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The Effect of the Inhibition Technique of the Kinesio Taping on the Triceps Surae Muscle After an Isokinetic Fatigue Protocol

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The Effect of the Inhibition Technique of the Kinesio Taping on the Triceps Surae Muscle After an Isokinetic Fatigue Protocol MOJ Orthopedics & Rheumatology The Effect of the Inhibition Technique of the Kinesio Taping on the Triceps Surae Muscle after an Isokinetic Fatigue Protocol Abstract Research Article Study Design: Randomized controlled single blind pre-post experimental study. Volume 10 Issue 1 - 2018 Objectives: To reveal the effects of Kinesio Tape on the fatigue of the triceps surae muscle in healthy male individuals, as compared to sham tape application. Department of Physical Therapy, Applied Medical College, Background: University of Dammam, Saudi Arabia physical therapy and its usage gained in popularity. Limited researches with contradictory resultstaping isare commonly available inused regards in the to field the effectof musculoskeletal of the KT application and sports on *Corresponding author: Abdullah Abubaker, Department muscle fatigue. of Physical Therapy, Applied Medical College, University of Dammam, Saudi Arabia, Email: Methods: Seventy healthy male participants have volunteered for this study and randomly assigned to 1 of 2 groups: therapeutic KT group or sham KT group. Only the Received: January 16, 2018 | Published: January 22, 2018 dominant leg was taped. Each participant took 15 minutes warm up before heading to the isokinetic dynamometer. Then, participants were instructed to do 3 maximal force thirdplantar trial flexion and fatigue contraction index followed was calculated by 50 consecutive after the fatigue maximal protocol. contraction ended by 3 final contractions. Peak torque and total work were measured after the first and Results: post fatigue values (p = .000), whereas the therapeutic KT group did not experience the samethe reduction sham KT of group values showed after significantthe fatigue decrease protocol between (p = .600). the preRegarding fatigue andthe therapeutic KT group (p = .001) fatigue index, there was a significant difference between the sham KT group and the Conclusion: KT may help to reduce and delay the muscle fatigue if applied prior any functional activity. Keywords: Muscle fatigue; Muscle tone; Adhesive taping; Rehabilitation Introduction in their clinical practice when treating orthopedic and sport injuries, yet, limited research with contradictory results has been Over the last three decades, the uses of elastic adhesive conducted to evaluate the real effectiveness and mechanism of the taping methods have gained in popularity especially during the taping applications [2,5,6]. Olympic competitions in 2008 [1-3]. After lot of research and experimentations, Dr Kenzo Kase [4] pioneered the introduction According to Williams et al. [3] that conducted a meta-analysis of the Kinesio Taping (KT) in Japan in the late 1970s, as a new form of applying the adhesive tape. The tape is made of a polymer muscle tone [1,7-10]. They concluded that Kinesio Tape is having and included five studies investigated the effect of Kinesio tape on can be stretched up to 140% of its original and resting length. So suggested more researches to be established in similar muscles byelastic applying and adhesive this elastic strand tape wrapped we may by achieve 100 % cottona less constrainingfibers which andat least investigating a small beneficial the long effect term oneffect muscle of Kinesiostrength. Tape. They More also mechanism in comparison with more rigid conventional tape. The recently, Csapo et al. [11] conducted a meta analysis on the effects above-mentioned tape has approximately the same thickness as of Kinesio taping on skeletal muscle strength. They included 19 the human skin epidermis [4]. As for its biomechanical effects, studies used a non-controlled repeated measurement design Taping has been recognized for its ability to lift the skin from the with moderate level of evidence. They concluded that the usage underlying fascia and soft tissue, which results in an increasing in of Kinesio tape for increase muscle strength has no or negligible results in different muscle groups. to an increased oxygen allotment to the muscles and a noticeable blood circulation and enhances the lymphatic flow, hence leading Limited studies addressed the effects of Kinesio Tape on muscle doctors, physical therapists, occupational therapist chiropractors attenuation of any inflammation [4]. On the one hand, medical increasing muscle peak torque and total work after an isometric fatiguefatigue. protocolYeung et following al. [12] did application not find anyof Kinesio changes Tape in regardson vastus of and certified athletic trainers have been using the elastic taping Submit Manuscript | http://medcraveonline.com MOJ Orthop Rheumatol 2018, 10(1): 00384 The Effect of the Inhibition Technique of the Kinesio Taping on the Triceps Surae Muscle Copyright: 46 after an Isokinetic Fatigue Protocol ©2018 Abubaker et al. medialis muscle. However, Alvarez et al. [13] found that Kinesio the knee joints, and is provided with a high density of (Type-II) Tape improved the time to failure of the extensor muscles of the trunk when they measure the endurance of the extensor muscles the gastrocnemius muscle are sorted among the most recurring of the trunk using the Biering-Sorensen test. More researches injuriesfast twitch frequently muscle occurring fibers [31]. to theCorrespondingly, lower extremities the (12%) injuries [32]. of have been investigated the effects of Kinesio Taping on facilitating or inhibiting the muscle tone immediately after tape application Methods or the short term effect after application. There are numbers of A randomized controlled single blind pre-post experimental study has been conducted. Volunteers attended the laboratory at tone after the application of the tape [9,14-20]. However, Kinesio the University of Dammam on one occasion for approximately 2 researchers who reported a significant difference in the muscle Tape was not convincing to a lot of other researchers in regards of hours. The testing procedures were identical for each participant any changes in the muscle tone after the application [1,15,21-24]. in each group except for the application of the Kinesio Tape, and Hislop & Perrine were the pioneers of the concept of isokinetic all data were collected and recorded by an examiner. Participants dynamometry in 1967 [25]. Since then it has become a popular were asked to identify their current activity level according to method to measure muscle performance using some indices such the activities rating scale of Noyes et al. [33]. Leg dominance of as peak torque (PT) and total work (TW) in both research and each participant was determined by kicking a ball, stamping out clinical practice [26]. This dynamometer is a tool which allows the therapists and trainers to express the muscle power as a lower-extremity [34]. The dominant leg was selected as the one value [27]. Moreover, the isokinetic dynamometer allows for the preferreda simulated for fire, 2 of picking the 3 tasks. up a marbleKinesio and and tracing Sham tapea shape was with applied the measurement of muscle performance. Additionally, researchers on participants, and testing and fatigue protocol was done using can make protocols for muscle training and protocols to measure Biodex dynamometer (Biodex Medical Systems, Shirley, New and produce muscle fatigue as well. York). Participants generation capacity of the total neuromuscular system regardless Healthy male participants (N = 70) participant were recruited of theMuscle force fatigue required has beenin any defined given assituation any reduction [28]. Fatigue in the force is a from among the staff and student population of the College dynamic reversible process that contributed by a large array of of Applied Medical Sciences at the University of Dammam. physiological mechanisms. These mechanisms depend on the Participants were divided into two groups, the experimental individual, tasks, environment, and the duration and the intensity groups who received the therapeutic Kinesio tape, and the control of the effort [29]. group who received the sham Kinesio taping. The selection of the Because of the shortage of the published studies on the participants was based on the inclusion and exclusion criteria in effects of Kinesio Tape on the muscle fatigue, this study aims to Table 1. The average activity level of the included participants for investigate the effect of the inhibition technique of the Kinesio each group as determined by the Noyes [33]. Sports-Activities Tape on the triceps surae muscle after an isokinetic fatigue Rating Scale (maximum score 100) was 61.86 ± 14.91 for the Kinesio taping group, and 62.14 ± 13.36 for the Sham Kinesio based on the fact that the triceps surae muscle (gastrocnemius taping group Table 2. The right leg was dominant in 57 participants andprotocol. soleus) Having account chosen for specificallyapproximately these 80- muscles 90% ofto thebe taped ankle’s is and the left in 13 participants. Participants’ characteristics are summarized in Table 2. The institutional review board in the the gastrocnemius itself [30]. The Gastrocnemius stiffness may University of Dammam approved this study, (IRB NUMBER: limitplantar the flexion ankle’s strength, ROM and including weaken the the 40- tonicity 43% contribution of the triceps of 2014-04-320). Every participant received an information sheet surae, which may consequently affect the gate pattern [30]. The containing full details of the study. After explaining the procedure gastrocnemius muscle is considered to be at high risk for common to the participants, they were asked to sign an informed consent strains for it is a bi-articular
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