kinesiotaping as trauma treatment method: analysis of efficiency

Содержание

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MATERIALS AND METHODS The following materials were used in this study:

MATERIALS AND METHODS

The following materials were used in this study:
«Forearm Skin

Blood Flow After Kinesiology Taping in Healthy Soccer Players. Woodward KA, Unnithan V, Hopkins N.» Staffordshire University, Stoke-on-Trent, UK;Liverpool John Moores University, UK.;
«Kinesiology tape does not facilitate muscle performance: A deceptive controlled trial. K.Y. Poona, S.M. Lia, M.G. Ropera, M.K.M. Wonga, O. Wongb, R.T.H. Cheunga.»Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China;
«Current evidence does not support the use of Kinesio Taping in clinical practice: a systematic review. Parreira Pdo C, Costa Lda C, Hespanhol LC Jr, Lopes AD, Costa LO.»Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Brazil; Musculoskeletal Division, The George Institute for Global Health, Australia;
«Kinesio Taping does not decrease swelling in acute, lateral ankle sprain of athletes: a randomised trial. Guilherme S Nunes, Valentine Zimermann Vargas, Bruna Wageck, Daniela Pacheco dos Santos Hauphental, Clarissa Medeiros da Luz, Marcos de Noronha» Department of Physiotherapy, Center of Health and Sport Sciences, Santa Catarina State University, Brazil; La Trobe University, Rural Health School, Bendigo, VIC, Australia
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STRUCTURE OF THE STUDY Actuality: Nowadays, the popularity of new conservative

STRUCTURE OF THE STUDY

Actuality: Nowadays, the popularity of new conservative methods

of treating musculoskeletal injuries is growing. One of those methods is "Kinesiotaping". It is in the interest of the doctor and the patient to determine method’s efficiency and safety .
Objective: The purpose of this study was to consider functioning principles of Kinesiotaping method, to identify its efficiency and reliability and to find its scientific basis.
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DEFINITION Kinesiotaping - method of prevention and treatment of injuries of

DEFINITION

Kinesiotaping - method of prevention and treatment of injuries of the

musculoskeletal system (ligaments, muscles and soft tissues) with the help of kinesiotapes. This technique is used in traumatology and orthopaedy, (in acute, subacute and chronic period of trauma), in sports medicine, in the process of rehabilitation.
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INDICATIONS Kinesiotaping is prescribed as an independent method, as well as

INDICATIONS
Kinesiotaping is prescribed as an independent method, as well as in

combination with drug treatment, manual therapy, physiotherapy in the following situations:
prevention of sports injuries;
posttraumatic pain syndromes;
• bruises of soft tissues;
• musculo-fascial pain syndromes;
injuries of tendons and ligaments;
scoliosis;
Et cetera.
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KINESIOTAPING’S EFFECT ACCORDING TO PRACTITIONERS It is believed that the effect

KINESIOTAPING’S EFFECT ACCORDING TO PRACTITIONERS

It is believed that the effect of

kinesiotaping is based on the creation of auspicious conditions for sanogenetic processes that are realized in the normalization of microcirculation in the connective tissue of the skin and subcutaneous adipose tissue. It manifests in edema’s decrease, a reduction of the pain syndrome by raising the fascia and soft tissues, restoring the functional activity of muscles, optimization of afferent impulses at the segmental level.
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NORMAL ANATOMY Muscle tissue is isolated from the skin and the

NORMAL ANATOMY

Muscle tissue is isolated from the skin and the subcutaneous

layers by fascia superficialis and fascia propria. Because of that, the impact of kinesiotaping on muscles contraction is disputable.
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INFLUENCE ON MUSCULAR STRENGTH The study«Kinesiology tape does not facilitate muscle

INFLUENCE ON MUSCULAR STRENGTH

The study«Kinesiology tape does not facilitate muscle performance:

A deceptive controlled trial. K.Y. Poona, S.M. Lia, M.G. Ropera, M.K.M. Wonga, O. Wongb, R.T.H. Cheunga.» proved the absence of kinesiotaping’s effect on muscle strength.
For the control of the results were used: triple measurements of the normalized maximum torque, normalized total work, time to the maximum torque of the knee joint using an isokinetic dynamometer.
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INFLUENCE ON MICROCIRCULATION The study «Forearm Skin Blood Flow After Kinesiology

INFLUENCE ON MICROCIRCULATION

The study «Forearm Skin Blood Flow After Kinesiology Taping

in Healthy Soccer Players: An Exploratory Investigation. Woodward KA, Unnithan V, Hopkins N.», performed using Laser Doppler Flowmetry shows no difference between the blood flow of the skin under the tape and without the tape. This proves the absence of kinesiotaping influence on the microcirculation of the skin.
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EFFICIENCY OF KINESIOTAPING AS A TREATMENT METHOD Systematic review «Current evidence

EFFICIENCY OF KINESIOTAPING AS A TREATMENT METHOD

Systematic review «Current evidence does

not support the use of Kinesio Taping in clinical practice: a systematic review. Parreira Pdo C, Costa Lda C, Hespanhol LC Jr, Lopes AD, Costa LO.» is the latest and most complete in the field of studying the effectiveness of kinesiotaping as a method of treating injuries of the musculoskeletal system.
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CLINICAL STUDIES OF KINESIOTAPING AS A TREATMENT METHOD The 275 potentially

CLINICAL STUDIES OF KINESIOTAPING AS A TREATMENT METHOD
The 275 potentially

relevant studies in this area were published between 2008 and 2013, of which only 12 were considered eligible for data analysis.
Of those, 10 studies showed no effect of kinesiotaping. Only 2 studies showed any insignificant clinically useful effect from the use of this method.
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THE EFFECTIVENESS OF KINESIOTAPING IN THE TRAUMATIC EDEMA TREATMENT Clinical study

THE EFFECTIVENESS OF KINESIOTAPING IN THE TRAUMATIC EDEMA TREATMENT
Clinical study «Kinesio

Taping does not decrease swelling in acute, lateral ankle sprain of athletes: a randomised trial. Guilherme S Nunes, Valentine Zimermann Vargas, Bruna Wageck, Daniela Pacheco dos Santos Hauphental, Clarissa Medeiros da Luz, Marcos de Noronha» revealed the absence of kinesiotaping influence on the dynamics of edema. To control the results, threefold measurements of the volume and perimetry of the ankle were used on the 1st, 3rd, 15th day after the lateral ankle sprain.
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CLINICAL STUDY The aim of the study is to determine the

CLINICAL STUDY

The aim of the study is to determine the degree

of kinesiotaping’s efficiency relatively to placebo and classic desmurgy methods.
A comparative analysis of the efficiency of the above-mentioned methods was conducted in treatment of the 1st degree collateral ligaments sprain of the knee joint.
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STRUCTURE OF CLINICAL RESEARCH A clinical study was conducted on 30

STRUCTURE OF CLINICAL RESEARCH

A clinical study was conducted on 30 patients

of the Clinical Hospital №68. Patients enrolled in the study group requested medical help due to 1st degree collateral ligaments sprain of the knee joint within 48 hours after the trauma.
Patients were divided into 3 groups:
The first experimental group: 10 patients (6 men, 4 women). For the treatment of patients in this group, kinesiotapes were used, the technique of applique 3 I-cuts, tension=20%.
The second experimental group: 10 patients (7 men, 3 women) For the treatment of patients of this group, inert tapes were used, the technique of applique 1 I-cut.
Control group: 10 patients (3 men, 7 women). For the treatment of patients in this group, the immobilization of the knee joint by elastic "turtle bandage“ was used.
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STRUCTURE OF STUDY GROUPS

STRUCTURE OF STUDY GROUPS

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CONTROL PARAMETERS To measure the dynamics of patients, the perimetry, numeric

CONTROL PARAMETERS
To measure the dynamics of patients, the perimetry, numeric pain

scale, and the amplitude of movements in the joint were used. The measurements were carried out before applying the dressing / tape, 1 week after the start of treatment, 2 weeks after the start of treatment.
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THE RECEIVED DATA

THE RECEIVED DATA

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RESULTS OF THE STUDY It was concluded, that Kinesiotaping method does

RESULTS OF THE STUDY

It was concluded, that Kinesiotaping method does

not have any specific advantages in treatment of knee sprains including in relation to classic immobilization methods and do not have any specific properties of enhancing microcirculation of blood or lymph due to its inability to interact with deep layers of tissues beneath the skin, which was shown by absence of swelling reduction compared to classical desmurgy methods,.
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CONCLUSION Kinesiotaping has become popular in treatment of musculo-sceletal injuries. However,

CONCLUSION

Kinesiotaping has become popular in treatment of musculo-sceletal injuries. However, its

functioning principles and clinical efficiency was disproved by the results of various scientific studies.