Kinesio® Tape Barrier Does Not Inhibit Intramuscular Cooling During Cryotherapy

in Journal of Sport Rehabilitation
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Context: Allied health care professionals commonly apply cryotherapy as treatment for acute musculoskeletal trauma and the associated symptoms. Understanding the impact of a tape barrier on intramuscular temperature can assist in determining treatment duration for effective cryotherapy. Objective: To determine whether Kinesio® Tape acts as a barrier that affects intramuscular temperature during cryotherapy application. Design: A repeated-measures, counterbalanced design in which the independent variable was tape application and the dependent variable was muscle temperature as measured by thermocouples placed 1 cm beneath the adipose layer. Additional covariates for robustness were body mass index and adipose thickness. Setting: University research laboratory. Participants: Nineteen male college students with no contraindications to cryotherapy, no known sensitivity to Kinesio® Tape, and no reported quadriceps injury within the past 6 months. Intervention: Topical cryotherapy: cubed ice bags of 1 kg and 0.5 kg. Main Outcome Measures: Intramuscular temperature. Results: The tape barrier had no statistically significant effect on muscle temperature. The pattern of temperature change was indistinguishable between participants with and without tape application. Conclusions: Findings suggest that health care professionals can combine cryotherapy with a Kinesio® Tape application without any need for adjustments to cryotherapy duration.

Lyman and Gange are with North Dakota State University, Fargo, ND. McCrone is with University of South Dakota, Vermillion, SD. Hanson is with Butler University, Indianapolis, IN. Mellinger is with the University of North Carolina at Charlotte, Charlotte, NC.

Lyman (katie.lyman@ndsu.edu) is corresponding author.
Journal of Sport Rehabilitation
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References
  • 1.

    Jutte LSHawkins JMiller KCLong BCKnight KL. Skinfold thickness at 8 common cryotherapy sites in various athletic populations. J Athl Train. 2012;47(2):170177. PubMed ID: 22488282 doi:10.4085/1062-6050-47.2.170

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Merrick MAJutte LSSmith ME. Cold modalities with different thermodynamic properties produce different surface and intramuscular temperatures. J Athl Train. 2003;38(1):2833. PubMed ID: 12937469

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Knight KL. Cryotherapy in Sport Injury Management. Champaign, IL: Human Kinetics; 1995.

  • 4.

    Meeusen RLievens P. The use of cryotherapy in sports injuries. Sports Med. 1986;3:398414. PubMed ID: 3538270 doi:10.2165/00007256-198603060-00002

  • 5.

    Merrick MARankin JMAndres FAHinman CL. A preliminary examination of cryotherapy and secondary injury in skeletal muscle. Med Sci Sports Exerc. 1999;31:15161521. PubMed ID: 10589851 doi:10.1097/00005768-199911000-00004

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Lehmann JFWarren CGScham SM. Therapeutic heat and cold. Clin Orthop. 1974;99:207245. doi:10.1097/00003086-197403000-00028

  • 7.

    Dolan MGThorton RMFish DRMendel FC. Effects of cold water immersion on edema formation after blunt injury to the hind limb of rats. J Athl Train. 1997;32(3):233237. PubMed ID: 16558455

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Ernst EFialka V. Ice freezes pain? A review of the clinical effectiveness of analgesic cold therapy. J Pain Symptom Manage. 1994;9(1):5659. PubMed ID: 8169463 doi:10.1016/0885-3924(94)90150-3

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9.

    Nadler SFWeingand KKruse RJ. The physiologic basis and clinical applications of cryotherapy and thermotherapy for the pain practitioner. Pain Physician. 2004;7(3):395399. PubMed ID: 16858479

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    White GEWells GD. Cold-water immersion and other forms of cryotherapy: physiological changes potentially affecting recovery from high-intensity exercise. Extrem Physiol Med. 2013;2:26. PubMed ID: 24004719 doi:10.1186/2046-7648-2-26

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Bleakley CMMcDonough SMMacAuley DC. The use of ice in the treatment of acute soft tissue injuries: a systematic review of randomized controlled trials. Am J Sports Med. 2004;32:251261. PubMed ID: 14754753 doi:10.1177/0363546503260757

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Collins NC. Is ice right? Does cryotherapy improve outcome for acute soft tissue injury? Emerg Med J. 2008;25:6568. PubMed ID: 18212134 doi:10.1136/emj.2007.051664

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Hubbard TJAronson SLDenegar CR. Does cryotherapy hasten return to participation? A systematic review. J Athl Train. 2004;39(1):8894. PubMed ID: 15085216

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Chen YH. The role of cryotherapy in sports injuries. Sports Res Rev. 2000;47:7786.

  • 15.

    Fang LHung CHWu SLFang SHStocker J. The effects of cryotherapy in relieving postarthroscopy pain. J Clin Nurs. 2012;21(5–6):636643. PubMed ID: 21332855 doi:10.1111/j.1365-2702.2010.03531.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Bleakley CMHopkins JT. Is it possible to achieve optimal levels of tissue cooling in cryotherapy? Phys Ther Rev. 2010;15:344350. doi:10.1179/174328810X12786297204873

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17.

    Galvan HGTritsch AJTandy RRubley MD. Pain perception during repeated ice-bath immersion of the ankle at varied temperatures. J Sport Rehabil. 2006;15(2):105115. doi:10.1123/jsr.15.2.105

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18.

    Tsang KKWBuxton BPGuion WKJoyner ABBrowder KD. The effects of cryotherapy applied through various barriers. J Sport Rehabil. 1997;6:343354. doi:10.1123/jsr.6.4.343

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19.

    LaVelle BESnyder M. Differential conduction of cold through barriers. J Adv Nurs. 1985;10:5561. PubMed ID: 3844415 doi:10.1111/j.1365-2648.1985.tb00492.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Okcu GYercan HS. Is it possible to decrease skin temperature with ice packs under casts and bandages? A cross-sectional, randomized trial on normal and swollen ankles. Arch Orthop Trauma Surg. 2006;126:668673. PubMed ID: 16832667 doi:10.1007/s00402-006-0189-3

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Weresh MJBennett GLNjus G. Analysis of cryotherapy penetration: a comparison of the plaster cast, synthetic cast, ace wrap dressing, and Robert-Jones dressing. Foot Ankle Int. 1996;17(1):3740. PubMed ID: 8821285 doi:10.1177/107110079601700108

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Kanlayanaphotporn RJanwantanakul P. Comparison of skin surface temperature during the application of various cryotherapy modalities. Arch Phys Med Rehabil. 2005;86:14111415. PubMed ID: 16003673 doi:10.1016/j.apmr.2004.11.034

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Palmer JEKnight KL. Ankle and thigh skin surface temperature changes with repeated ice pack application. J Athl Train. 1996;31(4):319323. PubMed ID: 16558417

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Jutte LSMerrick MAIngersoll CDEdwards JE. The relationship between intramuscular temperature, skin temperature, and adipose thickness during cryotherapy and rewarming. Arch Phys Med Rehabil. 2001;82:845850. PubMed ID: 11387593 doi:10.1053/apmr.2001.23195

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Otte JWMerrick MAIngersoll CDCordova ML. Subcutaneous adipose tissue thickness alters cooling time during cryotherapy. Arch Phys Med Rehabil. 2002;83:15011505. PubMed ID: 12422316 doi:10.1053/apmr.2002.34833

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Myrer WJMyrer KAMeasom GJFellingham GWEvers SL. Muscle temperature is affected by overlying adipose when cryotherapy is administered. J Athl Train. 2001;36(1):3236. PubMed ID: 12937512

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Merrick MAKnight KLIngersoll CDPotteiger JA. The effects of ice and compression wraps on intramuscular temperatures at various depths. J Athl Train. 1993;28:236245. PubMed ID: 16558238

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Kase KWallis JKase T. Clinical Therapeutic Applications of the Kinesio Taping Method. 2nd ed. Albuquerque, NM: Kinesio Taping Association; 2003.

    • Search Google Scholar
    • Export Citation
  • 29.

    Aktas GBaltaci G. Does kinesiotaping increase knee muscles strength and functional performance? Isokinet Exerc Sci. 2011;19:149155.

  • 30.

    Vithoulka IBeneka AMalliou PAggelousis NKaratsolis KDiamantopoulos K. The effects of Kinesio-Taping® on quadriceps strength during isokinetic exercise in healthy non athlete women. Isokinet Exerc Sci. 2010;18(1):16.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 31.

    Guner SAlsancak SKoz M. Effect of two different kinesio taping techniques on knee kinematics and kinetics in young females. J Phys Ther Sci. 2015;27(10):30933096. PubMed ID: 26644651 doi:10.1589/jpts.27.3093

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32.

    Lumbroso DZiv EVered EKalichman L. The effect of kinesio tape application on hamstring and gastrocnemius muscles in healthy young adults. J Bodyw Mov Ther. 2014;18(1):130138. PubMed ID: 24411161 doi:10.1016/j.jbmt.2013.09.011

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 33.

    Dykstra JHHill HMMiller MGCheatham CCMichael TJBaker RJ. Comparisons of cubed ice, crushed ice, and wetted ice on intramuscular and surface temperature changes. J Athl Train. 2009;44(2):136141. PubMed ID: 19295957 doi:10.4085/1062-6050-44.2.136

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 34.

    Burkhauser RVCawley JBeyond BMI. The value of more accurate measures of fatness and obesity in social science research. J Health Econ. 2008;27(2):519529. PubMed ID: 18166236 doi:10.1016/j.jhealeco.2007.05.005

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 35.

    Jutte LSKnight KLLong BCHawkins JRSchulthies SSDalley EB. The uncertainty (validity and reliability) of three electrothermometers in therapeutic modality research. J Athl Train. 2005;40(3):207210. PubMed ID: 16284643

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 36.

    Jutte LSKnight KLLong BC. Reliability and validity of electrothermometers and associated thermocouples. J Sport Rehabil. 2008;17(1):5059. PubMed ID: 18270386 doi:10.1123/jsr.17.1.50

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 37.

    Jutte LSLong BCKnight KL. Temperature measurement reliability and validity with thermocouple extension leads or changing lead temperature. J Athl Train. 2010;45(6):642644. PubMed ID: 21062188 doi:10.4085/1062-6050-45.6.642

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 38.

    Borg G. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377381. PubMed ID: 7154893

  • 39.

    R Core Team. R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing; 2017.

  • 40.

    Faul FErdfelder ELang AGBuchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175191. PubMed ID: 17695343 doi:10.3758/BF03193146

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 41.

    Kuo CCLin CCLee WJHunag WT. Comparing the antiswelling and analgesic effects of three difference ice pack therapy durations: a randomized controlled trial on cases with soft tissue injuries. J Nurs Res. 2013;21(3):186193. PubMed ID: 23958608 doi:10.1097/jnr.0b013e3182a0af12

    • Crossref
    • Search Google Scholar
    • Export Citation
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