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

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

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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.

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.

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.



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