Article

OBJECTIVE: To assess the efficacy of Kinesio taping (KT)
on venous symptoms,
quality of life, severity, pain, edema, range of ankle motion (ROAM), and
peripheral muscle myoelectrical activity in lower limbs of postmenopausal women
with mild chronic venous insufficiency (CVI). DESIGN: Double-blinded randomized
controlled trial with concealed allocation.
SETTING: Clinical setting.
PARTICIPANTS: Consecutive postmenopausal women (N=123; age range, 62-67y) with
early-stage CVI. None of the participants withdrew because of adverse effects.
INTERVENTION: Participants were randomly assigned to an experimental group for
standardized KT application for external gastrocnemius (EG) and internal
gastrocnemius (IG) muscle enhancement and ankle function correction or a placebo
control group for sham KT application. Both interventions were performed 3 times
a week during a 4-week period. MAIN OUTCOME MEASURES: Venous symptoms, CVI
severity, pain, leg volume, gastrocnemius electromyographic data, ROAM, and
quality of life were recorded at baseline and after treatment. RESULTS: The
experimental group evidenced significant improvements in pain distribution,
venous claudication, swelling, heaviness, muscle cramps, pruritus, and CVI
severity score (P</=.042). Both groups reported significant reductions in pain
(experimental group: 95% confidence interval [CI], 1.6 to 2.1; control group: 95%
CI, -0.2 to 0.3). There were no significant changes in either group in quality of
life, leg volume, or ROAM. The experimental group showed significant improvements
in root mean square signals (right leg: EG 95% CI, 2.99-5.84; IG 95% CI,
1.02-3.42; left leg: EG 95% CI, 3.00-6.25; IG 95% CI, 3.29-5.3) and peak maximum
contraction (right leg: EG 95% CI, 4.8-22.7; IG 95% CI, 2.67-24.62; left leg: EG
95% CI, 2.37-20.44; IG 95% CI, 2.55-25.53), which were not changed in controls.
CONCLUSIONS: KT may reduce venous symptoms, pain, and their severity and enhance
gastrocnemius muscle activity, but its effects on quality of life, edema, and
ROAM remain uncertain. KT may have a placebo effect on venous pain.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS