Inefficacy of Kinesio-Taping® on early postoperative pain after ACL reconstruction

Laborie M, Klouche S, Herman S, Gerometta A, Lefevre N, Bohu Y

Literatuur type: 
cct
Publicatie jaar: 
2015

 

Introduction:
Kinesio-Taping®(K-Tape) is used in sports traumatology with the aim of reducing pain andimproving blood and lymph circulation. The main objective of the present study was to assess the efficacyof K-Tape on early postoperative pain after anterior cruciate ligament (ACL) reconstruction. The studyhypothesis was that K-Tape significantly decreases pain.

Method:
A prospective non-randomized comparative study was conducted in 2013–2014 and includedall patients who underwent primary ACL reconstruction by hamstring graft. Analgesia was standardized.Two groups, “K-Tape” and “controls”, were formed according to the days on which the study phy-siotherapist was present. The K-Tape compression/decompression assembly was applied immediatelypostoperatively and maintained for 3 days. Patients filled out online questionnaires. The main assessmentcriterion was mean postoperative pain (D0–D3) on a 0-to-10 scale. Secondary criteria were analgesiaintake on the three WHO levels, awakening during the night of D0 due to pain, signs of postoperativediscomfort, and patient satisfaction.

Results:
Sixty patients (30 per group) were included, 57 of whom could be assessed: 28 K-Tape, 29 con-trols; 44 male, 13 female; mean age, 30.9 ± _8.9 years.  At inclusion, the two groups were comparable. Therewas no significant difference in mean (D0–D3) knee pain intensity: 3.8 ± _2.2 for K-Tape, and 3.9 ± _2 forcontrols (P = 0.93). Analysis of variance (ANOVA) found no significant intergroup difference in evolutionof pain (P = 0.34). There were no other significant differences on the other assessment criteria.Conclusion: K-Tape showed no efficacy on early postoperative pain following ACL reconstruction.Level of evidence: III; prospective non-randomized comparative study.

 

Referenties: 

Orthopaedics&Traumatology: Surgery & Research101 (2015) 963-027