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Does tension applied in Kinesio Taping affect pain or function in older women with knee osteoarthritis? A randomised controlled trial [with consumer summary]
Pinheiro YT, Barbosa GM, Fialho HRF, Silva CAM, Anunciacao JO, Silva HJA, Souza MC, Lins CAA
BMJ Open 2020 Dec;10(12):e041121
clinical trial
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; 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*

OBJECTIVE: To analyse the short-term effects of Kinesio Taping (KT) with tension (KTT) or without tension (KTNT) in older women with knee osteoarthritis (KOA), and compare them to controls who did not receive KT. DESIGN: Randomised controlled trial. SETTING: University physiotherapy school clinic. PARTICIPANTS: Forty-five older women (fifteen participants per group) with 66.8 (+/- 5.6) years and clinical diagnosis of KOA were assessed pre, post and 3 days after intervention. INTERVENTIONS: Participants were randomly allocated to KTT, who received two simultaneous applications of KT with tension on the knee and rectus femoris; KTNT, who received the same application as the KTT group, but without tension and a control group that attended a class on KOA. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcome was pain intensity and secondary outcomes were knee-related health status, functional capacity, muscle strength and global rating of change. RESULTS: No between-group differences were observed in pain after the first intervention (KTT versus KTNT mean difference (MD) -1.8 points; 95% CI -4.2 to 0.5; KTT versus control MD -1.2 points; 95% CI -3.6 to 1.2; KTNT versus control MD 0.66 points; 95% CI -1.7 to 3.0) or 3 days later (KTT versus KTNT MD -1.3 points; 95% CI -3.7 to 1.0; KTT versus control MD 0.13 points; 95% CI -2.2 to 2.5; KTNT versus control MD 1.4 points; 95% CI -0.9 to 3.8). The lack of between-group differences was also found for secondary outcomes. CONCLUSION: The short-term use of KT with or without tension in older woman with KOA had no beneficial effects on pain and function. These findings call into question the clinical use of KT as a non-pharmacological therapy for this population. TRIAL REGISTRATION NUMBER: NCT03624075.
Reproduced with permission from the BMJ Publishing Group.

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