Transcript LaToya Franklin, ATC, CKTP

LaToya Franklin, ATC, CKTP
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Dr. Pascoe
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Dr. Gladden
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Dr. Sefton
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Kinesio® Tape Association
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Kenny Howard Fellowship
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Shoulder Anatomy
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What is Kinesio® Tape?
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What the research says…
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Current Study
STATIC STABILIZERS:
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Ball and socket joint
Large humeral head
and small glenoid
articular surface
Ligaments of GH joint
help provide more
stability
DYNAMIC STABILIZERS:
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Rotator cuff
 Supraspinatus
 Infratspinatus
 Teres minor
 Subscapularis
Primary function to
guide and stabilize
glenohumeral joint
“Kinesio Taping® is extremely versatile in
its ability to re-educate the neuromuscular
system, promote lymphatic flow, reduce
pain, enhance performance, prevent injury,
and promote injury resolution”
~ Kenzo Kase
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100% cotton
Latex free
Acrylic heat activated
adhesive
Water resistant
130-140% elasticity
Thickness and weight
similar to skin
Lasts 3 to 5 days
Kase et al. (1996) stated Kinesio® Tape should:
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Create homeostasis and balance
 Increase fluid exchange
 Decrease edema
 Equalize temperature
Five main physiological effects:
 Skin
 Circulatory/lymph
 Fascia
 Joint
 Muscle
PROPOSED EFFECTS ON
MUSCLE:
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Reduce pain
Increase range of
motion
Normalize
length/tension ratios to
create optimal force
Assist tissue recovery
Reduces fatigue
Halseth et al. (2004) studied
Kinesio® Tape and ankle
proprioception:
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30 healthy participants
Pre and post test
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With and without tape
Plantar flexion and
inversion
No significant change
Kase and Hashimoto (1998), Kinesio® Tape’s
effectiveness on blood flow
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Doppler machine to measure blood flow,
before and after Kinesio® Tape of 9 subjects
No significant changes in healthy subjects
Significant changes found in subjects with
physical disorders
Fu et. al (2008) observed the effect of Kinesio®
Tape on muscle strength:
 14 healthy male and female athletes
 Quadriceps and hamstring strength
 Three conditions:
Without taping
 With taping
 With taping after 12 hours
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Results were not significant
Thelen, Dauber, and
Stoneman (2008),Kinesio®
Tape effect on shoulder
pain:
 42 participants with RTC
tendonitis/impingement
 2 groups
 KT therapeutic/KT sham
 Self reported pain and pain
free AROM measured
 KT therapeutic group
showed immediate
improvement in ROM
Why?
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Few studies involve the shoulder
Little research performed on the effects of
taping on the shoulder
Limited Kinesio® Tape research/Studies vary
on Kinesio® Tape claims
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Objective
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To see if the suggested Kinesio® Tape
protocol produces measurable effects
(increased ROM, increased force production,
increased blood flow) compared to Sham
Tape after muscle fatigue
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Healthy males and
females
Between the ages of
20 – 25 (mean 21.8 ±
1.2 years)
16 participants
 12 female
 4 male
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Exclusion criteria
 Circulatory
problems
 Local infection
 Recent wounds
 Smokers
 Shoulder
injuries/problems
within the past year
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Dynamic Infrared
Thermography (DIRT)
Passive, noninvasive
temperature sensing
device
 Measures changes in
radiant body surface
temperature
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Goniometer
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Measure active
range of motion
(AROM)
 Flexion
 Extension
 Abduction
 Internal/external
rotation
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Load Cell
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transducer which
converts force into
a measurable
electrical output
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Kinesio® Tape and Sham Tape
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Visual Analogue Scale (VAS)
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100mm scale used to record pain intensity
experienced after muscle fatigue
Shoulder Pain and Disability Index (SPADI)
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Questionnaire used to asses changes in
shoulder discomfort
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DAY 1
Informed Consent, PAR-Q, health
questionnaire
2. Group selection
3. Weight measurement
4. DIRT equilibration/scans
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DAY 1
5. AROM measures
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DAY 1
6. Force measures
Internal Rotation
External Rotation
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DAY 1
7. Tape Application
3
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2
Kinesio® Tape
Sham Tape
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DAY 1
8. DIRT equilibration/scans
9. AROM measures
10. Force measures
11. Fatigue protocol
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DAY 1
12. DIRT equilibration/scans
13. AROM measures
14. Force measures
15. VAS/ SPADI
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DAY 2 and DAY 3
DIRT equilibration/scans
2. AROM measures
3. Force measures
4. VAS/SPADI
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Descriptive statistics and confidence intervals
3x5 (treatment x time) repeated measures
MANOVA with a follow up ANOVA and ttests
Analysis performed using SPSS, significance
level set at a priori to p=0.05
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DIRT
 statistically significant effect both in group
and within subjects in all groups after Day 1
(F 1,15 = 14.832, p=0.002)
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statistically significant effect within subjects
in Kinesio® Tape (F 4, 12 = 2.789, p= 0.026) and
Sham Tape (F 4, 12 = 2.789, p= 0.026)
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DIRT
 Day 1: each group
showed a gradual
increase in temperature
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Day 1 to Day 3:
 Kinesio® Tape
showed a 0.6°C
temperature increase
 Sham Tape showed a
0.2° C temperature
increase
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AROM
AROM together showed no statistical
significance between group or within
subjects from Day 1 to Day 3
 External rotation showed statistical
significant effect with subjects from Day 1 to
Day 3 (F 4,12 = 2.097, p=0.036)
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AROM
 Day 1 to 3:
 Kinesio®Tape showed 1.5° increase in
external rotation from Day 1 to Day 3
 Sham Tape showed 1.2 ° increase in
external rotation from Day 1 to Day 3
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Force
 Internal rotation showed a statistical
significant effect between all groups with
tape after Day 1 (F 4, 12 = 4.44, p=0.20)
 Day 1:
 No tape showed 2.6 N decrease in force
 Kinesio® Tape showed 2.8 N decrease in
force
 Sham Tape showed 3.3 N decrease in force
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Pain and Discomfort
 VAS showed a statistical significant effect
between all groups from Day 1 to Day 3 (F 2,
14= 4.183, p=0.038)
 Day 1 to Day 3:
 No tape .5 decrease in VAS score
 Kinesio® Tape .5 decrease in VAS score
 Sham Tape .3 decrease in VAS score
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Primary goal was to determine if Kinesio®
Tape was effective in producing physiological
changes that improved shoulder joint and
muscle function after muscle fatigue
Results agree with previous research in which
Kinesio® Tape showed improvement in blood
flow and range of motion
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Results also concurred with previous research
that showed no significant increase in muscular
activity with the use of Kinesio® Tape
Although results show statistical significance
they may not be clinically meaningful
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Low sample size
Study may not have accurately depicted how
Kinesio® Tape would work during athletic
participation
Study solely looks at shoulder and may not be
indicative of how Kinesio® Tape would work
in other parts of the body
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Limited research on the effects of Kinesio®
Tape and its uses
Study provided a small picture of the
physiological and functional effects of
Kinesio® Tape
No indication Kinesio® Tape showed greater
improvement in blood flow and AROM as
compared to the Sham Tape
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Assessment of Kinesio ® Tape effects on blood
flow, ROM, and force production in
participants with shoulder pathologies
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Dr. Pascoe
Dr. Sefton
Dr. Gladden
Dr. Weimar
Ceren Yarar
Bonni Messner
Marie Lackamp
Ande Sumner
Remi Onifade
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Rehab Works
Kenny Howard
Fellowship
Kinesio ® Tape
Association
Kenny Howard
Fellows
Warrior Athletic
Trainers
Auburn University
students
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Kinesio Taping Association Website. Available at:
www.kinesiotaping.com.
Halseth T, McChesney JW, DeBelsio M, Vaughn R, Lien J. The effects of
kinesio taping on proprioception at the ankle. Journal of Sports Science and
Medicine. 2004; 3: 1 -7.
Thelen MD, Dauber JA, Stoneman, PD. The clinical efficacy of Kinesio
Tape for shoulder pain: A randomized double-blinded, clinical trial.
Journal of Orthopaedic & Sports Physical Therapy. 2008; 38(7): 389 -395.
Branstiter G. The use of Kinesio Tape for the management of postsurgical scar tissue. Case study.
Kase K, Hashimoto T. Changes in the volume of peripheral blood flow
by using Kinesio Taping. Kinesio Tape Association Website. 1998.
Osterhues DJ. The use of Kinesio Taping in the management of traumatic
patella dislocation. A case study. Physiotherapy Theory and Practice. 2004;
20: 267 -270.
Fu et. al. Effect of Kinesio Taping on muscle strength in athletes-a pilot
study. Journal of Science and Medicine in Sport. 2008; 11: 198 – 201.