Kinesiotaping in the management of carpal tunnel syndrome

Yıl 2020, Cilt: 12 Sayı: 1, 34 - 39, 01.03.2020

Tuba Tülay Koca

https://doi.org/10.21601/ortadogutipdergisi.415624

Öz

Aim: Kinesiotaping (KT) is a non-invasive method used for the treatment of pain and muscle dysfunction. In this study we assess the effect of KT on carpal tunnel syndrome (CTS).
Material and Method: A total of 56 patients diagnosed with CTS were randomly selected and KT applicated two times for a period of three days. Results were evaluated before and after the application using the Boston carpal tunnel questionnaire, the visual analog scale (VAS) and the Duruöz hand index.
Results: The mean age of the patients included in the study was 42.9±11.7 years, with 41 being female (73.2%) and 15 male (26.8%). A majority of the KT applications (83.2%) were done on the right hand of the patients, 8.9% were on the left hand, and 1.8% were bilateral. There was a statistical difference, according to Paired-samples t test of VAS, Boston carpal tunnel questionnaire and Duruöz hand index. (p = 0.00/p=0.000/p= 0.011). Moreover, in terms of gender, the Boston function severity score (FSS) after application was statistically higher in the female participants compared to the male participants (p = 0.047).
Conclusion: Following the application of KT, pain intensity was reduced, hand function and daily activities were improved for the patients with CTS. Greater improvement was observed after the application with KT in the male patients compared to the female patients.

Anahtar Kelimeler

Carpal tunnel syndrome, kinesiotaping, pain, neuropathic pain

Karpal tünel sendromu yönetiminde kinezyobantlama

Öz

Amaç: Kinezyobantlama (KT), ağrı ve kas disfonksiyonunun tedavisinde kullanılan noninvazif bir yöntemdir. Bu çalışmada KT’nin karpal tünel sendromu (KTS) üzerindeki etkisini değerlendirdik.
Gereç ve Yöntem: KTS tanılı toplam 56 hasta rastgele seçildi ve iki kez üç gün süreyle KT uygulandı. Bulgular, Boston karpal tünel anketi, görsel analog skala (VAS) ve Duruöz el indeksi kullanılarak uygulamadan önce ve sonra değerlendirildi.
Bulgular: Çalışmaya dahil edilen hastaların yaş ortalaması 42,9 ± 11,7 yıl, 41’i kadın (%73,2) ve 15’i erkekti (%26,8). KT uygulamalarının çoğunluğu (%83,2) sağ el, %8,9 solda ve %1,8 bilateral olarak yapıldı. VAS, Boston karpal tünel anketi ve Duruöz el indekslerinde eşleştirilmiş örneklem t testine göre istatistiksel olarak anlamlı bir fark vardı (p=0.00 / p=0.000 / p=0.011). Ayrıca, cinsiyet açısından, uygulama sonrası Boston fonksiyonel şiddet skoru (FSS), kadın katılımcılarda erkek katılımcılara göre istatistiksel olarak daha yüksekti (p=0.047).
Sonuç: KT uygulamasının ardından KTS’li hastalarda ağrı şiddeti azalmış, el fonksiyonu ve günlük aktiviteler iyileşmişti. Erkek hastalarda KT ile uygulama sonrası kadın hastalara göre daha fazla iyileşme gözlendi.

Anahtar Kelimeler

karpal tünel sendromu, kinezyobantlama, ağrı, nöropatik ağrı

Kaynakça

• Wipperman J, Goerl K. Carpal Tunnel Syndrome: Diagnosis and Management. Am Fam Physician 2016; 94: 993-9.
• Jiménez Del Barrio S, Bueno Gracia E, Hidalgo García C, et al. Conservative treatment in patients with mild to moderate carpal tunnel syndrome: A systematic review. Neurologia 2016 Jul 22. pii: S0213-4853(16)30094-9. (doi: 10.1016/j.nrl.2016.05.018). [Epub ahead of print]
• Wahab KW, Sanya EO, Adebayo PB, Babalola MO, Ibraheem HG. Carpal tunnel syndrome and other entrapment neuropathies. Oman Med J 2017; 32: 449-54. (doi: 10.5001/omj.2017.87).
• Williams S, Whatman C, Hume PA, Sheerin K. Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness. Sports Med 2012; 42: 153-64. (doi: 10.2165/11594960-000000000-00000).
• Anandkumar S. Kinesio tape management for superficial radial nerve entrapment: a case report. Physiother Theory Pract 2013; 29: 232-41. (doi:10.3109/09593985.2012.717589). Epub 2012 Aug 27.
• Levine DW, Simmons BP, Koris MJ, et al. A self-administered questionnaire fort he assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Surg (Am) 1993; 75: 1585-92.
• Duruoz MT, Poiraudeau S, Serimanian J, et. al. Development and validation of rheumatoıd hand functional disability scale that assesses functional handicap. J Rheumatol 1996; 23: 1167-72.
• Zamborsky R, Kokavec M, Simko L, Bohac M. Carpal tunnel syndrome: symptoms, causes and treatment options. Literature Reviev. Ortop Traumatol Rehabil 2017; 19: 1-8. (doi: 10.5604/ 15093492.1232629).
• Hobson-Webb LD, Juel VC. Common entrapment neuropathies. Continuum (Minneap Minn) 2017; 23 (2, Selected Topics in Outpatient Neurology): 487-511. (doi: 10.1212/CON. 0000000000000452).
• İnanç Y, İnanç Y, Halil A, Zülfikar A, Özcan K. Karpal tünel sendromu: 126 olgunun demografik açıdan değerlendirilmesi. J Harran Uni Med Fac 2014; 11: 242-6. 5p.
• Pizac DA, Swanik CB, Glutting JJ, Kaminski TW. Evaluating postural control and ankle laxity between taping and high-top cleats in high school football players. J Sport Rehabil 2016; 19: 1-26. [Epub ahead of print]
• Morris D, Jones D, Ryan H, Ryan CG. The clinical effects of Kinesio® Tex taping: A systematic review. Physiother Theory Pract. 2013;29(4):259-70. (doi: 10.3109/09593985.2012.731675). Epub 2012 Oct 22.
• de Jesus JF, Franco YR, Nannini SB, Nakaoka GB, Dos Reis AC, Bryk FF. The effects of varıed tensıons of kınesıology tapıng on quadrıceps strength and lower lımb functıon. Int J Sports Phys Ther 2017; 12: 85-93.
• Lee NH, Jung HC, Ok G, Lee S. Acute effects of Kinesio taping on muscle function and self-perceived fatigue level in healthy adults. Eur J Sport Sci 2017; 13: 1-8. (doi: 10.1080/17461391. 2017.1294621). [Epub ahead of print]
• Karahan AY, Yildirim P, Kucuksarac S, et al. Effect of Kinesio taping on elbow muscle strength in healthy individuals: A randomized trial. J Back Musculoskelet Rehabil 2017; 30: 317-23. (doi: 10.3233/BMR-160529).
• Azatcam G, Atalay NS, Akkaya N, et al. Comparison of effectiveness of transcutaneous electrical nerve stimulation and kinesio taping added to exercises in patients with myofascial pain syndrome. J Back Musculoskelet Rehabil 2017; 30: 291-8. (doi: 10.3233/BMR-150503).
• Ay S, Konak HE, Evcik D, Kibar S. The effectiveness of Kinesio Taping on pain and disability in cervical myofascial pain syndrome. Rev Bras Reumatol Engl Ed 2017; 57: 93-9. (doi: 10.1016/j. rbre.2016.03.012). Epub 2016 May 10.
• Peck CN, Macleod A, Barrie J. Lesser metatarsophalangeal instability: presentation, management, and outcomes. Foot Ankle Int 2012; 33: 565-70. (doi: 10.3113/FAI.2012.0001).
• Shamsoddini A, Rasti Z, Kalantari M, et al. The impact of Kinesio taping technique on children with cerebral palsy. Iran J Neurol 2016; 15: 219-27.
• Kaya E, Zinnuroglu M, Tugcu I. Kinesio taping compared to physical therapy modalities for the treatment of shoulder impingement syndrome. Clin Rheumatol 2011; 30: 201-7. (doi: 10.1007/s10067-010-1475-6). Epub 2010 Apr 30.
• Ciosek Z, Kopacz L, Samulak L, Kaźmierczak A, Rotter I. [The influence of kinesiotaping on lumbar spine pain]. Pomeranian J Life Sci 2015; 61: 115-9. [Article in Polish]
• Ordahan B, Türkoğlu G, Karahan AY, Akkurt HE. Extracorporeal shockwave therapy versus kinesiology taping in the management of plantar fasciitis: A Randomized Clinical Trial. Arch Rheum 2017; 32: 227-33. (doi:10.5606/ArchRheumatol.2017.6059).
• Shakeri H, Soleimanifar M, Arab AM, Hamneshin Behbahani S. The effects of KinesioTape on the treatment of lateral epicondylitis. J Hand Ther 2017 Feb 27. pii: S0894-1130(17)30005-4. (doi: 10.1016/j.jht.2017.01.001). [Epub ahead of print]
• Geler Külcü D, Bursali C, Aktaş İ, Bozkurt Alp S, Ünlü Özkan F, Akpinar P. Kinesiotaping as an alternative treatment method for carpal tunnel syndrome. Turk J Med Sci 2016; 46: 1042-9. (doi: 10.3906/sag-1503-4).
• Dilek B, Batmaz I, Sarıyıldız MA, et al. Kinesio taping in patients with lateral epicondylitis. J Back Musculoskelet Rehabil 2016;29: 853-8.