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Kinesio Taping does not improve the symptoms or function of older people with knee osteoarthritis: a randomised trial [with consumer summary]
Wageck B, Nunes GS, Bohlen NB, Santos GM, de Noronha M
Journal of Physiotherapy 2016 Jul;62(3):153-158
clinical trial
8/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

QUESTION: Does Kinesio Taping reduce pain and swelling, and increase muscle strength, function and knee-related health status in older people with knee osteoarthritis? DESIGN: Randomised, controlled trial with concealed allocation, intention-to-treat analysis and blinded assessment. PARTICIPANTS: Seventy-six older people with knee osteoarthritis. INTERVENTION: The experimental group received three simultaneous Kinesio Taping techniques to treat pain, strength and swelling. The control group received sham taping. All participants kept the taping on for 4 days. OUTCOME MEASURES: The outcomes were: concentric muscle strength of knee extensors and flexors, measured by isokinetic dynamometry with an angular velocity of 60 deg/second normalised for body mass (Nm/kg x 100 (%)); pressure pain threshold via digital pressure algometry (kgf/cm2); lower-limb swelling via volumetry (l) and perimetry (cm); physical function via the Lysholm Knee Scoring Scale (0 = worst to 100 = best); and knee-related health status via the Western Ontario and McMaster (WOMAC) osteoarthritis index (0 = best to 96 = worst). Outcomes were measured at day 4 (end of the taping period) and day 19 (follow-up) after the start of the treatment. RESULTS: At day 4, there were no significant between-group differences for knee extensor muscle strength (MD -1%, 95% CI -7 to 5), knee flexor muscle strength (MD 2%, 95% CI -3 to 7), the pressure pain threshold at any measured point, volumetry (MD 0.05 L, 95% CI -0.01 to 0.11), perimetry at any measured point, Lysholm score (MD -4 points, 95% CI -9 to 2), or WOMAC score (MD -2 points, 95% CI -8 to 4). The lack of significant between-group difference was also seen at the follow-up assessment on day 19. CONCLUSION: The Kinesio Taping techniques investigated in this study provided no beneficial effects for older people with knee osteoarthritis on any of the assessed outcomes. TRIAL REGISTRATION: Brazilian Registry of Clinical Trials RBR-36r3t5.

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