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Efficacy of Kinesio Taping on hand functioning in patients with mild carpal tunnel syndrome. A double-blind randomized controlled trial [with consumer summary] |
de Sire A, Curci C, Ferrara M, Losco L, Spalek R, Cisari C, Invernizzi M, Solaro C |
Journal of Hand Therapy 2022 Oct-Dec;35(4):605-612 |
clinical trial |
8/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: Yes; 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* |
STUDY DESIGN: Double-blind randomized controlled trial. INTRODUCTION: Carpal tunnel syndrome (CTS) is a common mononeuropathy that causes pain and disability in the affected hand. Kinesio Taping (KT) has been recently proposed as a promising conservative approach in CTS patients. PURPOSE OF THE STUDY: To investigate the effectiveness of KT compared to a sham taping on symptoms and hand function in patients affected by mild CTS. METHODS: Patients affected by mild CTS with symptoms for at least 8 weeks were enrolled and randomly allocated into two groups: KT group, according to the technique proposed by Kase plus specific exercises; control group, undergoing a sham taping plus specific exercise. All patients performed 2 sessions/week for 5 weeks of exercises of mobilization of fingers and carpal joint. At the baseline, after 5 weeks (T1), and after 6 months (T2), a physician unaware of patients' allocation assessed the Boston Carpal Tunnel Questionnaire (BCTQ) symptom (BCTQ-S) and functional (BCTQ-F) subscales. RESULTS: Forty-two patients (mean age 54.3 +/- 15.0 y) were randomly allocated into KT (n = 21) and control group (n = 21). At T1, in both groups we found a significant improvement in hand function and symptoms, as showed by BCTQ-F (KT 4.2 +/- 0.7 versus 3.0 +/- 0.6, p < 0.001; sham 2.2 +/- 0.3 versus 1.7 +/- 0.3, p = 0.012) and by BCTQ-S (KT 2.2 +/- 0.3 versus 1.7 +/- 0.3, p < 0.001; sham 2.3 +/- 0.4 versus 1.9 +/- 0.5, p = 0.007). At T2, only in the KT group there was a significant difference in both sub-items of primary outcome. There were significantly better results in the KT group at T1 and T2. DISCUSSION: The present study showed that KT compared to a sham taping might be more effective in reducing perceived symptoms in mild CTS patients, reporting a clinically significant difference. CONCLUSION: KT might be considered as an effective technique combined to rehabilitative treatment in terms of hand function and symptoms in patients affected by mild CTS.
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