A total of 43 individuals were screened for this study. All authors read and approved the final manuscript. Results of previous studies showed that measuring the lumbar range of motion (ROM with a bubble inclinometer was valid and reliable [23,24,25]. 1987;15(3):20713. 1996;21(11):13328. Kase K, Jim W, Tsuyoshi K. Clinical therapeutic applications of the Kinesio taping method. Ashley Mateo is a writer, editor, and UESCA- and RRCA-certified running coach who has contributed to Runners World, Bicycling, Women's Health, Health, Shape, Self, and more. Next, the participant returned to the neutral position and then was given the verbal instruction of reproducing the target position as accurately as he or she could. Also, in the gate control theory of pain, tactile stimulation of KT would reduce the afferent signal of large-diameter non-nociceptive fibers resulting in a reduction of pain [18, 38, 39]. Halseth T, McChesney JW, DeBeliso M, Vaughn R, Lien J. All participants completed measures of pain intensity by the Short-Form McGill Pain Questionnaire (SF-MPQ) [20], functional disability by Oswestry Disability Index (ODI) [21], and lumbar RE using bubble inclinometer before and after the intervention. Runner's World participates in various affiliate marketing programs, which means we may get paid commissions on editorially chosen products purchased through our links to retailer sites. A physical therapist will likely put one strip down the bottom of the foot, the another strip crossing the first on the arch area of the bottom of the foot, Wickham says. If proprioceptive deficits exist, rehabilitation programs should be designed to improve proprioception; however, there has been little research to support this. Therefore, future studies should compare different methods of taping with non-taping, also assess longer follow-ups in patients with CLBP. With that in mind, KT tape may sound like a miracle cure for running injuries, but you dont want to use it as a crutch. Its the tapes elasticity that matters most. (2013) confirmed that KT could counter quadriceps femoris weakness due to attenuated la afferent activity [44]. 2000;25(2):24550. Nelson NL. Kinesio taping to generate skin convolutions is not better than sham taping for people with chronic non-specific low back pain: a randomised trial. Therefore, the findings do not support the hypothesis that lumbar taping would improve lumbar repositioning errors. The groups were comparable at baseline, and there were no significant differences between the two groups regarding age, gender, BMI, pain (Total score of pain (S/A), VAS, PPI), or disability (ODI) (Table 1). Mohammad-Reza Hadian Rasanani. All participants were referred from two public physical therapy clinics associated with the Tehran University of Medical Sciences from July 2017 to September 2018. KT is assumed to have several benefits [12], including (1) pain reduction through neurological suppression, (2) reposition of subluxated joints by decreasing abnormal muscle tone, (3) to create more space by lifting fascia and soft tissue to improve circulation, (4) correcting muscle function by strengthening weak muscles (5) and providing sensory stimulation to improve proprioception [12, 13]. Braz J Phys Ther. Its an elastic tape that provides sensory input into an area, but still allows for full range of motion, explains Laurey Lou, a physical therapist, certified strength and conditioning specialist. Maximum values in both inclinometers were recorded. The effects of Kinesio (TM) taping on proprioception at the ankle. The previous studies never evaluated the effects of KT on pain using SF-MPQ as a multidimensional tool in individuals with nonspecific CLBP, and they measured pain by VAS [18, 32, 34] or NRS [33, 35,36,37]. Participants were also excluded if they presented signs of allergy to KT during a test conducted before the initial evaluation. Instead, push the skin away from the tape instead of peeling the tape from the skin.. Theres a pretty major catch to kinesio tape: Theres not a whole lot of evidence that it reduces swelling or pain or increases muscle function, as it claims. General Muscle Pain: If youre experiencing general soreness or want more support for a muscle, a professional might place two strips (or cut one strip into a Y shape) to border the area, Lou says. On the flip side, if someone has plantar fasciitis and is experiencing a lot of tightness in their calves, taping with limited tension can supposedly turn off the muscle so the person isnt receiving pain signals, Scantlebury explains. As yet, there is a lack of research exploring the effect of KT on lumbar proprioception. 2017;103(2):1549. To the best of our knowledge, this is the first study to evaluate the effect of KT on lumbar proprioception in patients with LBP. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. KT can decrease pain and disability scores after 3days of application. The scores of sensory and affective (S/A) part are calculated by summing sensory and affective item values, as the total score. Some studies have used repositioning error (RE) or position sense to measure proprioception in joints [6, 7]. PubMed Written informed consent was obtained from the participants for publication of their individual details and accompanying images in this manuscript. Paired t-tests were also applied to find the differences between before and 3days after the taping in each group. Spine (Phila Pa 1976). As the body ages, the spine undergoes compensatory changes to adjust with the rest of the body. This study was a parallel double-blinded (assessor and participants), prospective randomized trial. redness and itching, to KT; therefore, they were excluded from the study. Polgar S, Thomas SA. Position sense is defined as the ability to perceive the movement or orientation of a body segment in space. Also, all participants were unaware of their group. KT is made up of colorful elastic cotton strips with an acrylic adhesive that may be stretched to up to 140% of their original length [11]. The individuals were excluded if they had any of the following criteria: the history of pain radiating further than the buttock, sciatica or other radicular involvement, spinal surgery, nerve root compression, neurological deficits, rheumatic diseases, diabetes, mental disorders, pregnancy, lower extremity injuries, or neuromuscular diseases. Lumbar repositioning error was measured by a bubble inclinometer at three different angles (45 and 60 flexion, and 15 extension) in upright standing. Google Scholar. The roles of vision and proprioception in the planning of reaching movements. Man Ther. Signaling of kinesthetic information by peripheral sensory receptors. However, KT is typically worn for 35days. The use of KT would be beneficial to decrease the level of pain and disability in individuals with nonspecific CLBP. 2022 BioMed Central Ltd unless otherwise stated. e2. 2nd ed. Kurt EE, Buyukturan O, Erdem HR, Tuncay F, Sezgin H. Short-term effects of kinesio tape on joint position sense, isokinetic measurements, and clinical parameters in patellofemoral pain syndrome. The tests were randomly performed, and each test was repeated three times with a 30s rest between each trial; then, the average of them was calculated for the analysis. Abbasi S, Rojhani-Shirazi Z, Shokri E. Garcia-Muro San Jose F. the effect of Kinesio taping on postural control in subjects with nonspecific chronic low back pain. \r\rUse KT Tape to relieve pressure and pain, provide proprioceptive support, and increase circulation to promote the healing process. One good rule of thumb: Synthetic tapes tend to be more supportive over longer periods (think: a marathon), while cotton tapes are softer and a little less supportive. Now, kinesiology tape is ubiquitous in the athletic world. How we test gear. The consent form is held by the first author and is available for review by the Editor-in-Chief. 2012;4(3):27982. Based on our results, both KT and placebo taping can reduce pain in patients with CLBP, but the effects of KT are higher than placebo taping. The synergistic action of the anterior cruciate ligament and thigh muscles in maintaining joint stability. And when you take it off, dont rip it off like an adhesive bandage, which can leave a scar, Scantlebury says. Three different target position was chosen. When tape is applied, it causes compression or decompression of these areas, supposedly allowing it to alter pain signals to the brain, he says. Proprioceptive inputs are derived from afferent information received from muscle, joint, and skin receptors [2]. The study prospectively registered on 21.05.2018 at the Iranian Registry of Clinical Trials: IRCT20090301001722N20. Springer Nature. volume28, Articlenumber:63 (2020) Besides, the moderate positive correlation between CE of 15 extension and disability in these patients indicates that those with higher disability display a greater RE. And does it help? But keep in mind: If youre experiencing any of these issues and think kinesiology tape could help, head to a professional before you unravel your first roll. Individuals were randomly assigned to either placebo group (KT without tension) or experimental group (KT with tension) according to a randomization scheme generated by a computer. Some studies compared the effect of KT to placebo taping on pain and disability. 2018;22(2):48792. Terms and Conditions, Behav Res Methods. Low back pain is often aggravated by prolonged sitting or standing as well as activities where we use the body as a lever like vacuuming. An experiment published in 2015 found that kinesiology tape may just have a placebo effect (one that does work, though). Also, only constant error of 15 extension showed a moderate correlation with disability (r=0.39, p=0.02). Proske U, Gandevia SC. The effects of impaired joint position sense on the development and progression of pain and structural damage in knee osteoarthritis. 2019;33(4):596606. Your pro will likely place one strip starting at the mid-calf down to the bottom of the foot, then cross another strip over the back of the heel/ankle, Wickham says. Several studies have evaluated the effect of KT on proprioception in peripheral joints, especially knee and ankle in injured or non-injured individuals [11, 13,14,15] that are conflicting with our results. Lin YH, Sun MH. Spine (Phila Pa 1976). For additional resources, please visit the KT Tape Forum. In the current study, lumbar proprioception was measured by repositioning error. Considering the effects of KT on various aspect of pain (i.e., sensory, affective and evaluative dimensions of pain) [22], it seems that the MPQ could better show the effects of KT on pain after taping than other tools such as VAS alone or Numerical Rating Scale (NRS). Nature. Blinded investigator (investigator 1) conducted the data collection and analysis, and investigator 2 conducted enrolling participants and intervention to minimize potential sources of bias. Taping the quad with maximum tension, he explains, brings those muscle fibers together, essentially causing a contraction (which is what strengthens your muscles). The central part of the strips was applied before the ends by pressing and adhering, and all strips have crossed at the central point of the tape (Fig. It is known that proprioception is necessary for the control of human movement [1]. Article Turk J Phys Med Rehabil. Four I-strips, including one vertical, one horizontal, and two at 45 angles to vertical strip, were attached with 1525% tension overlapping in a star shape over the point of maximum pain in the lumbar area. The effects of patellar taping on knee joint proprioception. Sarlegna FR, Sainburg RL. J Phys Ther Sci. The bubble inclinometer is circular, fluid-filled disc devices, with an adjustable scale to permit zeroing (Model 10,602 built by Fabrication Enterprise Inc. USA) (Fig. Also, only the total score of pain (S/A) showed significant differences between the groups with a large effect size. 2009;41(4):114960. 2002;37(1):1924. Better Breathing Can Improve Your Performance, Ashton Kutcher Takes on NYC Marathon for a Cause, A Kettlebell Workout for Upper Body Strength, NYC Triathlon Shortened for Athlete Safety. Plantar Fasciitis: This occurs when you overload the connective tissue that runs from your heel to the base of your toes, resulting in heel pain. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Another systematic review published in 2020, which focused specifically on tendinopathy (or tendon conditions that cause pain and swelling), revealed that theres little evidence to show KT tape treats these types of injuries beyond the short-term and the authors say more research is needed. Physiol Rev. The Oswestry disability index. This study aimed to evaluate the effect of kinesiology taping (KT) on lumbar proprioception, pain, and functional disability in individuals with nonspecific chronic low back pain (CLBP). This study was supported by the School of Rehabilitation at Tehran University of Medical Sciences. Based on our results, it seems that placebo taping may affect and reduce pain, albeit slightly. 1982;5(1):17187. Sullivan GM, Feinn R. Using effect sizeor why the P value is not enough. In this study, all variables (pain, functional disability, CE, and AE values) were presented as mean (standard deviation). For example: If someone gets surgery to repair their ACL, their quad will likely be weak. To determine the maximum available lumbar ROM and whether the participant was able to perform the experimental tasks, each participant was instructed to move into flexion as much as possible, then the participant moved into extension as much as possible. The experimental group received a standardized KT application in sitting position for 72h. We had chosen applying this method of KT (star shape) in sitting position following the method used by previous similar studies [17, 18]. KT was applied with 1525% tension for 72h, and placebo taping was used without tension. Rarely do issues involving inflammation or nerve damage cause low back pain, but research suggests that misalignments of the spine or hips could also contribute to bilateral low back pain.\r\rPain is generally felt near the top of the pelvis and in the center of the low back on the lower spine and typically stems from a combination of overuse, muscle strain, and injury or damage to the muscles, ligaments, and discs that support the spine. The authors declare that they have no competing interests. Effects of functional taping compared with sham taping and minimal intervention on pain intensity and static postural control for patients with nonspecific chronic low back pain: a randomised clinical trial protocol. The proprioceptive senses: their roles in signaling body shape, body position and movement, and muscle force. Article Physiotherapy. Some of those changes are for the good, but some of those changes can cause pain and problems in human function. Halseth T, McChesney JW, DeBeliso M, Vaughn R, Lien J. 2012;58(2):8995. Previous research suggests that spinal RE is the largest among individuals with higher disabilities. J Physiother. Short-term effect of kinesiology taping on pain, functional disability and lumbar proprioception in individuals with nonspecific chronic low back pain: a double-blinded, randomized trial, https://doi.org/10.1186/s12998-020-00349-y, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. Chiropr Man Therap 28, 63 (2020). Or maybe youve spotted it on fellow runner standing next to you on a starting line. Athletic tape is usually used to create support around a joint, he says, which actually restricts motion. According to the findings, only CE of 15 extension showed a significant moderate positive correlation with disability (r=0.39, P=0.02) (Table3). Also, various methods of measuring lumbar proprioception exist, including joint RE, the threshold to detection of passive motion, and directional motion perception [4]. Fairbank JC, Pynsent PB. By using this website, you agree to our 1. Everyone has nerve receptors in their skin, as well as in the deep layers of the fascia, muscles, and other connective tissues, Wickham says. Relief is generally felt immediately and allows the body to return to a healthy posture and normal function*. The datasets generated and analyzed during the current study are available from the corresponding author upon request. 2006;20(7):6038. Those with a higher functional disability may have greater overall disruption of the pain neuromatrix within the CNS [6]. Kinesio tape, on the other hand, can actually stretch up to 40 percent of its original length while retaining its elasticity, which is what allows it to provide support without hindering your bodys movements. It was hypothesized that applying KT on the lumbar spine would improve lumbar proprioception, pain, and disability compared to the placebo group in individuals with nonspecific CLBP. The allocation of the participants was concealed by using sequentially numbered, sealed, and opaque envelopes. (One small study on 15 people does say KT tape may improve the strength of fatigued quads.). Article Google Scholar. To find a Certified Kinesio Taping Practitioner (CKTP) in your area, visit this site. Low Back Pain\r\rPain in the low back, or lumbago, can be a very complicated problem. A different method of KT with different tension may enhance lumbar proprioception in patients with CLBP. J Athl Train. Effect of Kinesio taping on pain and functional disability in chronic nonspecific low Back pain: a randomized clinical trial. O'Sullivan K, Verschueren S, Van Hoof W, Ertanir F, Martens L, Dankaerts W. Lumbar repositioning error in sitting: healthy controls versus people with sitting-related nonspecific chronic low back pain (flexion pattern). 2018;64(2):12632. 2013;25(11):136771. This content is imported from {embed-name}. First, we compared the effects of KT with a placebo group, but the placebo taping was not a real placebo due to the volume of tape used, which should be thinner than KT with less stimulation of subcutaneous afferent sensory fibers. Motor control impairments in spinal posture and movement, as well as trunk muscle activation, have been reported among patients with nonspecific CLBP [6, 43]. Kinesio taping does not provide additional benefits in patients with chronic low back pain who receive exercise and manual therapy: a randomized controlled trial. The normality of data was assessed, and all variables followed a normal distribution. No one showed any allergic reactions before or after the removal of the tape among those 30 participants who completed the testing. The correlations were rated as strong (>0.7), moderate (>0.5), or weak (<0.3) [29]. Bae SH, Lee JH, Oh KA, Kim KY. Participants in the KT group had mild to moderate pain levels and showed approximately 23% reduction of pain over 3 days; therefore, possibly over a longer period, a greater reduction would have been achieved. All variables were compared between the groups using independent sample t-tests. PubMed What to know about these adhesive strips meant to support your stride. Saur PM, Ensink FB, Frese K, Seeger D, Hildebrandt J. Lumbar range of motion: reliability and validity of the inclinometer technique in the clinical measurement of trunk flexibility.