Short-Term Effects of Cervical Kinesio Taping on Pain and Cervical Range of Motion in Patients With Acute Whiplash

González-Iglesias J, Fernández-de-Las-Peñas C, Cleland JA, Huijbregts P, Del Rosario Gutiérrez-Vega M

Literatuur type: 
rct
Rating: 
☆☆☆☆
Publicatie jaar: 
2009

 

Objectives
To determine the short-term effects of Kinesio Taping, applied to the cervical spine, on neck pain and cervical range of motion in individuals with acute whiplash-associated disorders (WADs).

Background
Researchers have begun to investigate the effects of Kinesio Taping on different musculoskeletal conditions (eg, shoulder and trunk pain). Considering the demonstrated short-term effectiveness of Kinesio Tape for the management of shoulder pain, it is suggested that Kinesio Tape may also be beneficial in reducing pain associated with WAD.

Methods and measures
Forty-one patients (21 females) were randomly assigned to 1 of 2 groups: the experimental group received Kinesio Taping to the cervical spine (applied with tension) and the placebo group received a sham Kinesio Taping application (applied without tension). Both neck pain (11-point numerical pain rating scale) and cervical range-of-motion data were collected at baseline, immediately after the Kinesio Tape application, and at a 24-hour follow-up by an assessor blinded to the treatment allocation of the patients. Mixed-model analyses of variance (ANOVAs) were used to examine the effects of the treatment on each outcome variable, with group as the between-subjects variable and time as the within-subjects variable. The primary analysis was the group-by-time interaction.

Results
The group-by-time interaction for the 2-by-3 mixed-model ANOVA was statistically significant for pain as the dependent variable (F = 64.8; P ±.001), indicating that patients receiving Kinesio Taping experienced a greater decrease in pain immediately postapplication and at the 24-hour followup (both, P ±.001). The group-by-time interaction was also significant for all directions of cervical range of motion: flexion (F = 50.8; P ±.001), extension (F = 50.7; P ±.001), right (F = 39.5; P ±.001) and left (F = 3.8, P ±.05) lateral flexion, and right (F= 33.9, P ±.001) and left (F = 39.5, P ±.001) rotation. Patients in the experimental group obtained a greater improvement in range of motion than those in the control group (all, P ±.001).

Conclusions
Patients with acute WAD receiving an application of Kinesio Taping, applied with proper tension, exhibited statistically significant improvements immediately following application of the Kinesio Tape and at a 24-hour follow-up. However, the improvements in pain andcervical range of motion were small and may not be clinically meaningful. Future studies should investigate if Kinesio Taping provides enhanced outcomes when added to physical therapy interventions with proven efficacy or when applied over a longer period.

 

  Ja Nein Total
Einleitung      
1) Relevanter Hintergrund der Untersuchung? Ja    
2) Literaturverweisung? Ja    
3) Problem-bzw. Fragestellung konkret gestellt? Ja    
  Ja    
Methode Ja    
4) Ausreichende Beschreibung der Untersuchungsgruppe? Ja    
5) Eindeutige Auslegung der unabhängigen Variabele(n)? Ja    
6) Eindeutige Auslegung der abhängigen Variable (n)? Ja    
7) Ausreichende Informationen über Zeitaspekte? Ja    
8) Ausreichende Information über das Messinstrument? Ja    
9) Ausreichende Information über das gebrauchte Material? Ja    
10) Werden alpha Werte und/oder Vertrauenswürdige Intervalle bekannt gegeben? Ja    
11) Sind Verzerrungen / Selektion bias auszuschließen?   Nein  
12) Kann man bias als Folge von Zeitaspekten ausschließen?   Nein  
13) Gewünschte Randomisierung? Ja    
14) Gewünschte Blindierung?   Nein  
15) Gleiche Behandlung ? Ja    
16) Auswahl des Untersuchungskonzept passend ausgesucht zur Fragestellung? Ja    
17) Ist das Messinstrument geeignet für diese Untersuchung? Ja    
       
Resultate      
18) Entsprechen die Resultate einer kompletten und deutlichen Wiedergabe der abhängigen Variablen aus der Fragestellung? Ja    
19) Sind die Gruppen zu Beginn vergleichbar? Ja    
20) Wurde eine Signifikanz angegeben? Ja    
21) Sind Bias als Folge von Ausfall von Testpersonen auszuschließen? Ja    
22) Resultate relevant? Ja    
23) Resultate klinisch relevant? Ja    
24) Werden die Schlussfolgerungen durch andere Untersuchungen unterstützt?   Nein  
25) Sind die Schlussfolgerungen in ihrem Berufsfeld um zu setzen?   Nein  
       
       
Total     20
       
- Reproduzierbare Untersuchung? Ja    
       

 

Referenties: 

J Orthop Sports Phys Ther 2009;39(7):515-521. doi:10.2519/jospt.2009.3072