Effects of Taping on the Proprioceptive System
Kinesiotape (KT) is a widely used technique, although the scientific evidence on its effectiveness is limited and conflicting. KT has not yet been scientifically proven to have an effect on proprioception and a possible placebo effect of this technique cannot be ruled out. The main objective of this experimental study is to evaluate the effect of the application of KT in the anterior side of the forearm on the force sense and the positional sense compared to a placebo intervention in healthy subjects. A randomized, single-blind, crossover clinical trial will be carried out, where each subject will undergo three situations in their dominant forearm: no intervention, intervention using sham tape and intervention using KT. In the present design, in a randomized manner, all subjects go through the 3 conditions on different days: KT, sham tape, and no intervention. Measurements will be made before and after the intervention and proprioception will be measured using the variables of sense of force (with a dynamometer) and joint position (with a goniometer). The main intervention will be the application of a KT strip on the anterior face of the forearm and a sham tape of another material following the same procedure. The study population will be made up of healthy students from the university community of the Faculty of Physiotherapy of the University of Vigo.
The main objective of this experimental study is to evaluate the effect of the application of kinesiotape (KT) in the anterior side of the forearm on the force sense and the joint positional sense of the wrist compared to a placebo/sham intervention in healthy subjects.
Study hypothesis: the application of KT on the anterior side of the forearm produces better results in the force sense evaluated by a grip dynamometry and on the joint position sense of the wrist compared to a sham intervention or not intervention.
|Condition or Disease||Intervention/Treatment||Phase|
Arms and Interventions
|Experimental: Experimental arm|
The intervention will be the application of a Kinesiotape (KT) strip on the anterior side of the forearm. The day of the intervention will proceed as follows: Warm-up: The total warm-up time will be 5 minutes. After warm-up, a 1 minute rest will be carried out. Skin cleansing with 96% alcohol. Kinesiotape (KT): KT will be placed without any extra tension (in the scientific literature it is called "paper off tension").
Kinesiotape (KT): KT will be placed without any extra tension (in the scientific literature it is called "paper off tension"). The measure determined in the measurement with a tape measure is cut. The anchor of the KT is placed on the medial epicondyle with the body segments in a neutral position (anchor length: 5 cm). Placement of the active zone of the bandage with the flexor muscles of the fingers in elongation. Origin-insertion placement. Distal anchor in neutral position. Material: Kinesiotape: Kinesiology Tape TEMTEX ® Beige (Towatek Korea Co .; South Korea).
|Sham Comparator: Control arm|
The intervention will be the application of a tape strip on the anterior side of the forearm. Sham tape appears to be kinesiotape but is an inelastic tape. The day of the intervention will proceed as follows: Warm-up: The total warm-up time will be 5 minutes. After warm-up, a 1 minute rest will be carried out. Skin cleansing with 96% alcohol. Sham tape: exactly the same procedure is followed as experimental arm, but an adhesive inelastic tape is used. Material: Omnifix elastic (Laboratorios Hartmann S.A .; Spain).
Procedure: Sham tape
Sham tape: exactly the same procedure is followed as above, but an adhesive inelastic tape is used. Material: Omnifix elastic (Laboratorios Hartmann S.A .; Spain).
Primary Outcome Measures
- Force sense [30 minutes]
Evaluation: ability of a subject to reproduce a certain force. Grip force. Measuring instrument: dynamometer (JAMAR Smart Hand Dynamometer, Patterson Medical Holdings, Inc.).
- Joint position sense [30 minutes]
Evaluation: ability of a subject to reproduce a certain position. Wrist position. - Measuring instrument: goniometer (Baseline Bubble Inclinometer- Fabrication Enterprises USA and Universal Plastic Goniometer- Saehan Rulong Goniometer).
The participants will be members of the University of Vigo who participate voluntarily in the study.
Participants must be healthy subjects (men and women) of legal age (>18 years).
All subjects must sign the informed consent prior to experimentation.
Suffering from dermal disorders, fragile skin or allergy to adhesive tape.
Excessive skin hair in the region to apply the tape.
Have received a bandage on the upper limb (MMSS) in two weeks prior to the experimentation.
History of orthopedic / traumatic alterations in upper limb (deformities, arthropathy, muscular injuries, fracture or tendinopathy), neurological disorders (central or peripheral), systemic disorders, circulatory disorders (edema, heart failure, thrombosis, kidney failure), hormonal disorders or surgery in upper limb in the last 6 months.
Have done strength training in the MMSS in the 48 hours prior to the study.
Limitation in the range of motion of the MMSS that may affect the grip strength.
Consumption of alcoholic beverages or medications 24 hours prior to the experimentation.
Contacts and Locations
|1||University of Vigo||Pontevedra||Spain||36005|
Sponsors and Collaborators
- University of Vigo
- Colexio Oficial de Fisioterapeutas de Galicia
- Principal Investigator: Lorenzo A Justo Cousiño, PhD, Physiotherapy Group (FS1)- Faculty of Physiotherapy. University of Vigo
Study Documents (Full-Text)None provided.
- Clark NC, Röijezon U, Treleaven J. Proprioception in musculoskeletal rehabilitation. Part 2: Clinical assessment and intervention. Man Ther. 2015 Jun;20(3):378-87. doi: 10.1016/j.math.2015.01.009. Epub 2015 Jan 29. Review.
- Csapo R, Alegre LM. Effects of Kinesio(®) taping on skeletal muscle strength-A meta-analysis of current evidence. J Sci Med Sport. 2015 Jul;18(4):450-6. doi: 10.1016/j.jsams.2014.06.014. Epub 2014 Jun 27. Review.
- Drouin JL, McAlpine CT, Primak KA, Kissel J. The effects of kinesiotape on athletic-based performance outcomes in healthy, active individuals: a literature synthesis. J Can Chiropr Assoc. 2013 Dec;57(4):356-65.
- Hagert E. Proprioception of the wrist joint: a review of current concepts and possible implications on the rehabilitation of the wrist. J Hand Ther. 2010 Jan-Mar;23(1):2-17. doi: 10.1016/j.jht.2009.09.008. Epub 2009 Dec 5. Review.
- Han J, Waddington G, Adams R, Anson J, Liu Y. Assessing proprioception: A critical review of methods. J Sport Health Sci. 2016 Mar;5(1):80-90. doi: 10.1016/j.jshs.2014.10.004. Epub 2015 Feb 3. Review.
- Kalron A, Bar-Sela S. A systematic review of the effectiveness of Kinesio Taping--fact or fashion? Eur J Phys Rehabil Med. 2013 Oct;49(5):699-709. Epub 2013 Apr 5. Review.
- Kurt EE, Büyükturan Ö, 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. J Phys Ther Sci. 2016 Jul;28(7):2034-40. doi: 10.1589/jpts.28.2034. Epub 2016 Jul 29.
- Morris D, Jones D, Ryan H, Ryan CG. The clinical effects of Kinesio® Tex taping: A systematic review. Physiother Theory Pract. 2013 May;29(4):259-70. doi: 10.3109/09593985.2012.731675. Epub 2012 Oct 22. Review.
- Parreira Pdo C, Costa Lda C, Hespanhol LC Jr, Lopes AD, Costa LO. Current evidence does not support the use of Kinesio Taping in clinical practice: a systematic review. J Physiother. 2014 Mar;60(1):31-9. doi: 10.1016/j.jphys.2013.12.008. Epub 2014 Apr 24. Review.
- Poon KY, Li SM, Roper MG, Wong MK, Wong O, Cheung RT. Kinesiology tape does not facilitate muscle performance: A deceptive controlled trial. Man Ther. 2015 Feb;20(1):130-3. doi: 10.1016/j.math.2014.07.013. Epub 2014 Aug 6.
- Reneker JC, Latham L, McGlawn R, Reneker MR. Effectiveness of kinesiology tape on sports performance abilities in athletes: A systematic review. Phys Ther Sport. 2018 May;31:83-98. doi: 10.1016/j.ptsp.2017.10.001. Epub 2017 Oct 9. Review.
- Riemann BL, Lephart SM. The Sensorimotor System, Part II: The Role of Proprioception in Motor Control and Functional Joint Stability. J Athl Train. 2002 Jan;37(1):80-4.
- Röijezon U, Clark NC, Treleaven J. Proprioception in musculoskeletal rehabilitation. Part 1: Basic science and principles of assessment and clinical interventions. Man Ther. 2015 Jun;20(3):368-77. doi: 10.1016/j.math.2015.01.008. Epub 2015 Jan 29. Review.
- Williams S, Whatman C, Hume PA, Sheerin K. Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness. Sports Med. 2012 Feb 1;42(2):153-64. doi: 10.2165/11594960-000000000-00000. Review.
- Wilson B, Bialocerkowski A. The Effects of Kinesiotape Applied to the Lateral Aspect of the Ankle: Relevance to Ankle Sprains--A Systematic Review. PLoS One. 2015 Jun 23;10(6):e0124214. doi: 10.1371/journal.pone.0124214. eCollection 2015.
- Zhang S, Fu W, Pan J, Wang L, Xia R, Liu Y. Acute effects of Kinesio taping on muscle strength and fatigue in the forearm of tennis players. J Sci Med Sport. 2016 Jun;19(6):459-64. doi: 10.1016/j.jsams.2015.07.012. Epub 2015 Jul 17.
- University of Vigo