis of the Knee: Evidence-Based Guideline, 2nd Edition, is based on a systematic review of the current scientific and clinical research. This guideline contains 15 recommendations, replaces the 2008 AAOS clinical practice guideline, and was reevaluated earlier than the 5-year recommendation of the National Guideline Clearinghouse because of methodologic concerns regarding the evidence used in the first guideline. The current guideline does not support the use of viscosupplementation for the treatment of osteoarthritis of the knee. In addition, the work group highlighted the need for better research in the treatment of knee osteoarthritis.
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              • Article: not found

              Physical functioning over three years in knee osteoarthritis: role of psychosocial, local mechanical, and neuromuscular factors.

              To identify factors that predict a poor physical function outcome over 3 years in individuals with knee osteoarthritis (OA), in an effort to aid in the development of strategies to prevent such functional limitations and consequential disability. Community-recruited individuals with knee OA underwent baseline, 18-month, and 3-year assessments of candidate risk factors and physical function. Risk factors were age, body mass index (BMI), knee pain intensity (on a visual analog scale [VAS]), local mechanical and neuromuscular factors (varus-valgus laxity, malalignment, proprioceptive inaccuracy, quadriceps strength, hamstring strength), activity level (Physical Activity Scale for the Elderly, amount of aerobic exercise), and psychosocial factors (Short-Form 36 [SF-36] mental health and role-functioning emotional subscales, self-efficacy using the Arthritis Self-Efficacy Scale physical function subscale, and social support using the Medical Outcomes Study Social Support Survey). Outcome was assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) physical function scale and rate of chair-stand performance. Participants were grouped by quintile of baseline WOMAC score. The baseline to 3-year outcome was considered "good" when function improved by 1 or more quintiles or remained within the 2 highest function groups, and was considered "poor" when function declined by 1 or more quintiles or remained within the 3 lowest function groups. The same approach was taken for chair-stand outcome. Logistic regression was used to evaluate both the baseline level and the baseline to 18-month change in each factor as a predictor of physical function outcome over 3 years, adjusting for age, BMI, knee pain intensity, disease severity, and additional potential confounders. Factors that significantly increased the likelihood of a poor WOMAC outcome were baseline laxity (crude odds ratio [OR] 1.48/3 degrees, 95% confidence interval [95% CI] 1.02-2.14), BMI (OR 1.26/5 units, 95% CI 1.01-1.57), knee pain intensity (OR 1.21/20 mm on VAS, 95% CI 1.00-1.47), and baseline to 18-month increase in knee pain (OR 1.32/20 mm on VAS, 95% CI 1.06-1.65). Factors that significantly protected against a poor WOMAC outcome were better baseline mental health (OR 0.62/5 points, 95% CI 0.44-0.87), self-efficacy (OR 0.79/5 points, 95% CI 0.67-0.93), and social support (OR 0.86/10 points, 95% CI 0.75-0.98), and greater amount of aerobic exercise (OR 0.75/60 minutes each week, 95% CI 0.63-0.89). Factors that increased the likelihood for a poor function outcome by the chair-stand performance rate were age and proprioceptive inaccuracy, and factors that reduced the likelihood for poor chair-stand outcome were strength (attenuated after adjusting for pain intensity or self-efficacy), self-efficacy, and aerobic exercise. Individuals who sustained high function and those who sustained low function over the 3 years were described. Factors placing individuals with knee OA at greater risk of a poor function outcome by at least 1 of the 2 function measures included the local factors laxity and proprioceptive inaccuracy, as well as age, BMI, and knee pain intensity. Factors protecting against a poor function outcome included strength, the psychosocial factors mental health, self-efficacy, and social support, and the activity level measured by the amount of aerobic exercise per week. The identification of these factors provides possible targets for rehabilitative and self-management strategies to prevent disability.
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                Author and article information

                Journal
                Clin Rehabil
                Clin Rehabil
                CRE
                spcre
                Clinical Rehabilitation
                SAGE Publications (Sage UK: London, England )
                0269-2155
                1477-0873
                6 May 2020
                July 2020
                : 34
                : 7
                : 877-889
                Affiliations
                [1-0269215520916859]Department of Rehabilitation, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
                Author notes
                [*]Venta Donec, Department of Rehabilitation, Medical Academy, Lithuanian University of Health Sciences, Eivenių g. 2, LT-50009 Kaunas, Lithuania. Email: venta.donec@ 123456lsmuni.lt
                Author information
                https://orcid.org/0000-0003-0476-1053
                Article
                10.1177_0269215520916859
                10.1177/0269215520916859
                7376619
                32372651
                58502cfa-a3a6-4aeb-b0c6-c36dc381b346
                © The Author(s) 2020

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 8 November 2019
                : 7 March 2020
                Funding
                Funded by: International Kinesio Taping Association, ;
                Categories
                Evaluative Studies
                Custom metadata
                ts1

                Medicine
                kinesio taping,knee osteoarthritis,gait speed,functioning,symptoms
                Medicine
                kinesio taping, knee osteoarthritis, gait speed, functioning, symptoms

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