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Four-week application of Kinesiotaping improves proprioception, strength, and balance in individuals with complete anterior cruciate ligament rupture [with consumer summary] |
Kiele D, Solianik R |
Journal of Strength & Conditioning Research 2023 Jan;37(1):213-219 |
clinical trial |
6/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
Kinesiotaping (KT) is common in musculoskeletal rehabilitation, but whether it is efficacious for surgically untreated anterior cruciate ligament (ACL) ruptures is unknown. Therefore, we evaluated whether a strategy of physiotherapy plus KT would be superior to a strategy of physiotherapy alone on subsequent proprioception and motor function. Men aged 28.1 +/- 6.7 years with complete ACL ruptures were randomized to either a control (physiotherapy) or an experimental group (physiotherapy plus KT) for a 4-week period. Changes in balance were assessed on the injured leg using a force platform. Knee angle reproduction, maximal voluntary contraction (MVC), and rate of force development (RFD) were measured using dynamometry, and pain was recorded using a visual analog scale. Decreases in knee pain and improvements in angle reproduction were observed in both groups (p < 0.05), with a greater effect on angle reproduction in the experimental group (p < 0.05). Both groups demonstrated increased isometric knee flexor MVC and RFD values (p < 0.05), but an increase in RFD of the knee extensors was observed only in the experimental group (p < 0.05). Furthermore, the MVC of concentric knee flexors at 60 degrees increased only in the experimental group (p < 0.05), whereas concentric MVC at 180 degrees resulting in greater hamstring-to-quadriceps ratios-increased in both groups (p < 0.05). Balancing ability on the injured leg increased only in the experimental group (p < 0.05). Thus, KT plus physiotherapy was beneficial in the treatment of proprioception, strength, and static balance in these individuals with an ACL rupture.
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