The Instant Effect of Kinesiology Taping in Patients With Knee OA

Study Overview
=================
Brief Summary
-----------------
The aim of this study is to determine instant effect of kinesiology taping applied to the rectus femoris on muscle activation, physical performance and proprioception in patients with knee osteoarthritis.

Detailed Description
-----------------
40 patients with knee OA will be included in the study. Intervention group and placebo group will be formed. Facilitation taping will be applied on the rectus femoris of the patients in the taping group. The patients in the placebo group will be placed tape on the rectus femoris without any tension. Muscle activation, physical performance and proprioception will be evaluated before taping and 30 minutes after taping.

Official Title
-----------------
Investigation of the Instant Effect of Kinesiology Taping on Rectus Femoris Muscle on Muscle Activation, Physical Performance and Proprioception in Knee Osteoarthritis Patients

Conditions
-----------------
Osteoarthritis, Knee

Intervention / Treatment
-----------------
* Other: kinesiology tape
* Other: Placebo tape


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Patients aged 45-65 years, Patients with independent ambulation, Patients with Grade II-III knee osteoarthritis according to the Kellgren and Lawrence Classification, Patients not using NSAIDs during the study, Patients who volunteered to participate in the study Exclusion Criteria: Patients with previous surgery on the lower extremities Patients with neuromuscular disease Patients with vestibular pathology Patients with diseases of the cardiopulmonary system, Patients with communication difficulties, Patients who have received physiotherapy or intra-articular injections in the last 6 months or who exercise

Ages Eligible for Study
-----------------
Minimum Age: 45 Years
Maximum Age: 65 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: taping group<br>Facilitation taping will be applied to the rectus femoris of patients with knee OA in the taping group. | Other: kinesiology tape<br>* The tape will be fixed without any tension 10 cm below the origin of the rectus femoris muscle. Then 35-50% tension will be applied to the band and descended to the patella. After this point, the Y-shaped band will be terminated to wrap the patella medially and laterally without any tension.<br>|
| Placebo Comparator: placebo group<br>The patients with knee OA in the placebo group will be placed tape on the rectus femoris without any tension. | Other: Placebo tape<br>* The tape will attach to the rectus femoris without any tension.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| muscle activation | The muscular activation of the Rectus Femoris will be measured with the EMG (Euro Track MyoPlus 4) device before and after the taping application. With the patient in the sitting position with the hip and knee flexed to 90 degrees, active electrodes will be placed on the motor point of the muscle, three measurements will be made, and the highest MVIC value will be recorded. | 5 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| timed up and go test | Individuals will be asked to get up while sitting on the chair, walk three meters, return from the marked point at the end of three meters, walk towards the chair again and sit on the chair. The time taken for the individual's performances will be recorded in seconds. | 5 minutes | 
| 5 times sit-to-stand test | Patients will be asked to stand up and sit down fully upright from the chair with armrests as quickly as possible five times, and the elapsed time will be recorded. | 1 minutes | 
| proprioception | Participants will sit on a chair with 90° knee flexion. The lower extremities of the participants will be passively and randomly moved from 90° knee flexion to each of the 15°, 30° and 45° angles. After holding the lower extremity at each target angle for 10 seconds, return to the starting position. After waiting 10 seconds in the starting position, the participants will bring their knees to the target angle on their own and stop. Accordingly, the absolute value of the participant's deviation from the target angle will be measured three times for each target angle with the help of a goniometer and the average value will be calculated. | 5 minutes | 
| WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) | It consists of three parts and 24 questions in which pain, stiffness and physical function are questioned. The maximum scores that can be obtained from the index are 20 for the pain subgroup, 8 for stiffness, and 68 for physical function. High scores indicate increased pain and stiffness and impaired physical function. | 5 minutes | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
knee osteoarthritis, Kinesiotape, Physical performance, Muscle activation