Effet du sens de pose du kinesio taping sur les épicondyliens

Objective

The aim of this study was to assess the effect of a kinesio taping^® strip on epicondylians’ muscle activity at rest, according to the way of laying (distoproximal or proximodistal).

Methods

A strip of kinesio taping^® was positioned on the forearm of 54 subjects, divided in two groups of 27 subjects according to the way of laying. The surface electromyographic activity (EMG) was recorded on the epicondylian muscles at rest, before and after laying the strip.

Results

In the distoproximal group, the EMG activity at rest was significantly lower with the kinesio taping^® strip than the activity without the strip (40.2 mV vs 53.6 mV; P = 0.0035). There wasn’t any significant effect of the strip in the proximodistal group.

Discussion

The distoproximal laying of the kinesio taping^® strip had a detoning effect on epicondylians’ EMG activity at rest. The proximodistal laying didn’t have any effects.     

Determination of stratum corneum lipid profile by tape stripping in combination with high-performance thin-layer chromatography

Abstract Intercellular lipids in the stratum corneum (SC) are responsible for the barrier function of mammalian skin. The main components of the SC lipids are ceramides, cholesterol, and free fatty acids, as established by thin-layer chromatographic analysis of lipids extracted from the human and mammalian SC. Up to now, for lipid analysis the extracts of the entire SC has been used and information on whether the lipid composition changes with the depth in the SC is scarce. Tape stripping is a technique which removes corneocyte layers step by step with an adhesive film. The use of this technique for lipid analysis was hampered by the contamination of lipid extracts with compounds co-extracted from the tape with organic solvents used for the extraction of SC lipids. The aim of the present study was to establish a suitable analytical method for the determination of the local SC lipid composition. For this purpose, the SC samples were collected by sequential stripping with Leukoplex tape in five healthy volunteers. The lipids were extracted with ethyl acetate:methanol mixture (20:80) and separated by means of HPTLC. The results of this study revealed that the free fatty acid level is highest and the cholesterol and ceramide levels lowest in the uppermost SC layers (about 4 strippings). The levels remained unchanged in the underlying SC layers. In these layers, the ceramide level was about 60 wt% and the free fatty acid and cholesterol levels were about 20 wt% each. Ceramides could be separated into seven different fractions and the relative amounts of individual ceramide fractions did not significantly change with the SC depth. Cholesterol sulfate levels were about 5% of total cholesterol and did not change with the SC depth, except for the for the first strip where the level was about 1%. The method developed makes it possible to study the differences in the SC lipid profile in healthy and diseased human skin with relation to the SC lipid organization and to the skin barrier function in vivo. Received: 2 August 2000 / Revised: 20 December 2000 / Accepted: 26 January 2001     

The “strip” patch test: results of a multicentre study towards a standardization

Background The strip patch test (SPT) is a variant of patch testing which is used for substances with a poor percutaneous penetration. Penetration of the substances is enhanced by repeated applications of adhesive tape prior to their application to the skin. However, no guidelines exist for standardized performance of the SPT.Objectives The aim of this multicentre study was to obtain a first practical approach towards a standardized SPT procedure.Methods Intact noninflamed skin of the upper back of 83 healthy volunteers was tape-stripped. For sequential strips, a 25-mm diameter 3M Blenderm surgical tape was vertically applied and gently pressed downward using the fingertips for about 2 s. The tape was removed in one quick movement at an angle of 45° in the direction of adherence. Each strip was performed with a new piece of tape on exactly the same skin area.Results In each subject, we first determined the number of strips (A) until the skin surface started to glisten and calculated the median number of strips () in the sample (=26 strips). We then ascertained the median number of strips () in the sample that was necessary to achieve a statistically significant and twofold increase in TEWL (=11 strips), revealing a critical stratum corneum strip depth. The unknown number of strips (a) for each subject was finally calculated from the formula a/A=/, i.e. the individual number of strips (A) until the skin surface started to glisten was multiplied by a derived tape-specific correction factor (cf=/=11/26=0.4). The increase in percutaneous penetration in strip patch testing by performing a strips versus conventional patch testing was shown by scoring of clinical and subjective SLS irritant reactions.Conclusions The present multicentre study outlines an experimentally derived approach for a uniform SPT procedure, which does not require the use of complex technical equipment. This first approach now requires validation by a study involving the application of allergens to obtain evidence of enhancement in the sensitivity of patch testing.This work is presented on behalf of the German Contact Dermatitis Research Group (DKG).Parts of the work have been presented before in oral presentations at the 42nd Meeting of the German Dermatology Society (DDG) in Berlin, Germany, in May 2003, at the 7th Meeting of the Working Group on Occupational and Environmental Dermatology (ABD) of the DDG in Heidelberg, Germany, in September 2003, and at the 7th Congress of the European Society of Contact Dermatitis (ESCD) in Copenhagen, Denmark, in June 2004.We regret to report the recent death of Hans Joachim Schwanitz.     

血液透析动静脉穿刺针两种胶布固定方法的探讨

目的：探讨两种胶布的固定方法对血液透析患者意外失血的影响,以避免血液透析过程中发生动静脉穿刺针脱出的现象,确保透析安全,提高透析质量。方法：改进前固定动静脉穿刺针的胶布为6条,改进后为8条,其中增加的2条胶布分两种情况固定,其一将增加的胶布于针翼下交叉固定针翼于穿刺口两侧,其二将增加的胶布于针翼之上交叉固定左右针翼。结果：改进后的胶布固定方法在血液透析过程中发生穿刺针完全及不完全脱出的现象明显减少,由2002～2005年的19例减少到2006～2008年的2例。结论：8条胶布的固定方法对减少患者意外失血明显优于6条胶布固定,保障了患者的安全。     

The effects of Kinesio taping on muscle tone in healthy subjects: A double-blind,placebo-controlled crossover trial

Kinesio taping (KT) has been proposed to modulate muscle tone. However no studies have systematically studied the efficacy of KT on this primary outcome measure. The objective of this study was to determine the effect of Kinesio taping (KT) applied over the gastrocnemius muscles on muscle tone, extensibility, electromyography (EMG) and strength. Nineteen healthy subjects were enrolled in a double-blind, placebo-controlled crossover trial. KT and sham-tape were applied onto the gastrocnemius muscles of all subjects in two randomized sessions. Measurements before, at 10 min and 24 h after the intervention were taken. Outcome measurements included passive resistive torque to ankle dorsiflexion, dorsiflexion passive range of motion (PROM), surface Gastrocnemius Medialis (GM) EMG and maximal isometric voluntary force (MIVF). No significant differences were found between the sham-tape and KT groups for passive resistive torque, PROM nor maximal plantarflexion isometric voluntary force. A short-term increase of GM EMG activity was found in the KT group during the PROM mobilization, which was not maintained at 24 h following treatment. A short-term decrease in dorsiflexion force was produced 10 min after KT with respect to sham-tape application. These results demonstrate that the application of KT in the gastrocnemius muscles has no effect on healthy muscle tone, extensibility nor strength. However a short-term increase of GM EMG activity after KT treatment suggests the activation of central nervous system mechanisms, although without a therapeutic implication. Further studies with more appropriate designs are needed to clarify the physiological and therapeutic effects of this taping technique.     

Effect of Kinesio Taping on gastrocnemius activity and ankle range of movement during gait in healthy adults: A randomized controlled trial

ObjectiveTo examine the effect of KT on gastrocnemius surface electromyography (SEMG) activity and ankle range of motion during walking in healthy subjects.DesignRandomized controlled trial, with concealed allocation and assessor blinding.SettingUniversity Biomechanics Laboratory.ParticipantsThirty six healthy physiotherapy students were randomized to KT or control group.Outcome MeasuresAt baseline and immediately after 72 h with the tape in situ: amplitude of LG SEMG activity during the stance phase, duration of the LG activity, onset and offset times of LG activity, ankle plantar- and dorsiflexion peaks, and the cadence of gait.ResultsANOVA revealed a significant time × intervention interaction effect across two variables: duration of LG activation, F(1, 33) = 4.71, p = .037, η = .015; and onset F(1, 33) = 7.92, p = .008, η = .037. KT group showed significantly shorter duration of the LG activity as compared with control, and similar results were observed when comparing the onset of LG activation. No statistically significant differences between both groups were noted in the rest of the outcomes.ConclusionKT does significantly shorten the duration of the LG activity during gait when applied 72 h in healthy adults. However, this result was not accompanied by a significant reduction in the amplitude of LG SEMG activity.     

Effects of elastic taping,non-elastic taping and static stretching on recovery after intensive eccentric exercise

The purpose of this study was to compare the effect of elastic tape (Kinesio tape) to placebo tape or static stretching on delayed onset muscle soreness. Fifty-one untrained female healthy volunteers were randomly assigned into three groups (n = 17/group), elastic tape, placebo tape and stretching group. Muscle soreness was induced by 4 sets of 25 maximal isokinetic (60°.s^?1) eccentric contractions of dominant quadriceps on an isokinetic dynamometer. Compared with placebo tape, the elastic tape participants had less muscle soreness at 72 h post-exercise (p = 0.01). The elastic tape also increased isometric strength at 72 h post-exercise compared with the placebo (p = 0.03) and stretching group (p = 0.02). However, there was little effect between groups for changes in thigh circumference, jumping, pressure pain threshold, rate of perceived exertion, creatine kinase activity and joint motion. Elastic taping increased muscle strength recovery and reduced muscle soreness after intensive exercise.     

Efficacy of adhesive taping as an adjunt to physical rehabilitation to influence outcomes post-stroke: a systematic review

Abstract

Background:

Adhesive taping as a therapeutic modality post-stroke has been investigated for two decades. No systematic review of the evidence to inform clinical practice exists.

Objective:

To systematically review the efficacy of adhesive taping as an adjunct to physical rehabilitation on outcomes related to body function and structure, activity, and participation post-stroke.

Methods:

The databases of PubMed, CINAHL, EMBASE, and Web of Science from 1966 through December 2013 were searched. Full-text articles in English from peer-reviewed journals reporting original research on the use of adhesive taping post-stroke were included. Two reviewers independently searched and then rated the quality of evidence using the PEDro evidence rating system. Randomized controlled trials were further assessed using the Consolidated Standards of Reporting Trials (CONSORT) guidelines.

Results:

Fifteen studies met the inclusion criteria. Two used elastic tape and 13 used rigid tape. The evidence quality ranged from poor to good, and included seven shoulder, one wrist, two hip, one knee, and four ankle studies. There were four good-quality studies.

Conclusions:

Preliminary evidence in the domain of body function and structure suggests that use of rigid adhesive tape as an adjunct may increase the number of pain-free days at the shoulder. Evidence for the improvement of pain intensity, range of motion, muscle tone, strength, or function with taping is inconclusive. The evidence related to activity and participation is insufficient. The use of adhesive taping post-stroke needs further and more rigorous research to compare the types, methods and dosage of taping.     

易撕敷料型胶带在血液透析患者动静脉内瘘压迫止血中的应用

目的探讨易撕敷料型胶带在血液透析患者动静脉内瘘压迫止血中的应用效果。方法将260例次血液透析患者随机分为两组，单号使用易撕敷料型胶带150例次为观察组，双号使用微孔通气型胶带110例次为对照组。观察两组患者止血效果。结果观察组和对照组内瘘堵塞,皮下血肿、过敏反应差异无统计学意义（P〉0．05），但在针眼渗血和舒适度方面差异有统计学意义（P〈0．01），在使用胶带成本、护士完成固定所需时间上差异有统计学意义（P〈0．01）。结论易撕敷料型胶带对动静脉内瘘能更有效地进行固定压迫止血，减少内瘘并发症和过敏现象，增加患者舒适度，并能降低护士劳动强度和提高其工作效率，值得临床推广应用。