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Deep burns damage the reticular dermis and may lead to the formation of hypertrophic scars. Compression therapy reduces local vascularity and realigns collagen fibers, resulting in esthetic and functional improvements. This study evaluated the effect of Kinesio tape compression with maximum mechanical tension on vascularity, pliability and the height of hypertrophic scars following deep burns. A single blind, randomized pilot clinical trial was carried out. The elastic compression of Kinesio tape was applied at maximum stretch in the intervention group (n=11) and no stretch in the sham group (n=11). Vascularity, pliability and height (the primary outcomes) were evaluated at 0, 45 and 90 days using the Vancouver Scar Scale (VSS). The association between the VSS scores, the intervention and the evaluation moment were analyzed using linear mixed-effects regression models, while comparisons of means between the groups were performed using the t Student test was. Significance was set at 5%. The mean VSS scores were similar between the groups. Significant improvement occurred in both groups when post-treatment and baseline scores were compared. No further improvement was found in the vascularity, pliability or height of hypertrophic scars resulting from deep burns when an elastic compression of Kinesio tape was used at maximum tension compared to lesser mechanical tension.
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BACKGROUND: Treatment for edema involves multiple approaches, with Kinesiotaping having recently emerged as an option for edema reduction. OBJECTIVE: To systematically summarize current evidence on the effects of Kinesiotaping on edema reduction on any type of edema. METHODS: A systematic review was performed including randomized clinical trials that compared the effects of Kinesiotaping to any other intervention or no intervention on edema. Screening, assessment of methodological quality (PEDro scale) of studies, and confidence of evidence (GRADE) were analyzed by two independent reviewers. A quantitative summary is presented through meta-analyses. RESULTS: A total of 3750 studies were identified, of which 70 were included in this review, and were organized by body region (face, upper limbs and lower limbs) and by treatment time (short and long term). It was observed that Kinesiotaping was superior to comparison groups in the short-term for face edema (Standardized mean difference [SMD] -1.07; 95%CI -1.48 to -0.65) and lower limbs (SMD -0.55; 95%CI -1.06 to -0.05). Also, Kinesiotaping was superior to comparison group in the long-term for lower limbs (SMD -0.72; 95%CI -1.25 to -0.18). Kinesiotaping was not superior to the comparison groups for upper limbs in both the short (SMD -0.05; 95%CI -0.89 to 0.80) and long-term (SMD -0.04; 95%CI -0.31 to 0.24) protocols. CONCLUSION: Kinesiotaping seems to be an effective intervention to reduce acute edema around the face and potentially in the lower limbs in both short and long-term protocols, although the quality of evidence is very low. However, these positive results were not observed for the upper limbs.
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Facial fractures cause postoperative morbidity, including edema, pain, and trismus. Elastic therapeutic tapes are used for optimizing recovery. Background: The aim of the present systematic review and meta-analysis was to evaluate the effectiveness of elastic tape Kinesio taping (KT) in reducing postoperative morbidity in facial fractures surgeries. Methods: A systematic review was conducted in accordance with the PRISMA guidelines. Searches were conducted in the Cochrane, Medline, Scopus, Embase and Web of Science databases using a pre-established search strategy. Results: A total of 811 studies were retrieved after the duplicates were removed, and only randomized clinical trials were included. Eight trials, involving 319 participants, were deemed eligible. One study solely investigated the effect on edema, while the others analyzed at least two of the variables of interest. Results from two RCTs, where qualitative analysis was applicable, suggest a potential reduction in edema in the KT group compared to the control group on the second (RR -0.55, 95% CI -0.89 to -0.22; p = 0.01; I2 = 0%) and third postoperative days (RR -0.71, 95% CI -1.01 to -0.40; p < 0.00001; I2 = 0%). Conclusions: KT is effective in controlling postoperative edema following surgery for facial fractures. However, the effects on pain and trismus should be explored further in studies with standardized methods.
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ABSTRACT BACKGROUND: Ankle taping (AT) is effective in preventing ankle sprain injuries in most common sports and is employed in rehabilitation and prevention sports. OBJECTIVE: This study aimed to investigate the effectiveness of AT to restricting excessive frontal plane ankle movements in semi-professional basketball players throughout the training session. DESIGN AND SETTING: A cross-sectional study was performed at the Universidad Europea de Madrid. METHODS: Forty male and female semi-professional basketball players were divided into two groups. The ankle dorsiflexion range of motion (ROM) and interlimb asymmetries in a weight-bearing lunge position were evaluated at four time points: 1) with no tape, 2) before practice, at 30 min of practice, and 3) immediately after practice. RESULTS: In male basketball players, no differences were observed in the right and left ankles between the baseline and 30 min and between baseline and 90 min of assessment. In female athletes, significant differences were reported between baseline and pre-training assessments for the right ankle and also significant differences between baseline and 90 min in both ankles. CONCLUSIONS: Ankle taping effectively decreased the ankle dorsiflexion ROM in male and female basketball players immediately after application. However, ROM restriction was very low after 30 and 90 min, as assessed in a single basketball practice. Therefore, the classic taping method should be revised to develop new prophylactic approaches, such as the implementation of semi-rigid bracing techniques or the addition of active stripes during training or game pauses.
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BACKGROUND: Shoulder injuries are associated with proprioceptive deficits. Elastic kinesiology tape (KT) is used for treating musculoskeletal disorders, including shoulder injuries, as it arguably improves proprioception. OBJECTIVE: To synthesize the evidence on the effects of elastic KT on proprioception in healthy and pathological shoulders. METHODS: Four databases (PubMed, WoS, CINAHL, SPORTDiscus) were searched for studies that investigated the effects of elastic KT on shoulder proprioception. Outcome measures were active joint position sense (AJPS), passive joint position sense (PJPS), kinesthesia, sense of force (SoF), and sense of velocity (SoV). Risk of bias (RoB) was assessed using the Cochrane Collaboration RoB tool for randomized controlled trials (RCTs), and the ROBINS-1 for non-RCTs, while the certainty of evidence was determined using GRADE. RESULTS: Eight studies (5 RCTs, 3 non-RCTs) were included, yielding 187 shoulders (102 healthy and 85 pathological shoulders). RoB ranged from low (2 studies), moderate (5 studies), to high (1 study). Elastic KT has a mixed effect on AJPS of healthy shoulders (n=79) (low certainty). Elastic KT improves AJPS (subacromial pain syndrome and rotator cuff tendinopathy, n=52) and PJPS (chronic hemiparetic shoulders, n=13) among pathological shoulders (very low certainty). Elastic KT has no effect on kinesthesia among individuals with subacromial pain syndrome (n=30) (very low certainty). CONCLUSION: There is very low to low certainty of evidence that elastic KT enhances shoulder AJPS and PJPS. The aggregate of evidence is currently so low that any recommendation on the effectiveness of elastic KT on shoulder proprioception remains speculative.
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Fita Atlética , Doenças Musculoesqueléticas , Lesões do Ombro , Humanos , Ombro , Amplitude de Movimento Articular , Propriocepção , DorRESUMO
ABSTRACT BACKGROUND: Rounded shoulder (RS) posture causes neck and shoulder pathologies. Mechanical correction taping (MCT) is often incorporated into postural corrective therapies; however, its effects on muscle stiffness are unclear. OBJECTIVE: We investigated the effect of MCT with different tape fabrics, along with exercise, on upper trapezius and pectoralis minor muscle stiffness and the posture of sedentary workers. DESIGN AND SETTING: A randomized controlled study was performed at Aydın Adnan Menderes University, Aydın, Turkey. METHODS: The study included 39 workers with RS posture. Two intervention groups (performance tape: PT and classic tape: CT) were taped twice a week and administered a home exercise program for 4 weeks. The control (C) group performed only home exercises. RS was measured using an acromion-testing table (AT), stiffness using shear wave elastography ultrasound, and shoulder angle (SA) using a smartphone application at baseline and 4 weeks. Time and group interactions were determined using 3 × 2 mixed analysis of variance. RESULTS: Intragroup analyses revealed a significant main effect of time on AT distance (η2 = 0.445) and SA (η2 = 0.325) in the PT and C groups (P < 0.05) and left upper trapezius stiffness (η2 = 0.287) in the CT and C groups (P < 0.05). In the post hoc analyses, no difference was noted between the groups from baseline to 4 weeks (P > 0.05). CONCLUSION: Scapular MCT added to postural exercises did not show any difference between the intervention groups and controls in terms of muscle stiffness and posture in sedentary workers.
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SUMMARY OBJECTIVE: This study aimed to demonstrate the effectiveness of kinesio taping in nonspecific neck pain and to assess whether ultrasonographic parameters of the upper trapezius muscle can be used in the follow-up of kinesio taping treatment. METHODS: This was a single-blind, prospective, randomized controlled trial study involving 60 participants with nonspecific neck pain. The participants were randomly assigned into two groups. Kinesio taping group (n=29) received a 4-week neck exercise program, with kinesio taping applied twice a week for a total of four times, and the exercise group (n=28) received a 4-week neck exercise program. Participants were evaluated according to pain intensity (Visual Analog Scale), cervical range of motion, and disability (Neck Disability Index). Also, trigger point diameter and upper trapezius muscle thickness were evaluated with ultrasonography. Before and after the therapy, as well as the first month, all measures were taken by an investigator other than the practitioner of the treatment program. RESULTS: The results showed that the Visual Analog Scale and Neck Disability Index scores in the kinesio taping group were statistically significantly improved when compared to the exercise group (p<0.05). In addition, the thickness of the upper trapezius muscle and the diameter of the trapezius muscle trigger point were statistically significantly improved in the kinesio taping group compared to the exercise group (p<0.05). In the kinesio taping group, there was no statistical significance in cervical range of motion as compared to the exercise group. CONCLUSION: The combination of kinesio taping and exercise therapy was effective in reducing nonspecific neck pain and neck disability. Also, this study showed that ultrasonographic evaluation of the trapezius muscle could be used in the follow-up of kinesio taping therapy.
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A fisioterapia utiliza vários recursos e métodos para intervenções no tratamento da Encefalopatia Crônica Não Progressiva da Infância (ECNPI) ou paralisia cerebral (PC), entre eles a Kinesio Taping® (KT) e a Terapia Neuromotora Intensiva (TNMI). Esses métodos podem ser considerados relativamente novos, o que leva à necessidade do desenvolvimento de pesquisas para verificar seus efeitos em crianças com PC. O presente estudo objetivou verificar os efeitos da KT® e da TNMI na postura sentada de crianças com PC do tipo quadriparesia/quadriplegia espástica. Para isso, foram avaliadas 6 crianças, com uma média de idade de 6,25±2,69 anos. As avaliações aconteceram por meio do software SAPO, no qual os dados são obtidos em centímetros e a análise consiste na avaliação da vertical (eixo Y), comparando os lados esquerdo e direito, sendo assim possível a análise das assimetrias de maneira precisa. Com relação aos resultados, não foi identificada diferença significativa (p > 0,05) da aplicação de KT® na comparação entre efeitos imediato, agudo e crônico para os momentos pré e pós aplicação imediata da KT®. No entanto, de forma descritiva, o uso de KT® associado à TNMI favoreceu o alinhamento na postura sentada, principalmente para acrômios e Espinha ilíaca ânterossuperior (EIAS). Nota-se, portanto, que as evidências do uso de KT®, como coadjuvante durante a TNMI, ainda são inconclusivas em crianças com PC do tipo quadriparesia/plegia.
Physical therapy uses various resources and methods for intervention in the Chronic Non-Progressive Childhood Encephalopathy (CNPCE) or cerebral palsy (CP) interventions, including Kinesio Taping® (KT) and Intensive Neuromotor Therapy (INMT). These methods are relatively new, which leads to the need for the development of research to verify effects in children with CP. The present study analyzed the effects of KT® and INMT on the sitting posture of children with spastic quadriplegia. In order to do this, six (6) children (mean age 6.25±2.69 years) were evaluated. The evaluations took place through SAPO software, where data are obtained in centimeters and the analysis consists of the evaluation of the vertical (Y) axis, comparing the left and right side, thus being possible to precisely analyze any asymmetries. Regarding the results, no significant difference (p > 0.05) was observed with the application of KT® in the comparison between immediate, acute and chronic effect for the moments before and immediately after KT® application. However, descriptively, the use of KT® associated with INMT favored alignment in sitting posture, mainly for acromial and anterior superior iliac spine (ASIS). The results show that evidence of the use of KT® as an adjuvant during INMT is still inconclusive in children with CP quadriparesis/plegia.
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Humanos , Masculino , Feminino , Pré-Escolar , Criança , Encefalopatias/reabilitação , Paralisia Cerebral/reabilitação , Postura Sentada , Quadriplegia/reabilitação , Software/provisão & distribuição , Criança Institucionalizada , Modalidades de FisioterapiaRESUMO
BACKGROUND: The evidence of the influence of Kinesio Taping® in changing electromyographic signal intensity of the lumbar musculature in patients with chronic non-specific low back pain (LBP) is very sparse. OBJECTIVES: To evaluate if Kinesio Taping® changes the electromyographic signal intensity of the longissimus and iliocostalis muscles in patients with chronic non-specific LBP. METHODS: Prospectively registered, three-arm randomized controlled trial with a blinded assessor. Patients were randomly allocated to the following interventions: 1) Kinesio Taping® Group (n=21), where patients received the tape according to the manufacturer's manual; 2) Placebo Group (i.e. normal surgical tape) (n=21); and 3) Non-treatment control Group (n=21). Assessments were performed at baseline, immediately after, and 30min after the intervention. The primary outcome was muscle activity of the iliocostalis and longissimus muscles as measured by surface electromyography. The secondary outcome was pain intensity (measured with a 0-10 Numerical Rating Scale). The effects of treatment were calculated using linear mixed models. RESULTS: A total of 63 patients were recruited. Follow up rate was high (98.4%). Patients were mostly women with moderate levels of pain and disability. Kinesio Taping® was better than the control and placebo groups in only 4 of 96 statistical comparisons, likely reflective of type I error due to multiple comparisons. No statistically significant differences were identified for the immediate reduction in pain intensity between groups. CONCLUSION: Kinesio Taping® did not change the electromyographic signal intensity of the longissimus and iliocostalis muscles or reduce pain intensity in patients with chronic low back pain. Clinicaltrials.gov: NCT02759757 (https://clinicaltrials.gov/ct2/show/NCT02759757).
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Fita Atlética , Dor Lombar/terapia , Músculo Esquelético/fisiologia , Eletromiografia/métodos , Feminino , Humanos , Região LombossacralRESUMO
Abstract Objective Our study seeks to investigate the effectiveness of kinesio taping (KT) on postoperative morbidity compared to placebo and control groups after impacted third molar surgery. Methodology Sixty patients with impacted mandibular third molar were included in this prospective, randomized, placebo-controlled clinical study. After surgical extraction of the impacted tooth, patients were allocated into three groups (20 patients each): group 1 received KT (kinesio), group 2 received placebo taping (placebo), and group 3 received no taping (control). The groups were compared regarding facial swelling, pain and trismus. Swelling was evaluated using a tape measuring method. Pain was assessed by a visual analog scale and the number of analgesic tablets taken. Trismus was determined by measuring maximum mouth opening. Results In the KT group, all parameters reduced significantly on 2nd and 4th postoperative days compared to other groups; however, placebo and control groups revealed comparable outcomes. On 7th day, all groups showed comparable results. Conclusions The KT application is an effective method for reducing morbidity after impacted mandibular third molar surgery. However, placebo taping is not as effective as proper taping. Placebo taping shows similar results compared to no taping regarding facial swelling percentage, pain and trismus.
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Humanos , Feminino , Dente Impactado/cirurgia , Fita Atlética , Dor Pós-Operatória , Extração Dentária , Trismo , Estudos Prospectivos , Edema , Dente SerotinoRESUMO
The reaching of objects is usually practiced by CP children in conventional or Virtual Reality-based therapies to enhance motor skill performance. Recently, Kinesio Taping® method has been studied to increase mechanical stability and improve functional movement of the upper limb; however, its influence on CP children´s upper limb motion has been rarely quantified due to lack of sensory measurement. Therefore, in this paper, we evaluate the biomechanical and functional effects of applying shoulder Kinesio Taping® on CP children in the reaching-transporting of virtual objects, by using a low-cost tracking device, exact robust differentiation of data and a simple nonlinear biomechanical dynamic model of the trunk and arm.
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Fita Atlética , Paralisia Cerebral/fisiopatologia , Ombro/fisiopatologia , Realidade Virtual , Adolescente , Fenômenos Biomecânicos , Criança , Feminino , Humanos , Masculino , Movimento , Amplitude de Movimento Articular , Processamento de Sinais Assistido por Computador , Extremidade Superior/fisiopatologiaRESUMO
Background: Although it has been commonly used in rehabilitation sets, there is a lack of studies verifying the effects of Kinesio taping to improve functionality in children with Cerebral Palsy (CP). This information would promote evidence-based practice. Purpose: To verify the effects of Kinesio taping in the performance of sit-to-stand movement in children with unilateral CP. Methods and materials: A blinded, single placebo-controlled and repeated-measure design. The setting was the rehabilitation clinic of the university and care facilities. A total of 11 children from 6 to 12 years of age (mean: 10.5 years; standard deviation: 2.8 years) and classified as levels I and II by the Gross Motor Function Classification System were included. Kinesio taping was applied over the rectus femoris of the affected limb. Three taping conditions were used: Kinesio taping, without Kinesio taping and placebo. Three seat heights were used: neutral (100%), lowered (80%), and elevated (120%). Muscle activity (electromyography) and trunk and lower limb alignment (kinematics) were evaluated as body structures and function measures. The time required to perform sit-to-stand was used as a functionality measure. Mixed analysis of variation (ANOVA) measured angular variables of the hip, knee, ankle, and rectus femoris activity. Repeated ANOVA measured angular variables of trunk and pelvis and total duration. Significance was accepted for values of p ≤ 0.05. Results: Kinesio taping increased rectus femoris activity, decreased peak flexion of the trunk, knee, hip, and ankle, and increased trunk extension in the end of sit-to-stand when compared with without Kinesio taping and placebo. Total duration was decreased with lower effect sizes. Conclusions: Immediate application of Kinesio taping modified body structures and function measures during sit-to-stand in children with unilateral CP, but it did not alter functionality. Implications for Rehabilitation Evidence-based practice about the use of Kinesio taping in Cerebral Palsy. Knowledge about alternative rehabilitation techniques in Cerebral Palsy. Knowledge about sensory stimulation in Cerebral Palsy. Effectiveness of Kinesio taping in muscle activation.
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Fita Atlética , Paralisia Cerebral/reabilitação , Músculo Quadríceps/fisiologia , Postura Sentada , Posição Ortostática , Fenômenos Biomecânicos/fisiologia , Paralisia Cerebral/fisiopatologia , Criança , Eletromiografia , Feminino , Humanos , Articulações/fisiopatologia , Extremidade Inferior/fisiopatologia , Masculino , Movimento/fisiologia , Método Simples-CegoRESUMO
OBJECTIVE: Kinesio tape (KT) is a visible adhesive restorative tape that has typically been utilized for injury prevention, recovery, and even performance improvement, but limited studies have assessed the effect of KT on muscle performance. The purpose of this study was to investigate the clinical impact of KT on muscle performance in healthy young soccer players. METHODS: Between 25 March and 21 April 2017, sixteen healthy soccer players with a mean age of 20±2.17 were enrolled in this prospective cohort study. All participants were selected from the college football team of Prince Sattam Bin Abdulaziz University. The muscle performance of the players was evaluated with an isokinetic dynamometer for the following three conditions: without tape, immediately after applying KT, and 8 hrs post-KT application while the tape remained on the same site. RESULTS: The differences in peak torque and total work among the three conditions were nonsignificant (p>0.05). Additionally, applying KT to the thigh muscles did not decrease or increase the performance of non injured healthy soccer players (p>0.05). CONCLUSION: KT does not lead to beneficial outcomes of muscle performance in healthy young soccer players.
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Humanos , Masculino , Feminino , Adulto , Adulto Jovem , Futebol/fisiologia , Músculo Esquelético/fisiologia , Desempenho Atlético/fisiologia , Fita Atlética , Estudos Prospectivos , EletromiografiaRESUMO
BACKGROUND: Kinesiotaping (KT) has been commonly used in clinical setting. However, beneficial KT effects have not been proved yet. OBJECTIVE: We aimed to verify the effects of KT in knee extensor torque in children with CP. METHODS: We evaluated three children diagnosed as spastic CP, classified as level I, II and III, according with GMFCS. Knee extensor peak torque was analyzed by isokinetic evaluation (Biodex Multi Joint System). The test was performed at 60°/s in the concentric passive mode and the children performed maximal contractions. Children with CP were evaluated with and without KT under rectus femoris. RESULTS: After KT application, knee peak torque of the affected limb increased in children with CP. CONCLUSION: KT may increase muscle strength in children with CP.
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Fita Atlética , Paralisia Cerebral/reabilitação , Joelho/fisiopatologia , Reabilitação Neurológica/métodos , Criança , Feminino , Humanos , Masculino , Força Muscular , Músculo Quadríceps/fisiopatologia , TorqueRESUMO
Resumen Antecedentes Estudios previos han analizado los beneficios del Kinesio taping (KT) en pacientes con dolor de cuello. Sin embargo, las conclusiones de estas investigaciones han sido inconsistentes. Por lo tanto, este trabajo tuvo como objetivo aclarar la asociación entre los efectos del KT y el dolor de cuello a través de un metaanálisis. Material y métodos Se buscaron en las bases de datos PubMed y EBSCO todas las publicaciones sobre esta asociación. Se definieron criterios de inclusión para los estudios elegibles. Se realizaron dos análisis diferentes: 1) la relación entre el tratamiento con KT versus el tratamiento convencional; 2) la relación entre el tratamiento con KT versus el placebo de KT. Resultados Se analizaron 10 estudios para el análisis cuantitativo en los que participaron 233 pacientes usando el tratamiento de KT y 198 pacientes controles. Conclusión No se encontró asociación significativa del Kinesio taping en pacientes con dolor de cuello en ninguno de los dos subgrupos estudiados.
Abstract Background Previous studies have delved into the benefits of Kinesio taping (KT) in patients with neck pain. However, the conclusions of these researches have been inconsistent. Therefore, this study aimed to clarify the association between the effects of KT and neck pain through a meta-analysis. Material and methods The PubMed and EBSCO databases were retrieved to collect all publications regarding this association. Inclusion criteria were defined for the eligible studies. Two different analyses were carried out: 1) the comparison between KT and the conventional treatment; 2) the comparison between KT versus placebo KT. Results Ten studies were analyzed for quantitative analysis, involving 233 patients using KT treatment and 198 control patients. Conclusion No significant association was found between Kinesio taping in patients with neck pain in neither of the two subgroups studied.
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BACKGROUND: Kinesio Taping® has been used as a physiotherapy treatment in musculoskeletal disorders. However, few studies have evaluated its effectiveness in patients with chronic obstructive pulmonary disease (COPD). OBJECTIVES: To analyze the effects of Kinesio Taping® associated with conventional physiotherapy, on the maximal inspiratory and expiratory pressures (MIP and MEP), forced expiratory volume in 1 second (FEV1), peak expiratory flow (PEF), and pulse oxygen saturation (SpO2) of patients hospitalized for COPD exacerbation. METHODS: Prospective, randomized, single-blinded study. Sixty-two participants who were randomized into two groups: 1) control (medication and standard physiotherapy treatment); and 2) Kinesio Taping® (standard treatment plus application of Kinesio Taping® on the respiratory muscles). The outcomes were assessed 24 hours after the treatment. RESULTS: After the intervention, the Kinesio Taping® group showed a statistically significant increase in all outcomes assessed. However, when the mean differences between groups were analyzed, there were no statistically significant differences in MIP, MEP, FEV1, and PEF. Differences were found only in SpO2 that was improved in the Kinesio Taping® group. CONCLUSIONS: The application of Kinesio Taping® associated with physiotherapy improved SpO2 of non-hypoxemic patients with COPD exacerbation. Further studies should be conducted to evaluate the method in the long run and in another outcome.
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Fita Atlética , Pulmão/fisiopatologia , Modalidades de Fisioterapia , Doença Pulmonar Obstrutiva Crônica/terapia , Músculos Respiratórios/fisiopatologia , Idoso , Idoso de 80 Anos ou mais , Brasil , Progressão da Doença , Feminino , Volume Expiratório Forçado , Humanos , Masculino , Pressões Respiratórias Máximas , Pessoa de Meia-Idade , Oxigênio/sangue , Estudos Prospectivos , Doença Pulmonar Obstrutiva Crônica/sangue , Doença Pulmonar Obstrutiva Crônica/diagnóstico , Doença Pulmonar Obstrutiva Crônica/fisiopatologia , Recuperação de Função Fisiológica , Método Simples-Cego , Fatores de Tempo , Resultado do TratamentoRESUMO
BACKGROUND: Lymphedema is known as a secondary complication of breast cancer treatment, caused by reduction on lymphatic flow and lymph accumulation on interstitial space. The Kinesio Taping (KT) has become an alternative treatment for lymphedema volume reduction. The objective of the study was to evaluate the literature through a systematic review on KT effects on lymphedema related to breast cancer. METHODS: Search strategies were performed by the following keywords: "Kinesio Taping," "Athletic Tape," "Cancer," "Neoplasm," "Lymphedema," and "Mastectomy" with derivations and different combinations. The following databases were accessed: SCIELO, LILACS, MEDLINE via PubMed, and PEDro, between 2009 and 2016. Studies published in English, Portuguese, and Spanish were considered for inclusion. The studies' methodological quality was assessed by the PEDro scale. RESULTS: Seven studies were identified by the search strategy and eligibility. All of them showed positive effect in reducing lymphedema (perimeter or volume) before versus after treatment. However, with no effects comparing the KT versus control group or others treatments (standardized mean difference = 0.04, confidence interval 95%: -0.24; 0.33), the average score of the PEDro scale was 4.71 points. CONCLUSIONS: KT was effective on postmastectomy lymphedema related to breast cancer; however, it is not more efficient than other treatments.
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Fita Atlética , Neoplasias da Mama/cirurgia , Linfedema/terapia , Mastectomia/efeitos adversos , Modalidades de Fisioterapia/instrumentação , Ensaios Clínicos como Assunto , Feminino , Humanos , Linfedema/diagnóstico , Linfedema/etiologia , Fatores de Risco , Resultado do TratamentoRESUMO
BACKGROUND: The elastic therapeutic taping has been considered a promising resource for disabled children. OBJECTIVE: To systematically review the evidence of the effects of elastic therapeutic taping on motor function in children with motor impairments. METHOD: Three independent evaluators conducted searches in electronic databases (MEDLINE/PubMed, Scopus, LILACS, BIREME/BVS, Science Direct, SciELO, and PEDro). Clinical studies design, published until 2016, involving elastic therapeutic taping and children aged 0-12 years with motor impairments were included. The variables considered were the methodological aspects (study design, participants, outcome measurements, and experimental conditions); results presented in the studies, and also the methodological quality of studies. RESULTS: Final selection was composed by 12 manuscripts (five randomized controlled trials), published in the last 10 years. Among them, cerebral palsy (CP) was the most recurrent disorder (n = 7), followed by congenital muscular torticollis (n = 2) and brachial plexus palsy (n = 2). Positive results were associated with taping application: improvement in the upper limb function, gross motor skills, postural control, muscular balance, and performance in the dynamics functional and daily activities. LIMITATIONS: Lower quality of the studies, clinical and population heterogeneity existed across studies. CONCLUSIONS: The elastic therapeutic taping has been shown to be a promising adjunct resource to the conventional rehabilitation in children with motor impairments. However, high methodological studies about its efficacy in this population are already scarce. Implications for Rehabilitation Elastic therapeutic taping has been shown to be a promising adjunct resource to the conventional rehabilitation in disabled children. Clinical trials have indicated improvement in the postural control and functional activities with both, upper and lower limbs, and increase in the functional independency resulting from the taping use. Randomized control trials and well-established protocols are needed to increase the confidence in applying elastic therapeutic taping to specific clinical conditions.
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Fita Atlética , Neuropatias do Plexo Braquial/reabilitação , Paralisia Cerebral/reabilitação , Torcicolo/congênito , Neuropatias do Plexo Braquial/fisiopatologia , Paralisia Cerebral/fisiopatologia , Humanos , Extremidade Inferior/fisiopatologia , Destreza Motora , Equilíbrio Postural , Torcicolo/fisiopatologia , Torcicolo/reabilitação , Extremidade Superior/fisiopatologiaRESUMO
La parálisis cerebral infantil es una enfermedad neurológica no progresiva. Es una de las causas más comunes de discapacidad en niños. Son numerosas las técnicas de terapia física que se emplean en la actualidad para su tratamiento; el vendaje neuromuscular es una de ellas. El objetivo principal es revisar los resultados logrados por el vendaje neuromuscular en los estudios científicos publicados en pacientes pediátricos con parálisis cerebral y determinar la calidad metodológica de ellos. Se revisaron las principales bases de datos científicas, al igual que los estudios publicados en la página oficial de la Asociación Española de Vendaje Neuromuscular. Se admitieron nueve estudios, que han aportado resultados importantes. Estos estudios muestran la efectividad para recuperar funcionalidad en el miembro superior, problemas de deglución y funcionalidad motora que estos pacientes pudieran presentar, aunque la evidencia científica que mostraron puede incrementarse con mejoras en su metodología.
Pediatric cerebral palsy is a non-progressive neurological disorder. It is one of the most common causes of disability among children. Numerous physical therapy techniques are currently used for treatment, and kinesio taping is one of them. The main objective of this study was to review the outcomes of using kinesio taping in published scientific studies conducted in pediatric patients with cerebral palsy and determine their methodological quality. The main scientific databases and the studies published in the official site of the Asociación Española de Vendaje Neuromuscular (Spanish Association for Neuromuscular Taping) were reviewed. Nine studies were included, which provided important outcomes. These studies show the effectiveness of recovering upper limb and motor function and solving dysphagia, which could be present in these patients, although scientific evidence may expand due to improvements in methodology.
Assuntos
Humanos , Criança , Paralisia Cerebral/reabilitação , Fita Atlética , BibliometriaRESUMO
Pediatric cerebral palsy is a non-progressive neurological disorder. It is one of the most common causes of disability among children. Numerous physical therapy techniques are currently used for treatment, and kinesio taping is one of them. The main objective of this study was to review the outcomes of using kinesio taping in published scientific studies conducted in pediatric patients with cerebral palsy and determine their methodological quality. The main scientific databases and the studies published in the official site of the Asociación Española de Vendaje Neuromuscular (Spanish Association for Neuromuscular Taping) were reviewed. Nine studies were included, which provided important outcomes. These studies show the effectiveness of recovering upper limb and motor function and solving dysphagia, which could be present in these patients, although scientific evidence may expand due to improvements in methodology.
La parálisis cerebral infantil es una enfermedad neurológica no progresiva. Es una de las causas más comunes de discapacidad en niños. Son numerosas las técnicas de terapia física que se emplean en la actualidad para su tratamiento; el vendaje neuromuscular es una de ellas. El objetivo principal es revisar los resultados logrados por el vendaje neuromuscular en los estudios científicos publicados en pacientes pediátricos con parálisis cerebral y determinar la calidad metodológica de ellos. Se revisaron las principales bases de datos científicas, al igual que los estudios publicados en la página oficial de la Asociación Española de Vendaje Neuromuscular. Se admitieron nueve estudios, que han aportado resultados importantes. Estos estudios muestran la efectividad para recuperar funcionalidad en el miembro superior, problemas de deglución y funcionalidad motora que estos pacientes pudieran presentar, aunque la evidencia científica que mostraron puede incrementarse con mejoras en su metodología.