Effects of Kinesio Tape on Delayed Onset Muscle Soreness

Study Overview
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Brief Summary
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The purpose of this study is to determine the effect of Kinesio tape on delayed onset muscle soreness of the biceps muscle of your arm following strenuous exercise of the bicep muscle.

Detailed Description
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Participants will complete 4 testing sessions that will be held on 4 separate days (Baseline, Eccentric Exercise day, 48 hours post exercise, and 72 hours post exercise). All sessions will take place in the National Institute of Fitness and Sport, where the Department of Kinesiology laboratories are located. During the first session (Baseline), the purpose and procedures of the research will be explained by the investigator, co-investigator, or a research assistant in more detail. Participants will read and sign the informed consent form and then undergo an exclusion/inclusion criteria assessment which includes the Physical Activity Readiness Questionnaire (PAR-Q), and brief questionnaire. All study personnel/staff obtaining informed consent will be trained in the responsible conduct of research. All participants will be asked if they have a known allergy to Kinesio Tape (KT) or if they have sensitive skin. Those with sensitive skin will be administered an allergy test. After screening and enrollment, participants will complete baseline assessments of muscle pain and function, pain sensitivity, and psychological risk factors (See outcome measures). During Session 2, strength of the non-dominant bicep will be measured first. Participants will then perform an eccentric exercise protocol designed to induce delayed onset muscle soreness (DOMS) on the non-dominant arm. Strength of the non-dominant bicep will be measured immediately post the eccentric exercise protocol. At the end of this session, subjects will be randomly assigned to one of two intervention groups (experimental KT group, placebo KT group) or a control group (i.e., no intervention performed). The experimental group will receive KT with proper technique and tension (10-20%), while the placebo group will receive KT without technique and tension. Sessions 3 and 4 will occur approximately 48 and 72 hours post Session 2, respectively. All the outcome variables will be measured during these sessions. For participants in the KT groups, the tape will be removed at the end of session 4, as described below.

Official Title
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Effects of Kinesio Tape on Delayed Onset Muscle Soreness

Conditions
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Delayed Onset Muscle Soreness

Intervention / Treatment
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* Device: Kinesiotape


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 to 30 years old Exclusion Criteria: Participating in any strengthening exercises or activities of the upper extremities for the past month. Regularly ( 2x per month) participating in strengthening exercises or activities that include lengthening actions of the upper extremity for the past 6 months. An answer of yes to any of the seven questions on the first page of the 2019 Physical Activity Readiness Questionnaire [PAR-Q: 16] indicating that the subject is not physically ready for exercise without a medical exam. These exclusions include the following: If participant's doctor has ever said that he/she has a heart condition or high blood pressure Pain in chest at rest, during daily activities of living, or when doing physical activity If participant has ever lost balance because of dizziness or has lost consciousness in the past 12 months If the participant currently has (or have had within the past 12 months) a bone, joint, or soft tissue (muscle, ligament, or tendon) problem that could be made worse by becoming more physically activity If participant is currently taking prescribed medications for a chronic medical condition If the participant's doctor has ever told them that they should only do medically supervised physical activity. Currently taking nutritional supplements or anti-inflammatory medication on a daily basis Any injury or surgery to the neck or upper extremity in the past 6 months Open or scabbed wounds in the arm area to be taped Known allergies to the tape or medical adhesive bandages If skin irritation develops to the tape Session exclusion criteria: ● Taking over-the-counter pain medications on days of testing, prior to testing sessions, including acetaminophen (Tylenol) and nonsteroidal inflammatory drugs (NSAIDs), including ibuprofen (Motrin, Advil) or naproxen (Aleve, Naprosyn).

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 30 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized single-blind controlled trial
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Kinesiotape (KT)<br>Tape will be applied to the biceps muscle of the nondominant arm from approximately the shoulder to the elbow for up to 72 hours. For the KT group taping will be applied with a lymphatic application method according to the guidelines recommended by Kenzo Kase. This type of application is known to improve blood and lymphatic circulation which enhances the removal of metabolic products. The tape will be applied with a tension of 10-20%. | Device: Kinesiotape<br>* Tape will be applied to the biceps muscle of the nondominant arm from approximately the shoulder to the elbow for up to 72 hours. For the KT group taping will be applied with a lymphatic application method according to the guidelines recommended by Kenzo Kase. This type of application is known to improve blood and lymphatic circulation which enhances the removal of metabolic products. It is recommended that the application of the tape for lymphatic correction be applied for 24-72 hours. The tape will be applied with a tension of 10-20%.<br>|
| Placebo Comparator: Placebo Kinesiotape<br>Tape will be applied to the biceps muscle of the nondominant arm from approximately the shoulder to the elbow for up to 72 hours. The placebo KT group will have 0% tension. | Device: Kinesiotape<br>* Tape will be applied to the biceps muscle of the nondominant arm from approximately the shoulder to the elbow for up to 72 hours. For the KT group taping will be applied with a lymphatic application method according to the guidelines recommended by Kenzo Kase. This type of application is known to improve blood and lymphatic circulation which enhances the removal of metabolic products. It is recommended that the application of the tape for lymphatic correction be applied for 24-72 hours. The tape will be applied with a tension of 10-20%.<br>|
| No Intervention: No Tape<br>This group will not receive any intervention. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in worst pain in previous 24 hours | Brief Pain Inventory | This measure will be assessed at baseline and 48 hours and 72 hours following completion of the eccentric exercise protocol | 
| Change in average pain in previous 24 hours | Brief Pain Inventory | This measure will be assessed at baseline and 48 hours and 72 hours following completion of the eccentric exercise protocol | 
| Change in pain during elbow extension and elbow flexion | Subjects will perform the following elbow movements: 1) moving from a fully flexed starting position through active range of motion to full extension 2) moving from a fully extended starting position through active range of motion to full flexion. Ratings of muscle pain intensity will be assessed following each contraction using a 0-100 scale, with 0 indicating no pain and 100 indicating the most intense pain imaginable. | This measure will be assessed at baseline and 48 hours and 72 hours following completion of the eccentric exercise protocol | 
| Change in pressure pain threshold of the affected biceps | Using a hand-held, clinical grade pressure algometer (Wagner Instruments, Greenwich, CT), pressure will be applied to the biceps brachii muscle of the affected (non-dominant) arm while the arm is stationary at approximately 90 degrees of elbow flexion. Pressure will increase at a rate of about 1kg/s until the subject first reports feeling pain. | This measure will be assessed at baseline and 48 hours and 72 hours following completion of the eccentric exercise protocol | 
| Change in Active Total Elbow Range of Motion (AT-ROM) | AT-ROM in elbow flexion and extension of the elbow joint will be measured with a standard goniometer and the subject in the supine position on a padded table. The subject is instructed to flex and extend the non-dominant arm at the elbow as far as you can. Elbow flexion and extension is assessed in the sagittal plane with the arm parallel to the trunk and in the anatomic position. The center fulcrum of the goniometer is placed over the lateral epicondyle of the humerus. The stationary arm of the goniometer is fixed along the lateral midline of the humerus in line with the acromion process and the moving arm along the lateral midline of the radius in the line with the styloid. Three measurements of active elbow flexion and extension will be conducted at each assessment time point, with the average of the three measurements used as the outcome measure for each time point. | This measure will be assessed at baseline and 48 hours and 72 hours following completion of the eccentric exercise protocol | 
| Change in pain during elbow flexion and extension | Subjects will perform the following elbow movements: 1) moving from a fully flexed starting position through active range of motion to full extension 2) moving from a fully extended starting position through active range of motion to full flexion. Ratings of muscle pain intensity will be assessed following each contraction using a 0-100 scale, with 0 indicating no pain and 100 indicating the most intense pain imaginable. | This measure will be assessed at baseline and 48 hours and 72 hours following completion of the eccentric exercise protocol | 
| Change in Maximal Strength of non-dominant bicep. | Maximal strength will be assessed by performing a maximal contraction with the arm flexed at 90 degrees. The participant will be seated on a Biodex strength testing machine, with both feet on a support and the upper arm supported at 45 degrees of shoulder flexion by a padded support arm, with the forearm flexed at 90 degrees during the contraction. Three maximal contractions will be performed at 60 degrees per second with 60 seconds of rest between trials. | This measure will be assessed at baseline and 48 hours and 72 hours following completion of the eccentric exercise protocol | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Self-reported function of the affected arm | The QuickDASH focuses on the subject's ability to use the affected arm during activities of daily living [23,24]. Subjects rate their symptoms and ability to perform specific tasks using a 5-pt hierarchical Likert scale. A score of zero represents no dysfunction at all, while higher scores represent more limitations in self-reported function, with a score of 100 being the highest possible score. | This measure will be assessed at baseline and 48 hours and 72 hours following completion of the eccentric exercise protocol | 
| Pain catastrophizing | Will be measured with the Pain Catastrophizing Scale. It is a self-report measure, consisting of 13 items scored from 0 to 4, resulting in a total possible score of 52. The higher the score, the more catastrophizing thoughts are present. | This instrument will be administered at baseline | 
| Fear of movement or reinjury | Will be measured with the Tampa Scale of Kinesiophobia -- (TSK-11). total TSK-11 scores range from 11-44 points with higher scores indicating greater fear of pain, movement, and injury. | This instrument will be administered at baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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kinesio tape, muscle soreness, eccentric exercise, muscle pain