PTRCTJournal of physical therapy science2016

The effect of kinesio taping with exercise compared with exercise alone on pain, range of motion, and disability of the shoulder in postmastectomy females: a randomized control trial.

Sayed A Tantawy, Dalia M Kamel

PMID 28174439

WHAT IT FOUND

In postmastectomy women, adding kinesio tape to two weeks of shoulder exercise reduced pain, improved movement and reduced disability more than exercise alone.

Tape was reapplied every 3 days. Do not expect lasting effect from this short trial.

Key findings

01Adding kinesio tape to the exercise programme reduced pain more than exercise alone, with a mean VAS change of 1.63 points versus 0.72 points.

02The taped group improved shoulder flexion by 36.50°, abduction by 28.70° and external rotation by 15.4°, with significant between-group differences for these movements.

03The taped group improved the shoulder pain and disability index score by 8.8 points, while the exercise-only group changed by 2 points without a meaningful within-group difference.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The trial followed patients for only two weeks, so it does not show whether pain, movement or disability benefit last after treatment stops. The paper reports a small sample size, and only 63 of the 74 selected patients completed the study. Random allocation was done by drawing names from a paper list and assigning them alternately, so allocation was not concealed in a way the paper describes. The control group received exercise alone, not sham tape, so the study cannot tell whether the tape itself or the additional sensory input described for kinesio tape caused the difference. The paper reports that the tester was blind, but does not report that participants or therapists were blind. All participants had stage I or II breast cancer and were receiving chemotherapy and radiation therapy, so results may not apply to other postmastectomy patients. The paper does not name a primary outcome.

Declared interests

The authors declare that they have no competing interests.

The easy way to misread this

Do not conclude that kinesio tape alone caused the improvement. Both groups received active-assisted range of motion, active stretching, strengthening and posture exercises, and the tape group received tape as an adjunct, so the study cannot separate the contribution of any single component.

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