The immediate effects of Kinesio Taping on running biomechanics,muscle activity,and perceived changes in comfort,stability and running performance in healthy runners,and the implications to the management of Iliotibial band syndrome

BackgroundKinesio Taping is frequently used in the management of lower limb injuries, and has been shown to improve pain, function, and running performance. However, little is known about the effects of Kinesio Taping on running biomechanics, muscle activity, and perceived benefits.Research questionThis study aimed to explore the immediate effects of Kinesio Taping on lower limb kinematics, joint moments, and muscle activity, as well as perceived comfort, knee joint stability, and running performance in healthy runners.MethodsTwenty healthy participants ran at a self-selected pace along a 20-metre runway under three conditions; no tape (NT), Kinesio Tape with tension (KTT), and Kinesio tape without tension (KTNT). Comparisons of peak hip, knee angles and moments, and EMG were analysed during the stance phase of running.ResultsKTT exhibited significant increases in peak hip flexion, peak hip abduction and hip external rotation compared to NT. Moreover, the KTT condition showed a trend towards a decrease in peak hip internal rotation and adduction angle compared to the NT condition. EMG results showed that Tensor Fascia Latae activity decreased with KTT compared with NT, and Gluteus Maximus activity reduced with KTNT when compared with NT. Ten of the 20 participants indicated important improvements in the comfort score, six participants in the knee stability score, and seven participants in the running performance score when using KTT.SignificanceThese results suggest that changes in running biomechanics previously associated with ITBS can be improved with the application of kinesio tape, with the greatest effect seen with the application of kinesio tape with tension. Perceived improvements were seen in comfort, stability and running performance, however these benefits were only seen in half the participants. Further work is required to explore the biomechanical effects and perceived benefits in different patient groups.     

Effects of Kinesio tape application to trunk isokinetic strength in female participants

ABSTRACT

The purpose of this study is to analyse the effects of KT on trunk strength with respect to different angular speeds when applied to the trunks of healthy women. Forty healthy female participants were randomly distributed into two groups: the placebo group (PG) in which placebo KT was applied and the experimental group (EG). Participants’ trunk concentric flexion and extension muscle strength were measured using an isokinetic dynamometer in two different angular speeds (60°/s ? 180°/s). In both PG and EG groups, there was no significant difference measured immediately after taping at the two angular speed values. In the measurements taken 48 h later, as regards PG trunk flexion, extension muscle strength increased significantly (p = 0.0001) at 60°/sc. angular speed while, for the EG only, the strength of trunk extension muscle increased significantly (p = 0.002). It was observed, that to ensure an increase in strength, waiting for a certain length of time was required. Lower angular speeds and short-term applied KT improved the strength of the trunk extension muscle.     

Electromyographic comparison of vastus medialis obliquus facilitatory versus vastus lateralis inhibitory kinesio taping in athletes with patellofemoral pain: A randomized clinical trial

BackgroundPatellofemoral pain (PFP) is among the most common orthopedic complications afflicting active young people. Diminished coordination of the vastii, delayed activation of the vastus medialis obliquus (VMO), and decreased VMO-to-vastus lateralis (VL) activity ratio are well documented as underlying causes of PFP. This study compares the effects of VMO facilitatory kinesio tape (KT) versus VL inhibitory KT on electromyographic (EMG) activity of the vastii, balance, and pain in athletes with PFP.MethodsIn this single-blind randomized clinical trial, thirty-two female athletes with PFP (mean age 26.33 ± 5.93 years) were randomly assigned to VMO facilitatory KT (n = 16) or VL inhibitory KT (n = 16) groups. In the facilitatory group, a Y-shaped strip of KT at 25% of its available tension was attached from the origin of the VMO to its insertion and in the inhibitory group, an insertion-to-origin Y-shaped strip of KT at 15% of its available tension was applied on the VL. Pain intensity, dynamic balance, and EMG data were assessed respectively with a visual analogue scale, the modified Star Excursion Balance Test, and an EMG telemetry system, before and immediately after KT application.ResultsPain intensity decreased and dynamic balance improved significantly after taping in both groups, and VMO: VL activity ratio increased significantly in the VL group. However, none of the parameters differed significantly between groups.ConclusionsBoth VMO facilitatory and VL inhibitory KT can improve pain and balance, while the inhibitory technique might be more effective in regulating the VMO to VL activity ratio in athletes with PFP.     

中-重度压力性尿失禁仿生物理治疗与TVT-O手术疗效的对比研究

目的探讨仿生物理治疗及无张力经闭孔阴道吊带术(tension-free vaginal tape obturator technique,TVT-O)治疗压力性尿失禁的疗效,并行对比分析。方法选取确诊为中-重度压力性尿失禁的患者108例为研究对象,根据患者意愿分为非手术组及手术组,非手术组54例,应用Phenix USB4盆底功能治疗仪进行系统仿生物理治疗3疗程,行疗效分析;手术组54例,实施TVT-O术,行疗效分析。结果非手术组1个疗程仿生物理治疗后评估,44例有效,有效率81.48%,入组成员继续坚持2疗程仿生物理治疗,疗程结束后1年复查,52例有效,其中46例治愈,1年有效率96.30%,治愈率85.19%;手术组术后即时评估,50例有效,有效率92.59%,术后1年复查,49例有效,其中47例治愈,术后1年有效率90.74%,治愈率87.04%。非手术组治疗1疗程有效率显著低于TVT-O术后即时疗效,差异有统计学意义,P0.05;但两组治疗后1年有效率及治愈率比较,差异均无统计学意义(P0.05),且手术组患者出现了围手术期相关并发症及远期并发症。结论 SUI的仿生物理治疗是一项有效的保守治疗方法,能有效缓解症状甚至治愈,预防病情进一步加重,对于中-重度压力性尿失禁患者而言,其远期治疗效果与手术治疗效果相当,但能有效避免手术并发症,值得在临床广泛推广。     

肌内效贴对膝骨性关节炎短期疗效观察

目的：初步探讨肌内效贴短期缓解膝关节骨性关节炎症状的临床疗效。方法：膝关节骨性关节炎患者共48例,按年龄、性别及体重及急慢性期等严格配对后随机分为肌内效贴组＋常规局部理疗组（治疗组）及常规局部理疗组（对照组）各24例。在入选时、治疗5d及10d时对两组患者的疼痛度（视觉模拟评分,VAS）及综合功能（西安大略及麦克马斯特大学骨关节炎指数评分,WOMAC）作评估,同时对过敏性与安全性进行评价。结果：入选时两组膝骨性关节炎VAS和LKSS评分比较,差异无统计学意义（P〉0．05）。治疗第1、5天,治疗组VAS和LKSS评分较对照组差异有统计学意义（P〈0.05）。治疗第10天,两组VAS和LKSS评分较治疗前差异有统计学意义（P〈0．01）;两组VAS评分趋向一致,差异无统计学意义（P〉0．05）;两组LKSS评分比较差异有统计学意义（P〈0．05）。结论：肌内效贴可作为安全有效的康复手段之一,短期缓解膝关节骨性关节炎患者症状,改善综合功能。     

Retropubic versus transobturator tension‐free vaginal tape (TVT vs TVT‐O): Five‐year results of the Austrian randomized trial

Aims

To compare outcomes of the retropubic versus the transobturator tension‐free vaginal tape (TVT vs TVT‐O) at 5 years.

Methods

A total of 569 women undergoing surgery for primary stress incontinence were randomized to receive a retropubic or a transobturator tensionfree vaginal tape (TVT or TVT‐O). Follow‐up at 5 years included clinical examination, urodynamic studies and quality of life. The primary outcome measure was continence defined as a negative cough stress test at a volume of 300 mL. Secondary outcomes included urodynamic parameters, complications and quality of life. ClinicalTrials.gov (NCT 0041454).

Results

Three hundred and thirty‐one patients (59%) were evaluated at 5 years (277 were seen, examined and completed questionnaires; 54 only completed questionnaires). No significant differences were seen in rates of a negative cough stress test (83% vs 76%, respectively), urodynamic parameters and complications. Quality‐of‐life improved significantly in both groups, without significant differences between the groups. Erosion rates were 5.2% and 4.5%, and reoperation rates were 4.1% and 3.2% respectively.

Conclusions

At 5 years, subjective and objective results after TVT and TVT‐O are stable and similar, without statistical significant differences between the procedures. Major long‐term problems appear rare.     

Comparison between the retropubic and transobturator approaches in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications

Objective

This study aimed to compare the effectiveness and complications between the retropubic and transobturator approaches for the treatment of female stress urinary incontinence (SUI) by conducting a systematic review.

Materials and Methods

We selected all randomized controlled trials (RCTs) that compared retropubic and transobturator sling placements for treatment of SUI. We estimated pooled odds ratios and 95% confidence intervals for intraoperative and postoperative outcomes and complications.

Results

Six hundred twelve studies that compared retropubic and transobturator approaches to midurethral sling placement were identified, of which 16 were included in our research. Our study was based on results from 2646 women. We performed a subgroup analysis to compare outcomes and complications between the two approaches. The evidence to support the superior approach that leads to better objective/subjective cure rate was insufficient. The transobturator approach was associated with lower risks of bladder perforation (odds ratio (OR) 0.17, 95% confidence interval (CI) 0.09-0.32), retropubic/vaginal hematoma (OR 0.32, 95% CI 0.16-0.63), and long-term voiding dysfunction (OR 0.32, 95% CI 0.17-0.61). However, the risk of thigh/groin pain seemed higher in the transobturator group (OR 2.53, 95% CI 1.72-3.72). We found no statistically significant differences in the risks of other complications between the two approaches.

Conclusions

This meta-analysis shows analogical objective and subjective cure rates between the retropubic and transobturator approaches to midurethral sling placement. The transobturator approach was associated with lower risks of several complications. However, good-quality studies with long-term follow-ups are warranted for further research.