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Aging and disease    2018, Vol. 9 Issue (2) : 296-308     DOI: 10.14336/AD.2017.0309
Review |
Effects of Elastic Therapeutic Taping on Knee Osteoarthritis: A Systematic Review and Meta-analysis
Li Xin1, Zhou Xuan1, Liu Howe3, Chen Nan1, Liang Juping1, Yang Xiaoyan1, Zhao Guoyun1, Song Yanping2, Du Qing1,2,*
1Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
2Chongming Branch of Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
3University of North Texas Health Science Center, Texas 76107, USA
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Abstract  

Elastic therapeutic taping (ET) has been widely used for a series of musculoskeletal diseases in recent years. However, there remains clinical uncertainty over its efficiency for knee osteoarthritis (knee OA) management. To assess the effects of ET on patients with knee OA, we investigated outcomes including self-reported pain, knee flexibility, knee-related health status, adverse events, muscle strength, and proprioceptive sensibility. Ten databases including PubMed, EMBASE, Cochrane Library, CINAHL, Web of Science, PEDro, Research Gate, CNKI, CBM, and Wanfang were systematically searched. Eleven randomized controlled trials (RCTs) with 168 participants with knee OA provided data for the meta-analysis. Statistical significance was reported in four from five outcomes, such as self-related pain (during activity, MD -0.85, 95% CI, -1.55 to -0.14; P =0.02), knee flexibility (MD 7.59, 95% CI, 0.61 to 14.57; P =0.03), knee-related health status (WOMAC scale, MD -4.10, 95% CI, -7.75 to -0.45; P =0.03), and proprioceptive sensibility (MD -4.69, 95% CI, -7.75 to -1.63; P =0.003), while no significant enhancement was reported regarding knee muscle strength (MD 1.25, 95% CI, -0.03 to 2.53; P =0.06). Adverse events were not reported in any of the included trials. The overall quality of evidence was from moderate to very low. In conclusion, there is underpowered evidence to suggest that ET is effective in the treatment of knee OA. Large, well-designed RCTs with better designs are needed.

Keywords Kinesiotape      Knee osteoarthritis      Systematic review      Meta-analysis     
Corresponding Authors: Du Qing   
About author:

These authors contributed equally to this work.

Issue Date: 01 April 2018
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Li Xin
Zhou Xuan
Liu Howe
Chen Nan
Liang Juping
Yang Xiaoyan
Zhao Guoyun
Song Yanping
Du Qing
Cite this article:   
Li Xin,Zhou Xuan,Liu Howe, et al. Effects of Elastic Therapeutic Taping on Knee Osteoarthritis: A Systematic Review and Meta-analysis[J]. Aging and disease, 2018, 9(2): 296-308.
URL:  
http://www.aginganddisease.org/EN/10.14336/AD.2017.0309     OR     http://www.aginganddisease.org/EN/Y2018/V9/I2/296
Figure 1.  Review flow diagram
Figure 2.  Self-reported pain (evaluated by VAS or NPRS) for ET compared with other forms of treatment. (A) pain at rest; (B) pain at night; (C) pain during activity.
Article,
Year
Patient Characteristics,
Sample Size
InterventionDuration of
trial period
Outcomes/Time point/Effectiveness
[23]
Yu (2012)
Source: 40 patients with
knee OA (G1=20,G2=20) Mean age (SD): G1=51.12y (4.29), G2=50.97y(5.01)
G1: Therapeutic KT with less than 10% tension
G2: CPT
G1: 24-hour each time, daily taping for 7 days
G2: 20 min each time, daily treatment for 7 days
1. Pain intensity (VAS) / (Baseline, 3days*, 7days);
2. Functional disability (LI) / (Baseline, 3days*, 7days), (WOMAC) / (Baseline, 3days, 7days)
[24] Anandkumar (2014)Source: 40 outpatients
(G1=20, G2=20). Mean age (SD): G1=55.7y (5.8), G2=55.9y (5.0)
G1: Therapeutic KT with 50%-75% tension
G2: Sham taping
Taping for 30 min1. Peak isokinetic quadriceps torque (concentric and eccentric at angular velocities of 90° per second and 120° per second) / (Baseline, 30 min*);
2. Physical function (SSCT) / (Baseline, 30 min*); 3. Pain intensity (VAS) / (Baseline, 30 min*)
[25] Cho (2015)Source: 46 volunteer subjects with knee OA (G1=23, G2=23).
Mean age(SD):G1=58.2y(4.5), G2=57.5y (4.4)
G1: Therapeutic KT with 15%-25% tension
G2: Sham taping
Taping for 60 min1. Pain-free ROM of the knee joint (Active ROM) / (Baseline, 60 min*)
2. Pain intensity at rest (VAS), (PPT in quadriceps), (PPT in tibialis anterior) / (Baseline, 60 min); 3. Pain intensity during walking (VAS), (PPT in quadriceps), (PPT in tibialis anterior) / (Baseline, 60 min*); 4. Proprioceptive acuity (AJPR at 15, 30, and 45 degrees) / (Baseline, 60 min*)
[26] Kocyigit (2015)Source: 41 outpatients with knee OA (G1=21, G2=20).
Mean age(SD):G1=52y(7.5), G2=52y (10)
G1: Therapeutic KT with 25% tension
G2: Sham taping
Taping was repeated every 4 days, 3 times in total1. Functional disability (LI) / (Baseline, 12 days);
2. Quality of life (NHP pain score, NHP physical activity score, NHP sleep score, NHP social isolation score, NHP total score) / (Baseline, 12 days); 3. Quality of life (NHP energy score) / (Baseline, 12 days*);4. Pain intensity with activity and at night (VAS) / (Baseline, 12 days);
[27] Wageck (2016)Source: 76 outpatients with knee OA (G1=38, G2=38).
Mean age(SD):G1=69.6y(6.9), G2=68.6y (6.3)
G1: A multi-layer KT application
G2: Sham taping
Taping for 4 days, follow
-up for extra 15 days
1. Muscle strength (Knee extensor and flexor isokinetic concentric strength)/ (Baseline, 4 days, 19 days);
2. Pain intensity (PPT) / (Baseline, 4 days, 19 days); 3. Functional disability (WOMAC) / (Baseline, 4 days, 19 days); 4. Lower limb volume/ (Baseline, 4 days, 19 days); 5. Perimeter of the limb/ (Baseline, 4 days, 19 days); 6. Physical function (LKSS) / (Baseline, 4 days, 19 days)
[28]
Lee (2016)
Source: 30 elderly patients with knee OA (G1=15, G2=15).
Mean age(SD):G1=72.0y(4.0), G2=73.1y (5.8)
G1: KT
G2: CPT
3 times/week for 4 weeks.1. Pain intensity (VAS) / (Baseline, 4 weeks*);
2. Functional disability (K-WOMAC) / (Baseline, 4 weeks*); 3. Pain-free ROM of the knee joint (Passive ROM) / (Baseline, 4 weeks*);
[29] Dhanakotti (2016)Source: 30 patients with
knee OA(G1=15, G2=15). Mean age(SD):G1=51.73y(5.10), G2=51.26y (4.86)
G1: KT with 40% stretch of its maximal length+ CPT
G2: CPT
3 times/week for 3 weeks1. Pain intensity (NPRS) / (Baseline, 3 weeks*);
2. Muscle strength (Maximum isometric force of quadriceps) / (Baseline, 3 weeks*); 3. Functional disability (m.WOMAC) / (Baseline, 3 weeks*);
[30]
Kaya (2016)
Source: 39 outpatients with
knee OA (G1=20, G2=19). Mean age(SD): G1=52y (7.5), G2=52y (10)
G1: Therapeutic KT with 25% tension
G2: Placebo KT
12 to 16 days in total1. Pain intensity (VAS during activity), Functional disability (ALF-walking) / (Baseline, after the initial KT, after the third KT*, 1 month follow-up*),
2. Pain intensity (VAS at night), Pain-free ROM of the knee flexion (Active ROM) / (Baseline, after the initial KT, after the third KT, 1 month follow-up*), 3. Pain intensity (VAS at rest), Functional disability (WOMAC), Pain-free ROM of the knee and hip joints (Active ROM except knee flexion), Muscle strength (Maximum isometric force of iliopsoas, gluteus medius, quadriceps, and hamstring muscles)/ (Baseline, after the initial KT, after the third KT, 1 month follow-up)
[31]
Atya (2015)
Source: 60 outpatients with knee OA (G1=20, G2=20, G3=20)
Mean age (SD): G1=38.7y (7.7), G2=38.6y (7.5), G3=37.6y(5.6)
G1: TEP
G2: TEP+KT G3: TEP+ST
TEP/ST: 3 times /week for 8 weeks
KT: wear tape for 2 days and return for review after 24 hours removing tape
1. Pain intensity (VNS) / (Baseline, 8 weeks*);
2. Proprioceptive acuity (AJPR) / (Baseline, 8 weeks); 3. Physical function (AIFAS) / (Baseline, 8 weeks)
[32]
Sedhom (2016)
Source: 40 females with knee OA from outpatient (G1=20, G2=20)
Mean age(SD): G1=48.7y (5.82), G2=49.25y (5.82)
G1: HP+SEP+ KT
G2: HP+SEP+Aescin and Diethylamine Salicylate gel PH with PUT
3 times /week for 4 weeks1. Pain intensity (VAS) / (Baseline, 4 weeks)
2. Proprioceptive accuracy (AJPR) / (Baseline, 4 weeks) 3. Pain-free ROM of the knee joint (Active ROM) / (Baseline, 8 weeks)
[33] Malgaonkar (2014)Source: 40 subjects with knee OA (G1=20, G=20).
Mean age(SD): G1=53.5y (2.21), G2=52.95y (2.25)
G1: Therapeutic KT with 25% tension
G2: MWM
3 times/week for 2 weeks1. Pain intensity (VAS) / (Baseline, 2 weeks)
2. Functional disability (WOMAC) / (Baseline, 2 weeks)
Table 1  Characteristics of studies reporting the effectiveness of ET in knee OA and controls.
Figure 3.  The funnel plot regarding self-reported pain during activity.
Author, YearRandom sequence generationAllocation
concealment
Blinding of Participants and personnelBlinding of outcome assessmentsIncomplete outcome dataSelective reportingOther bias
[23] Yu, 2012LowUnclearUnclearUnclearLowLowLow
[24]
Anandkumar, 2014
LowLowLowLowLowLowLow
[25] Cho, 2015LowLowLowLowHighLowHigh
[26] Kocyigit, 2015LowLowLowLowLowLowLow
[27] Wageck, 2016LowLowLowLowHighLowHigh
[28] Lee, 2016HighUnclearUnclearUnclearLowLowHigh
[29] Dhanakotti, 2016LowLowHighLowLowLowLow
[30] Kaya, 2016LowLowLowLowHighLowHigh
[31] Atya, 2015LowLowLowLowUnclearLowUnclear
[32] Sedhom, 2016LowUnclearUnclearUnclearLowLowHigh
[33] Malgaonkar, 2014LowLowUnclearUnclearLowLowUnclear
Table 2  The Cochrane Collaboration’s tool of assessing risk of bias for methodological assessment.
Figure 4.  Knee flexibility (evaluated by knee ROM) for ET compared with other forms of treatment.
Figure 5.  Knee-related health status (evaluated by WOMAC or LI scales) for ET compared with other forms of treatment. (A) WOMAC; (B) LI.
Figure 6.  Knee muscle strength (evaluated by maximum isometric force of quadriceps) for ET compared with other forms of treatment.
Figure 7.  Proprioceptive Sensibility for ET compared with other forms of treatment.
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