Comparative efficacy of the dorsal application of Kinesio tape and splinting for carpal tunnel syndrome: A randomized controlled trial |
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| Affiliation: | 1. Loma Linda University, Loma Linda, CA, USA;2. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA;1. Western Upper Limb Facility, Sturgeon Hospital, St. Albert, Alberta, Canada;2. Division of Orthopaedic Surgery, Department of Surgery, Edmonton, Alberta, Canada;3. Roth-McFarlane Hand & Upper Limb Centre, St. Joseph''s Health Care, London, Ontario, Canada;4. Department of Mechanical and Materials Engineering, Western University, London, Ontario, Canada;5. Division of Orthopaedic Surgery, Department of Surgery, London, Ontario, Canada;1. Orthoklinik Hand Center, Santa Cruz do Sul, Rio Grande do Sul, Brazil;2. Titular Member and Board Member of The Brazilian Society of Hand Therapy and Upper Limb, SBTM, Brazil;3. Hand and Microsurgery Department, Santa Cruz Hospital, Santa Cruz do Sul, Rio Grande do Sul, Brazil;4. Pazin Clinic, Brazil;1. School of Rehabilitation, University of Ottawa, Ottawa, Ontario, Canada;2. Bruyère Research Institute, Ottawa, Ontario, Canada;3. Centre for Hip Health and Mobility Robert H.N. Ho Research Centre, School of Kinesiology, University of British Columbia, Vancouver, Canada;4. Evidence-Based Health Department, Federal University of Sao Paulo, Sao Paulo, Brazil;5. Department of Physical Education and Sport, University of Cadiz, Cadiz, Spain;6. Mary Pack Arthritis Program, Vancouver Coastal Health and Centre for Hip Health and Mobility and Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada;1. Department of Occupational Therapy, Stollery Children''s Hospital, Edmonton, Canada;2. Department of Occupational Therapy, Glenrose Rehabilitation Hospital, Edmonton, Canada;3. Division of Plastic Surgery, University of Alberta Hospital, Edmonton, Canada |
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| Abstract: | BackgroundCarpal tunnel syndrome (CTS) symptoms are problematic especially when signs and symptoms are not substantial enough to require surgical intervention. Conservative treatments have mixed effectiveness, yet are one of the best options for mild to moderate CTS. Kinesio tape is an emerging modality, as it provides biomechanical support while allowing movement.PurposeThe purpose of this study was to determine the efficacy of dorsal application of Kinesio tape on occupational performance as measured by pain and function in individuals with mild to moderate CTS, as compared with the accepted nonsurgical intervention of general cockup orthosis and lumbrical stretching exercises versus sham tape.Study DesignSingle-blind randomized controlled trial.MethodsForty-four participants (68 wrists) with CTS were randomized to one of three interventions: Kinesio tape group, sham group, or standard protocol group. Each completed baseline and four subsequent measurements of numeric pain rating scale, visual analog scale (VAS), Boston Carpal Tunnel Questionnaire (BCTQ), grip and pinch, with application of intervention every three days. Daily symptom journals were completed, standard protocol group recorded wearing schedule and exercises.ResultsIn the forearm and wrist, a significant reduction in median numeric pain rating scale pain scores in Kinesio tape group was observed (r = 0.76, P = .01; r = 0.77, P = .01; respectively), but not in the standard protocol group (r = 0.51, P = .17; r = 0.53, P = .11) and sham group (r = 0.46, P = .30; r = 0.39, P = .43) with a minimal clinically important difference of 1.0. In the Kinesio tape group, the forearm (24%) and wrist (36%) reached the clinical significance as compared with the standard protocol forearm (18%) and wrist (32%).The minimal clinically important difference for pain reduction on the visual analog scale was 1.64. Kinesio tape and sham group had significant improvement in function, but not the standard protocol group.DiscussionThis study provides promising evidence for the use of Kinesio tape as a possible conservative intervention for management of symptoms in individuals with mild to moderate CTS. The study also illuminates new considerations of younger, active individuals reporting signs and symptoms of CTS as well as mechanism of effects on pain reduction.ConclusionsKinesio tape provided additional improvement in pain and function as compared to the standard approach. |
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| Keywords: | Carpal tunnel syndrome Kinesio tape Conservative interventions Functional performance |
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