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Full Length Article| Volume 36, ISSUE 1, P3-12, January 2023

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Effect of Kinesio taping on wrist kinematics and functional performance: A randomized controlled trial

Published:October 27, 2021DOI:https://doi.org/10.1016/j.jht.2021.09.005

      Abstract

      Background

      Kinesio taping (KT) is a popular adjunct treatment modality for musculoskeletal injuries, hand and wrist injuries. The effectiveness of KT on wrist kinematics has been analyzed during single plane movements in general, and no study has investigated its effectiveness during dart throwing motion (DTM).

      Purpose

      To compare the effects of different KT techniques on wrist kinematics during DTM and functional performance of hand in healthy participants.

      Study Design

      Randomized, double-blind, placebo-controlled, crossover study.

      Methods

      Seventy-two healthy participants were included. Dominant wrist kinematics during DTM was evaluated by a Leap motion controller and wrist functional performance was evaluated by Minnesota Manual Dexterity Test. In order to compare the effects of KT on different muscles and also the effects of KT and placebo taping (PT), wrists of participants were evaluated under 5 conditions: without any taping, KT on flexor carpi ulnaris (FCU), KT on extensor carpi radialis brevis and longus (ECRB/L), PT on FCU and PT on ECRB/L. Means of outcome measures without any taping and with different 4 tapings were compared by repeated measures analysis of variance. PT and KT effects were compared by Wilcoxon signed rank test.

      Results

      DTM range increased (P = .0) and Minnesota Manual Dexterity Test time decreased (P = .0) after KT and PT applications on FCU and ECRB/L muscles. Amount of change in wrist kinematics (P = .0; effect size = 0.2 and 0.3) and functional performance (P = .0; effect size = 0.6 and 0.8) were more obvious with KT applications, independent from the muscles they were applied on (P = .2 for wrist kinematics and P = .7 for functional performance).

      Conclusions

      KT on either FCU or ECRB/L muscles improve wrist kinematics and functional performance, significantly. Further studies should investigate if these findings apply for the patients with different wrist injuries, for both immediate- and long-term effectiveness.

      Keywords

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      JHT Read for Credit

      Quiz: # 937

      Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
      • # 1.
        The study design is
        • a.
          retrospective cohort
        • b.
          RCTs
        • c.
          qualitative
        • d.
          case series
      • # 2.
        This was the first time Kinesio taping was studied
        • a.
          on patients with mild wrist instability
        • b.
          during wrist flexion and extension
        • c.
          under 2 different uniplanar motions
        • d.
          during the dart throwers motion
      • # 3.
        Outcome measures between groups were analyzed using
        • a.
          an ICC
        • b.
          an ANOVA
        • c.
          the Wilcoxon signed rank test
        • d.
          the Pearson coefficient
      • # 4.
        The experimental group demonstrated
        • a.
          increased ROM, but slower times
        • b.
          faster times and increased ROM
        • c.
          faster times, but decreased ROM
        • d.
          equal ROM and times compared to the placebo group
      • # 5.
        The authors were encouraged by improved kinematics on the subject population and would like to see more investigation on an actual patient population
        • a.
          true
        • b.
          false
      When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.