Article

OBJECTIVE: To investigate the short-term effect of a mixed Kinesio taping (KT)
model on range of ankle motion (ROAM), gait, pain, perimeter of lower limbs, and
quality of life in postmenopausal women with chronic venous insufficiency (CVI).
DESIGN: Double-blinded, randomized controlled trial. SETTING: Clinical setting.
PARTICIPANTS: Consecutive postmenopausal women (N=130; mean age +/- SD,
65.44+/-14.7y) with mild CVI. No participant withdrew because of adverse effects.
INTERVENTION: Participants were randomly assigned to either (1) an experimental
group to receive a mixed KT-compression treatment following KT recommendations
for gastrocnemius muscle enhancement and functional correction of the ankle, and
adding 2 tapes to simulate traditional compression bandages (no KT guidelines);
or (2) a placebo control group for sham KT. Both interventions were performed 3
times a week during a 4-week period. MAIN OUTCOME MEASURES: ROAM, gait, pain,
perimeter of right and left lower limb, and quality of life were assessed at
baseline and 48 hours posttreatment. RESULTS: Quality of life was better in the
intervention group by a mean of 8.76 points (95% confidence interval [CI],
4.96-12.55). The experimental group also showed significant pre-/posttreatment
improvements in both lower limbs in gait dorsiflexion ROAM (95% CI, 1.02-2.49),
cadence (95% CI, 3.45-1.47), stride length (95% CI, 21.48-10.83), step length
(95% CI, 1.68-6.61), stance phase (95% CI, 61-107), and foot (95% CI, .56-.92)
and malleolus (95% CI, 1.15-1.63) circumference. None of these variables were
significantly modified in the placebo group. Both groups reported a significant
reduction in pain. CONCLUSIONS: Ankle dorsiflexion during gait, walking
parameters, peripheral edema, venous pain, and quality of life remain improved in
patients with CVI at 1 month after mixed KT-compression therapy. KT may have a placebo effect on pain perception.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS