The Effect of Kinesio Taping on Spasticity: A Randomized, Controlled, Double-Blind Pilot Study in Para-Swimmers

in Journal of Sport Rehabilitation

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Luca Puce
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Ilaria Pallecchi
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Lucio Marinelli
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Maria May
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Laura Mori
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Piero Ruggeri
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Marco Bove
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Context: Kinesio Taping (KT) produces several clinical effects, including pain relief, edema absorption, and improved muscle performance. When applied in the insertion to origin mode, it is claimed to inhibit excessive muscle contractions. Objective: Investigate whether KT applied in the insertion to origin mode could reduce the exaggerated reflex contraction of spastic muscles. Design: Randomized crossover trial, with a restricted block randomization. Setting: Clinical laboratory and swimming pool. Patients: Seven para-swimmers. Intervention: KT, applied in inhibitory mode, to investigate its effect on knee extensor spasticity. Main Outcome Measures: Primary outcome is stretch reflex, as compared with clinical assessment of spasticity by Modified Ashworth Scale and self-perceived spasticity by numeric rating scale. Secondary outcomes were Medical Research Council for strength of knee extensor muscles and chronometric swimming performance in 100-m freestyle. Results: KT significantly decreased the amplitude of stretch reflex (P < .001), whereas the placebo treatment produced no significant effects. Scores of Medical Research Council for strength and Modified Ashworth Scale did not change after KT, whereas numeric rating scale scores for spasticity significantly decreased (P = .001). The swimming performance was significantly improved after KT treatment as compared with baseline (P < .01). Conclusions: This exploratory study performed on para-athletes suggests that KT could reduce spasticity. This outcome has 3-fold implications for clinical, rehabilitation, and sport methods.

Puce, Marinelli, and Mori are with the Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy. Pallecchi is with the Physics Department, CNR-SPIN, Genoa, Italy. Marinelli and Mori are also with the Department of Neuroscience, IRCCS Ospedale Policlinico San Martino, Genoa, Italy. May is with the Department of Thoracic Surgery, Klinikum Bogenhausen, Munich, Germany. Ruggeri and Bove are with the Department of Experimental Medicine, Section of Human Physiology, University of Genoa, Genoa, Italy.

Puce (luca1puce@gmail.com) is corresponding author.
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  • 1.

    Lance JW. Symposium synopsis. In: Feldman RG, Young RR, Koella KP, eds. Spasticity: Disorder of Motor Control. Chicago, IL: Year Book Medical. 1980;485494.

    • Search Google Scholar
    • Export Citation
  • 2.

    Marinelli L, Currà A, Trompetto C, et al. Spasticity and spastic dystonia: the two faces of velocity-dependent hypertonia. J Electromyogr Kinesiol. 2017;37:8489. PubMed ID: 28985544 doi:10.1016/j.jelekin.2017.09.005

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

    Trompetto C, Curra A, Puce L, et al. Spastic dystonia in stroke subjects: prevalence and features of the neglected phenomenon of the upper motor neuron syndrome. Clin Neurophysiol. 2019;130(4):521527. doi:10.1016/j.clinph.2019.01.012

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Trompetto C, Marinelli L, Puce L, et al. “Spastic dystonia” or “Inability to voluntary silence EMG activity”? Time for clarifying the nomenclature. Clin Neurophysiol. 2019;130(6):10761077. doi:10.1016/j.clinph.2019.03.009

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Puce L, Marinelli L, Pierantozzi E, Mori L, Pallecchi I, Trompetto C. Training methods and analysis of races of a top level Paralympic swimming athlete. J Exerc Rehabil. 2018;14(4):612620. PubMed ID: 30276182 doi:10.12965/jer.1836254.127

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

    Dietz V, Berger W. Normal and impaired regulation of muscle stiffness in gait: a new hypothesis about muscle hypertonia. Exp Neurol. 1983;79(3):680687. PubMed ID: 6825758 doi:10.1016/0014-4886(83)90032-8

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7.

    Gracies JM. Pathophysiology of spastic paresis. I: Paresis and soft tissue changes. Muscle Nerve. 2005;31(5):535551. PubMed ID: 15714510 doi:10.1002/mus.20284

  • 8.

    Thompson AJ, Jarrett L, Lockley L, Marsden J, Stevenson VL. Clinical management of spasticity. J Neurol Neurosurg Psychiatry. 2005;76:459463. doi:10.1136/jnnp.2004.035972

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

    McGibbon CA, Sexton A, Jones M, O’Connell C. Elbow spasticity during passive stretch-reflex: clinical evaluation using a wearable sensor system. J NeuroEng Rehabil. 2013;10(1):61. doi:10.1186/1743-0003-10-61

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

    Kase K, Wallis J, Kase T. Clinical Therapeutic Applications of the Kinesio Taping Method. Albuquerque, NM: Kinesio Taping Association International; 2013.

    • Search Google Scholar
    • Export Citation
  • 11.

    Castro-Sanchez AM, Lara-Palomo IC, Mataran-Penarrocha GA, Fernandez-Sanchez M, Sanchez-Labraca N, Arroyo-Morales M. Kinesio Taping reduces disability and pain slightly in chronic non-specific low back pain: a randomised trial. J Physiother. 2012;58(2):8995. PubMed ID: 22613238 doi:10.1016/S1836-9553(12)70088-7

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

    Ozmen T, Aydogmus M, Dogan H, Acar D, Zoroglu T, Willems M. The effect of Kinesio Taping on muscle pain, sprint performance, and flexibility in recovery from squat exercise in young adult women. J Sport Rehabil. 2016;25(1):712. PubMed ID: 25559694 doi:10.1123/jsr.2014-0243

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

    Wang Y, Gu Y, Chen J, et al. Kinesio taping is superior to other taping methods in ankle functional performance improvement: a systematic review and meta-analysis. Clin Rehabil. 2018;32(11):14721481. PubMed ID: 30020820 doi:10.1177/0269215518780443

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

    Yeung SS, Yeung EW. Acute effects of Kinesio Taping on knee extensor peak torque and stretch reflex in healthy adults. Medicine. 2016;95(4):e2615. PubMed ID: 26825916 doi:10.1097/MD.0000000000002615

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Boeskov B, Carver LT, von Essen-Leise A, Henriksen M. Kinesthetic taping improves walking function in patients with stroke: a pilot cohort study. Top Stroke Rehabil. 2014;21(6):495501. PubMed ID: 25467397 doi:10.1310/tsr2106-495

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

    Karadag-Saygi E, Cubukcu-Aydoseli K, Kablan N, Ofluoglu D. The role of kinesiotaping combined with botulinum toxin to reduce plantar flexors spasticity after stroke. Top Stroke Rehabil. 2010;17(4):318322. PubMed ID: 20826420 doi:10.1310/tsr1704-318

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

    Tamburella F, Scivoletto G, Molinari M. Somatosensory inputs by application of KinesioTaping: effects on spasticity, balance, and gait in chronic spinal cord injury. Front Hum Neurosci. 2014;8:367. doi:10.3389/fnhum.2014.00367

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

    Heckmatt JZ, Leeman S, Dubowitz V. Ultrasound imaging in the diagnosis of muscle disease. J Pediatr. 1982;101(5):656660. doi:10.1016/S0022-3476(82)80286-2

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

    Farrar JT, Troxel AB, Stott C, Duncombe P, Jensen MP. Validity, reliability, and clinical importance of change in a 0–10 numeric rating scale measure of spasticity: a post hoc analysis of a randomized, double-blind, placebo-controlled trial. Clin Ther. 2008;30(5):974985. PubMed ID: 18555944 doi:10.1016/j.clinthera.2008.05.011

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

    Hermens HJ. European Recommendations for Surface ElectroMyoGraphy: Results of the SENIAM Project. Hermens H, ed. Enschede, the NetherlandsRoessingh Research and Development BV; 1999.

    • Search Google Scholar
    • Export Citation
  • 21.

    Truini A, Barbanti P, Pozzilli C, Cruccu G. A mechanism-based classification of pain in multiple sclerosis. J Neurol. 2013;260(2):351367. doi:10.1007/s00415-012-6579-2

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

    Ward AB, Kadies M. The management of pain in spasticity. Disabil Rehabil. 2002;24(8):443453. PubMed ID: 12033999 doi:10.1080/09638280110108878

  • 23.

    Paolini M, Bernetti A, Fratocchi G, Mangone M, Parrinello L, Cooper MP. Kinesio Taping applied to lumbar muscles influences clinical and electromyographic characteristics in chronic low back pain patients. Eur J Phys Rehab Med. 2011;47(2):237244.

    • Search Google Scholar
    • Export Citation
  • 24.

    Kase K, Tatsuyuki H, Tomoko O. Development of Kinesio Tape. Kinesio Taping Perfect Manual. Vol. 6–10. Albuquerque, NM: Kinesio Taping Association; 1996:117118.

    • Search Google Scholar
    • Export Citation
  • 25.

    Marinelli L, Mori L, Canneva S, et al. The effect of cannabinoids on the stretch reflex in multiple sclerosis spasticity. Int Clin Psychopharmacol. 2016;31(4):232239. PubMed ID: 27003093 doi:10.1097/YIC.0000000000000126

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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