The Effect of Kinesiology Taping on Lumbar Region Structures and Balance in Transfemoral Amputees

Study Overview
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Brief Summary
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With the initiation of prosthesis use following lower extremity amputations, the body shows biomechanical changes according to the amputation level, and as a result, it develops adaptation mechanisms on both the healthy and ampute sides. It has been reported that the most common secondary pathology caused by these mechanisms developed to compensate the amputated side is lower back pain and adaptation mechanisms vary according to the presence of pain. Adaptation strategies in transfemoral amputees cause permanent changes in the connective tissue structure properties of the toracolumbar region and reduce the contribution of these structures to dynamic stability. It has been reported that with the fascia correction technique, one of the kinesiological taping techniques, the connective tissue fiber alignment can be rearranged and the degree of stiffness can be reduced. Before the intervention, biomechanical properties of the toracolumbar region structures with MyotonPro and postural stability measurements with TekScan will be taken.

Official Title
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The Investigation of the Effect of Kinesiology Taping on Lumbar Region Structures and Balance in Transfemoral Amputees

Conditions
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Transfemoral Amputees, Kinesiology Taping

Intervention / Treatment
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* Other: Kinesiology taping
* Other: Six minutes walking test
* Other: Shame Kinesiology Tape


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being between the ages of 18-60 Having unilateral transfemoral amputation Using prosthesis for at least 6 months Good prosthesis comfort Exclusion Criteria: Body mass index>30 Having a history of surgery in the lumbar region in past 6 months Participating in a physiotherapy and rehabilitation program for a low back pain past six months Neurological and / or orthopedic disorders other than amputation Having low back pain for at least 3 months before amputation

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Kinesiotape<br>Experimental group consisting of transfemoral amputees who kinesiology tape will be applied | Other: Kinesiology taping<br>* Y-type kinesiology tape will be applied to the thoracolumbar fascia in experimental gruoup.<br>Other: Six minutes walking test<br>* Participants will be asked to walk as fast as they can for 6 minutes.<br>|
| Sham Comparator: ShamKinesiotape<br>The placebo group of transfemoral amputees who shame kinesiology tape will be applied | Other: Six minutes walking test<br>* Participants will be asked to walk as fast as they can for 6 minutes.<br>Other: Shame Kinesiology Tape<br>* Sham kinesiology tape will be applied to the thoracolumbar fascia in sham gruoup.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measurement of Postural Stability | The center of gravity displacement (cm2) will be measured at standing position on force platform during 30sn | Changes from baseline of center of gravity displacement at following 6 minutes walking test, at immediately after kinesiology tape applying and at 30. minutes following kinesiology tape applying. | 
| Measurement of Stiffness | Stiffness of throcalumbar fascia will be measured using a myometer (MyotonPro, Myoton AS, Tallinn, Estonia). | Changes from baseline of stifness of thoracolumbal fascia at following 6 minutes walking test, at immediately after kinesiology tape applying and at 30. minutes following kinesiology tape applying. | 
| Measurement of Creep | Creep value of throcalumbar fascia will be measured using a myometer (MyotonPro, Myoton AS, Tallinn, Estonia). | Changes from baseline of creep of thoracolumbal fascia at following 6 minutes walking test, at immediately after kinesiology tape applying and at 30. minutes following kinesiology tape applying | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Low back pain | Low back pain will be measured by Visual Analog Scale between 0 (no pain) and 10 (the most severe pain) | Changes from baseline of low back pain at following 6 minutes walking test, at immediately after kinesiology tape applying and at 30. minutes following kinesiology tape applying. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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amputation, transfemoral, thoracolumbal fascia, kinesiotape