Effects of Kinesio Taping on breast cancer-related lymphedema: A meta-analysis in clinical trials

Background: Lymphedema is known as a secondary complication of breast cancer treatment, caused by reduction on lymphatic flow and lymph accumulation on interstitial space. The Kinesio Taping (KT) has become an alternative treatment for lymphedema volume reduction. The objective of the study was to evaluate the literature through a systematic review on KT effects on lymphedema related to breast cancer.

Methods: Search strategies were performed by the following keywords: “Kinesio Taping,” “Athletic Tape,” “Cancer,” “Neoplasm,” “Lymphedema,” and “Mastectomy” with derivations and different combinations. The following databases were accessed: SCIELO, LILACS, MEDLINE via PubMed, and PEDro, between 2009 and 2016. Studies published in English, Portuguese, and Spanish were considered for inclusion. The studies’ methodological quality was assessed by the PEDro scale.

Results: Seven studies were identified by the search strategy and eligibility. All of them showed positive effect in reducing lymphedema (perimeter or volume) before versus after treatment. However, with no effects comparing the KT versus control group or others treatments (standardized mean difference = 0.04, confidence interval 95%: ?0.24; 0.33), the average score of the PEDro scale was 4.71 points.

Conclusions: KT was effective on postmastectomy lymphedema related to breast cancer; however, it is not more efficient than other treatments.     

肌内效贴在脑卒中运动障碍康复中的研究进展

肌内效贴近年来已成为治疗脑卒中的新技术之一。本研究基于国内外肌内效贴在脑卒中运动障碍康复中的临床应用与研究进展,综合评述了其在偏瘫病人上肢、下肢、其他等方面的应用取得的疗效并进行分析,总结其在脑卒中康复中临床应用中特点,并对肌内效贴在脑卒中康复中的应用提出展望。     

THE EFFECT OF EXERCISE AND TIME ON THE HEIGHT AND WIDTH OF THE MEDIAL LONGITUDINAL ARCH FOLLOWING THE MODIFIED REVERSE‐6 AND THE MODIFIED AUGMENTED LOW‐DYE TAPING PROCEDURES

Purpose/Background:

No evidence exits regarding the magnitude of the change in foot posture following the “modified reverse‐6” (MR6) taping procedure, either alone or in combination with the “low‐dye” (LD) taping technique. The purpose of this study was to investigate the change in the height and width of the midfoot after application of the MR6 and the MR6 plus the LD (MR6+LD) taping technique and determine how long those changes last.

Methods:

Eleven individuals (2 female and 9 male) were recruited for this study and were tested under each of two experimental conditions, the MR6 and the MR6+LD taping technique. The order of testing for the two conditions was randomly determined. For each condition, the height and width of the midfoot at 50% of each subject''s foot length was initially measured and then again immediately following the application of the tape. These measurements were repeated four hours later immediately prior to running two miles on a treadmill, again immediately after running, and finally after another four hours.

Results:

The dorsal arch height increased significantly with both the MR6 and MR6+LD taping, but only the MR6+LD remained statistically greater after four hours, a bout of exercise and again at the end of the day. The mean width of the midfoot significantly decreased with both taping procedures. The change in the width of the midfoot remained significantly decreased in both taping conditions after exercise and throughout the day.

Conclusions:

Both taping procedures are able to significantly change the height and width of the medial longitudinal arch of the foot, but the change lasted longer when the two taping procedures were combined.

Levels of Evidence:

Level 3, Prospective Cohort Study     

肌内效贴贴扎对先天性肌性斜颈患儿头颈部活动度的影响

目的 探讨肌内效贴贴扎对先天性肌性斜颈患儿头颈部活动度的影响。 方法 选取先天性肌性斜颈患儿52例,采用随机数字表法将其分为治疗组和对照组,每组26例。两组患儿均接受常规康复训练,每日1次,每次20 min,每周5 d,5 d为1个疗程,共4个疗程。治疗组在此基础上运用肌内效贴贴扎技术进行斜颈的治疗,间隔2 d进行1次,单次贴扎时间≤48 h,共4周。治疗前、治疗4周后（治疗后）,测量两组患儿头部倾斜、颈部侧屈角度及颈部左右旋转角度差值,并评估临床疗效。 结果 治疗后,两组患儿头部倾斜角度、颈部侧屈角度、颈部左右旋转角度差值均较组内治疗前改善（P＜0.05）,且治疗组治疗后患儿头部倾斜角度［（4.46±3.00）°］、颈部侧屈角度［（62.92±7.68）°］、颈部左右旋转角度差值［（4.92±3.06）°］较对照组改善优异（P＜0.05）。治疗后,治疗组患儿治愈率（46.15%）、好转率（50.00%）均高于对照组,无效率（3.85%）低于对照组（P＜0.05）。 结论 在常规康复训练基础上增加肌内效贴贴扎,能更好地改善先天性肌性斜颈患儿的头颈部活动度。     

膝关节使用肌内效贴对位置觉及下肢功能的影响

目的 观察膝关节行肌内效贴贴扎或使用护膝对位置觉和下肢功能的影响。 方法 2019年9月,21~27岁健康成年男性20例,分别在无干预、单纯肌内效贴贴扎、单纯应用护膝、同时应用肌内效贴和护膝的4种条件下,角度重现测试检测不同干预下膝关节位置觉,并行功能性够取试验(FRT)、10米步行时间(10MWT)测量和计时起立-行走测试(TUGT)。 结果 膝关节角度误差测试,无干预条件下最大,单纯肌内效贴贴扎最小(F = 61.260, P < 0.001);各条件下FRT均无显著性差异( F = 1.793, P = 0.988);单纯肌内效贴贴扎下10MWT最小(F = 23.817, P < 0.001);无干预条件下TUGT时间最长( F = 19.865, P < 0.001)。 结论 肌内效贴能提高膝关节位置觉和步行功能,附加护膝不能获得进一步利益。     

Effects of Kinesio Taping on scapular kinematics and electromyographic activity in subjects with shoulder impingement syndrome

ObjectiveTo investigate the effects of Kinesio Taping® (KT) on scapular kinematics and electromyographic (EMG) activity in subjects with shoulder impingement syndrome (SIS).MethodsTwenty subjects with a diagnosis of SIS performed abduction, scaption, and flexion movements in two load conditions: (1) without load and (2) holding a dumbbell. The same movements were evaluated again with the use of KT over the deltoid muscle with a 20% tension. Scapular kinematics data of the shoulder complex were captured with BTS SMART-DX at a frequency rate of 100 Hz. EMG activity was evaluated for the upper trapezius, lower trapezius, middle deltoid, and serratus anterior muscles with BTS FREE EMG 1000 at a frequency rate of 1000 Hz. The root mean square values normalized by the maximal voluntary contraction and the peak values of upward rotation, internal rotation, and posterior tilt were compared with the KT conditions through repeated-measures ANOVA (α = 0.05) using SPSS software.ResultsNo significant differences between KT conditions were found for scapular kinematics (p > 0.05). For EMG activity, a reduction in the lower trapezius was found (p < 0.05) during abduction with load (p < 0.05) and elevation without load (p < 0.05).ConclusionsAccording to the results of this study, it was not possible to verify changes in scapular kinematics in subjects with SIS. However, a reduction in EMG activity was observed for the lower trapezius muscle. Therefore, caution should be taken in prescribing KT for SIS subjects, who already have a reduction in EMG activity in this muscle, as KT may have an adverse effect.     

Short-term and long-term effects of ankle joint taping and bandaging on balance,proprioception and vertical jump among volleyball players with chronic ankle instability

ObjectiveThis study hypothesized that the prolonged use of taping during athletic activities produces more significant increases in proprioception, balance, and vertical jump among volleyball players with CAI.DesignA randomized controlled study.ParticipantsOne-hundred participants with chronic ankle instability (CAI) participated in this study. Participants were distributed into 3-groups: taping group, bandaging group, and control group.Primary outcome measuresProprioception (ankle range of motion absolute error), balance(Y-balance test), and vertical jump (vertical jump tester).InterventionsThree interventions were performed: ankle rigid taping, ankle bandaging, and placebo taping. The measurements were performed at baseline, immediately, 2-weeks and 2-months after support.ResultsImmediately after supports, there were non-significant differences between all groups for proprioception, balance (P < .05). There was a significant difference between banding and control groups, and taping and control groups for the vertical jump (P < .05). After 2-weeks and 2-months, there were significant differences between bandaging and control groups, and taping and control groups for proprioception, balance, and vertical jump (P < .05). There were non-significant differences between taping and bandaging groups (P < .05) during all assessments.ConclusionThis study indicated that ankle taping and bandaging immediately improve vertical jump only; while they improve proprioception, balance, and vertical jump after 2-weeks and 2-months.     

Effects of trapezius kinesio taping on scapular kinematics and associated muscular activation in subjects with scapular dyskinesis

Study DesignCrossover repeated-measure design.IntroductionScapular dyskinesis rehabilitation programs that focus on inhibiting upper trapezius (UT) and activating the lower trapezius (LT) may assist in restoring scapular movements. We hypothesized that taping may be able to normalize scapular movements and associated muscular recruitment.Purpose of the StudyThe purpose of this study was to investigate the immediate effects of kinesio taping over trapezius on scapular kinematics and muscular activation in different dyskinesis patterns. We expected that taping can improve scapular kinematics and muscular activation in subjects with dyskinesis.MethodsFifty-four participants with inferior angle prominence (pattern I), medial border prominence (pattern II), and mixed pattern (pattern I + II) were recruited. Kinesio taping was applied over 3 parts of trapezius muscles, including UT, middle trapezius (MT), and LT. The scapular kinematics and electromyographic data of trapezius and serratus anterior were collected during scapular plane elevation without taping and after each taping application.ResultsUT taping decreased UT activity (5%-7%; P = .001-.003) in 72% of participants with pattern II and pattern I + II dyskinesis, with increased posterior tipping (2.2°-2.5°; P = .003) in pattern II dyskinesis. MT taping increased UT activity (3%; P = .003) in 48% of participants with pattern II dyskinesis.DiscussionThe taping over the trapezius muscle may help to restore coordinated scapular muscle balance and increased upward rotation of the scapula, especially in pattern II dyskinesis. Although no electromyography or kinematic difference was found with LT taping in each dyskinesis pattern, methods of applying LT taping need to be further investigated.ConclusionReduced UT muscle activity and scapular posterior tipping are appropriate when applying taping over UT muscle in patterns II and I + II dyskinesis. Caution should be taken when applying taping over MT and LT muscles in terms of increased UT activity, especially in pattern II dyskinesis.     

Taping of the ankle — the effect on postural sway during perturbation,before and after a training session

The application of adhesive tape to the ankle prevents spains and is therefore frequently used by athletes with functional instability of that joint. The purpose of the study was to investigate the effect of taping on postural sway during a sudden perturbation in subjects with unilateral functional instability of the ankle joint. Nine Swedish male elite soccer players with unilateral functional instability of the ankle joint after a sprain participated in the study. Their mean age was 25 years. All but one had sustained an ankle sprain during the last 1–12 months, and they applied adhesive tape on one ankle at every practice session and game. Eight moderately active male subjects served as controls (mean age 32 years). Recording and analysis of postural sway was performed by the use of stabilometry. We used a device previously tested for reliability and added a perturbation device. The perturbation device was an ankle disc standing on four bars on top of the force plate. At the start of each recording, the ankle disc was stable. The bars could be removed simultaneously by the test leader. The following parameters were analysed: (1) max sway, the maximal sway amplitude upon perturbation in mediolateral and anteroposterior directions; (2) mean sway, the mean sway during the recording in mediolateral and anteroposterior directions. There was no difference between the right and left ankles before the practice session. The postural sway during perturbation (max sway) decreased when the ankle was taped before the exercise. After the exercise there was no difference between the taped and untaped ankles. The maximum and mean amplitude of sway without tape were smaller after exercise than before exercise. The results in the present study indicate a positive effect of tape on postural sway during perturbation before a practice session. The decreased sway with an untaped ankle after the practice session could mean that the prophylactic effect of taping is most important during the first part of a practice session or a game. Warmer muscle units mean less uncontrolled muscle activity which could result in more effective stabilisation of the ankle joint.