Clinical trial NCT05515965: Kinesiotaping Applied to the Thumb in Rheumatoid Hand
Official title: Acute Effect of Kinesiotaping Applied to the Thumb in Patients With Rheumatoid Hand
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Rheumatoid Arthritis
Kinesiotape
Hand Deformity
Keywords: Rheumatoid Arthritis
Kinesiotape
Grip Strength
Hand function
Hand deformity
Lead sponsor: Istanbul Arel University
Sponsor class: OTHER
First posted: 2022-08-25
Enrollment: 34
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Objective: It was aimed to evaluate the acute effect of Kinesiotape taping on pain, function, range of motion and grip strength parameters in patients with rheumatoid arthritis and hand involvement.

Material and Methods: A total of 34 patients, 27 women and 7 men, diagnosed with RA according to the American Rheumatism Association (ACR) criteria were included in our study. All patients were divided into two groups as Kinesiotape and Control groups, each consisting of 17 patients. Subjective pain intensity was evaluated with the Visual Analog Scale, range of motion was evaluated with a goniometer, functional evaluation was evaluated with the Grip Skill Test, hand grip strength was evaluated with a dynamometer, and finger grip strength was evaluated with a pinchmeter. Evaluation parameters were evaluated before and 1 hour after the application, and the acute effect was examined. The patients in the kinesiotape group were taped with the mechanical correction method and the patients in the Control group were taped with tensionless gluing of the I tape. Applications were made on both dominant and nondominant hands.

Detailed description: This study is a double-blind, randomized clinical trial conducted by the Non-Interventional Ethics Committee from April 2018 to October 2018 in the Rheumatology unit of a university hospital in Turkey. The patients were divided in two groups using simple randomization method. There are 17 patients in groups. As the evaluation content; Socio-demographic information was recorded. Pain assessment was done by participants' subjective pain intensity Visual Analogue scale, mobility assessment was made by evaluating the range of motion with a goniometer, functional assessment was by grasping skill test, hand grip strength was measured by dynamometer, and finger grip strength was measured by pinchmeter. In our study, the mechanical correction method of taping to the Kinesiotape group was used. In rheumatoid hand patients, due to the presence of a deformity called hitchhiker's finger, the thumb is taped with 50-75% tension to create a pulling force in the direction of flexion and abduction. Sham application was applied to both dominant and nondominant hands in Control Group patients. Sham taping is the bonding of I tape to the 1st finger without tension and does not contain any features. Both the dominant and nondominant hands of the patients were taped and the differences between the two hands were also examined.

Eligibility criteria: Inclusion Criteria:

* diagnosed as Level 2-3 Rheumatoid Arthritis
* no change in pharmacological treatment until 1 month before the study

Exclusion Criteria:

* Presence of acute disease
* Diagnosis of Level 4 Rheumatoid Arthritis
* Intra-articular or intramuscular injection application in the previous months
* Presence of hand-wrist surgery history in the last 6 months
* Non-rheumatoid hand deformity

Primary outcomes:
measure: Subjective Pain Intensity
timeFrame: 1 hour
measure: Range of Motion
timeFrame: 1 hour
measure: Functional Assessment
timeFrame: 1 hour
measure: Hand muscle strength
timeFrame: 1 hour
measure: Finger muscle strength
timeFrame: 1 hour
Secondary outcomes:
Other outcomes:
Locations:
city: Bahçelievler
country: Turkey
facility: Ozge Baykan Copuroglu
state: İstanbul
Study officials:
affiliation: Istanbul Arel University
name: Ozge Baykan Copuroglu, MSc
role: PRINCIPAL_INVESTIGATOR
References: