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Evidence? Kinesiology Taping n Despite its popularity n A scoping review of the Techniques for the Upper and widespread clinical use of elastic therapeutic use, there is relatively tape for neck or upper Extremity little evidence to support extremity conditions the effectiveness of n Journal of Hand Therapy elastic therapeutic tape/ Kristin Valdes, OTD,OT, CHT n 2014 Kinesiotape, let alone for Marybeth Laplant, PT, CHT specific neck and upper n Taylor et al. Mary Loughlin, OTR/L,CHT,CKTP extremity conditions
Reviewed Pain n Of the 14 studies that n Looked at the impact on n Six out of eight studies n But…. were included in this taping on that examined changes in n No long term follow-up scoping review, seven pain for carpal tunnel measurements obtained articles were randomized syndrome, biceps n Pain n elastic therapeutic tape controlled trials (RCTs), tendonitis, medial n Motion may be able to provide four were single-group epicondylitis, rotator cuff an immediate short-term repeated measure studies, n Strength pain, neck pain and reduction in pain two were quasi- n Patient Preference shoulder pain found experimental studies, & statistically significant one was a case report differences in favor of elastic therapeutic tape
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Impact on range of motion Impact on strength n Four of these studies n Three studies (one with a healthy athlete population, involved changes in and two with athletes with shoulder range of motion upper limb conditions) and two studies examined changes in strength. Two measured examined cervical range grip strength, and one of motion. Of these, lower trapezius muscle three studies found strength following immediate application of statistical significance for elastic therapeutic tape. All increased range of found no statistically motion. significant difference between groups.
Patient preference Benefits of Taping n Only one study examined patients' n Another benefit that was n The findings of this preference of elastic therapeutic tape found as part of this scoping review suggest compared to an alternative scoping review was that that elastic therapeutic intervention (in this case, bandaging elastic therapeutic tape is tape may play a role in for lymphedema management). They a treatment modality that reducing short-term neck found statistically significant results has few side-effects. No and upper extremity pain to support the argument that elastic adverse events were and that it may be a reported in any of these therapeutic tape was preferred by more convenient and studies as a result of the participants (p < 0.05). Reasons comfortable alternative use of elastic therapeutic included longer wearing times, less to existing conservative tape. difficult usage, increased comfort treatments. and convenience.
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Kaneko, S & Takaski, H Taping Technique JOSPT 2011 [ CASE REPORT ]
SHOUTA KANEKO, OT, MSc1 • HIROSHI TAKASAKI, PT, MSc2
Forearm Pain, Diagnosed as Intersection Syndrome, n The taping direction for Managed by Taping: A Case Series each patient was n Forearm Pain, ntersection syndrome, an overuse injury afecting the forearm, has the APL and EPB, and those of the ECRL been reported in sporting activity involving the upper limb, such and ECRB; the second may be stenosis, as rowing, canoeing, racket sports, weight lifting, and skiing.16 due to entrapment within the second dorsal compartment that houses the People who have intersection syndrome report pain, crepitus, 4,10,20 1 I ECRL and ECRB. Aso et al argued determined by assessing Diagnosed as and/or swelling in the dorsal forearm, 4 to 8 cm proximal to Lister’s in support of the former mechanism, tubercle,4 where the muscle bellies of the abductor pollicis longus due to the presence of pain on palpation (APL) and extensor pollicis brevis (EPB) cross the underlying extensor and crepitus over the intersection of the APL and EPB, and the ECRL and ECRB, carpi radialis longus (ECRL) and exten- syndrome is uncertain, but 2 potential rather than the distal area of the second crepitus during thumb Intersection Syndrome, sor carpi radialis brevis (ECRB).5 The mechanisms are considered. The first dorsal compartment, and due to thumb pathophysiological basis for intersection may be friction between the tendons of movements that accompany crepitus. A key feature of intersection syndrome on magnetic resonance imaging (MRI) is ! STUDY DESIGN: Case series. plete elimination of crepitus with the application of tape. Crepitus induced by wrist movements, ten- peritendinous edema around the first movements, while BACKGROUND: Intersection syndrome is an ! derness over the dorsal forearm, and swelling were and second extensor compartment ten- Managed by Taping: A overuse injury of the forearm. Taping has been de- no longer present at 3-week follow-up. Disability dons, which extends proximally from the scribed for the management of soft tissue injuries, identified by the disability/symptom subscale of yet there has been no report for the management intersection between the APL and EPB, the Disabilities of the Arm, Shoulder and Hand 4,14 of intersection syndrome using this method. The and the ECRL and ECRB. questionnaire decreased at 3-week follow-up, purpose of this case series was, therefore, to Current management of intersection and this reduction was maintained at 4-week and manual force was applied describe the efcacy of taping for the management syndrome comprises a combination of 1-year follow-ups. Case Series of intersection syndrome. rest, nonsteroidal anti-inflammatory DISCUSSION: Taping improved symptoms and CASE DESCRIPTION: Five patients with inter- ! drugs, and splinting.10,16 One report in- ! function in this small case series. One possible section syndrome were managed by taping, in an dicated that 60% of patients responded explanation for this improvement may be the efort to reduce crepitus induced by thumb move- alteration of soft tissue alignment. to this form of management within 2 to ments. Nonstretch sports tape was applied, with 4 across the soft tissue of 3 weeks. However, splinting the wrist Journal of Orthopaedic & Sports Physical Therapy® Downloaded from www.jospt.org at on December 2, 2014. For personal use only. No other uses without permission. Copyright © 2011 Journal of Orthopaedic & Sports Physical Therapy®. All rights reserved. an ulnarly directed tension force across the dorsal ! LEVEL OF EVIDENCE: Therapy, level 4. aspect of the forearm. Taping was performed daily J Orthop Sports Phys Ther 2011;41(7):514-519, in 15° to 20° of extension restricts wrist for 3 weeks. Follow-up took place at 1, 2, 3, and 4 Epub 6 April 2011. doi:10.2519/jospt.2011.3569 and thumb movements, possibly leading to difculty with daily living and work weeks, and at 1 year from the initial consultation. KEY WORDS: overuse syndrome , tape, ! activities.10 Steroid injection is recom- ! OUTCOMES: All patients demonstrated com- thumb, wrist mended for those failing to respond to the dorsal aspect of the
1Staf Occupational Therapist, Shinoro Orthopedic, Hokkaido, Japan; PhD candidate, Sapporo Medical University, The Graduate School of Health Sciences, Department of Occupational Therapy, Hokkaido, Japan. 3PhD candidate, The University of Queensland, School of Health and Rehabilitation Science, Division of Physiotherapy, Queensland, Australia. The patients reported in this study were seen and treated at the Shinoro Orthopedic. All patients provided informed consent to be included in this case series and their anonymity was guaranteed. The opinions or assertions contained herein are the private views of the authors. The authors afrm that we have no financial afliation (including forearm. research funding) or involvement with any commercial organization that has a direct financial interest in any matter included in this manuscript. Address correspondence to Hiroshi Takasaki, Division of Physiotherapy, School of Health and Rehabilitation Science, The University of Queensland, Brisbane, Queensland 4072, Australia. E-mail: [email protected]
514 | july 2011 | volume 41 | number 7 | journal of orthopaedic & sports physical therapy