Effects of KT and Rigid Taping in Knee OA.
Condition: Knee Osteoarthritis
MeSH terms: Osteoarthritis; Osteoarthritis, Knee
Study type: Interventional

Summary: 
      The purpose of the study is to compare the effects of kinesio taping and rigid taping in Knee
      Osteoarthritis to alleviate symptoms like pain, reduce range of motion and functional
      limitations. A randomized control trial was conducted at Atta Memorial Hospital, Airport
      Society, Rawalpindi and Makkah Medical Complex, Rawalpindi. The sample size was 36 calculated
      through G-Power. The participants were divided into two interventional groups each having 18
      participants. The study duration was six months. Sampling technique applied was Non
      probability convenient sampling. Only 40 to 60 years' participants with grade 1-3 Knee
      Osteoarthritis according to kellgren-Lawrence scale were included in the study. Tools used in
      this study are Visual analogue scale, WOMAC Index, timed up and go test and Goniometer
      self-structured Questionnaire. Data was collected before and immediately after the
      application of intervention on First day and then again at the end of session on 14th and
      28th day. Data analyzed through SPSS version 23.
    

Detailed description: 
      Osteoarthritis (OA), also referred to as degenerative joint disease, primary OA,
      wear-and-tear arthritis, or age-related arthritis, is the most common cause of disability in
      the US and around the world. In medical terminology, arthritis refers to joint inflammation.
      More than 100 rheumatic diseases and ailments that affect the joints, the tissues surrounding
      the joints, and other connective tissue are collectively referred to as arthritis in the
      public health sector(1). By 2020, OA will rank as the fourth most common cause of disability,
      according to the World Health Organization (WHO), making it one of the most incapacitating
      musculoskeletal ailments. Globally, the socioeconomic, psychological, and physical toll
      increased. The main leading factor affecting mobility is knee osteoarthritis. Among patients
      with knee OA, knee discomfort, decreased knee flexibility, and functional impossibility are
      frequent clinical symptoms during daily activities(2). Almost any joint can be compromised by
      osteoarthritis, although the hands, knees, hips, and feet are the most frequently affected
      ,but most commonly involved joint is knee joint(3). Knee osteoarthritis (OA) is a prevalent,
      degenerative, multifactorial joint condition that is characterized by chronic pain and
      functional dysfunction . Nearly half of all OA cases worldwide are knee OA, which gets worse
      as people get older and more obese(4, 5). Knee discomfort, which contributes to OA, was also
      brought on by inactivity or a sedentary lifestyle. In order to prevent pain when engaging in
      physical activity, people with knee OA further restrict their mobility(6).

      Diagnosis of Knee Osteoarthritis: The presence of typical symptoms, physical exam findings,
      test data, and imaging characteristics all help to confirm a medical diagnosis of knee OA.
      Knee osteoarthritis can't be diagnosed based on single finding from the followings Literature
      review: The randomized control trial was conducted in Turkey on osteoarthritis patient to see
      the effect of kinesio taping results indicate that there were clear decrease in Nottingham
      Health Profile (NHP) scores (15). In this study there were 13 males (32%) and 28 females
      (68%). In both groups (K Tape and sham tape) VAS for activity pain, VAS for nocturnal pain,
      Lequesne index score, NHP score decreased significantly. NHP energy scores were different
      significantly between the groups in favor of sham taping at the end of the 12-day period.
      Another research conducted in Germany, the main finding of this study is that wearing a
      kinesio tape over 3 consecutive days is effective to improve the self-reported perception of
      pain, joint stiffness, and physical function in patients with OA compared with a sham tape or
      no intervention (16). The research conducted in Iran on effect of kinesio taping on
      functional disability in knee osteoarthritic patients result shows that in the kinesio tape
      group, a statistically significant improvement was observed in the reconstruction of the
      joint sense position at 30 and 60 angles of knee flexion before and after treatment (17).
      Therapeutic taping seemed to be superior to control taping in pain control for knee
      osteoarthritis. Non-elastic taping, but not elastic taping, provides benefits in pain
      reduction and functional performance (18)
    

Intervention name(s): Kinesio Tape Group; Rigid Tape Group
Intervention type(s): Other; Other
Intervention description(s): Physiotherapy Protocol Followed:
Hot pack and TENS application for 10 minutes.
Knee isometric exercises by placing roller beneath knee joint and pressing it by keeping leg straight and holding it for 10-15 seconds with 10 repetitions.
Stretching of hamstrings and gastrocnemius muscles, maintaining stretch for 20 seconds and 7 repetitions should be performed.
Tibio-femoral glides and patellar mobilizations will be performed.
At the end kinesio taping will be performed at knee joint for inhibition.
Same procedure will be followed in all follow ups at day 1, day 14 and day 28.; Physiotherapy Protocol Followed:
Hot pack and TENS application for 10 minutes.
Knee isometric exercises by placing roller beneath knee joint and pressing it by keeping leg straight and holding it for 10-15 seconds with 10 repetitions.
Stretching of hamstrings and gastrocnemius muscles, maintaining stretch for 20 seconds and 7 repetitions should be performed.
Tibio-femoral glides and patellar mobilizations will be performed.
At the end rigid tape will be applied on knee joint to provide stability.
Same procedure will be followed in all follow ups at day 1, day 14 and day 28
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Knee Osteoarthritis, kinesio tape and rigid tape