Kinesiotaping Applied to the Thumb in Rheumatoid Hand

Istanbul Arel University

Status: Completed

Conditions: Kinesiotape; Hand Deformity; Rheumatoid Arthritis

Treatments: Other: Kinesiotaping; Other: Sham

Study type: Interventional

Funder types: Other

Identifiers

NCT05515965

RomatolojiParmak

Details and patient eligibility

About

Objective: It was aimed to evaluate the acute effect of Kinesiotape taping on pain, function, range of motion and grip strength parameters in patients with rheumatoid arthritis and hand involvement.

Material and Methods: A total of 34 patients, 27 women and 7 men, diagnosed with RA according to the American Rheumatism Association (ACR) criteria were included in our study. All patients were divided into two groups as Kinesiotape and Control groups, each consisting of 17 patients. Subjective pain intensity was evaluated with the Visual Analog Scale, range of motion was evaluated with a goniometer, functional evaluation was evaluated with the Grip Skill Test, hand grip strength was evaluated with a dynamometer, and finger grip strength was evaluated with a pinchmeter. Evaluation parameters were evaluated before and 1 hour after the application, and the acute effect was examined. The patients in the kinesiotape group were taped with the mechanical correction method and the patients in the Control group were taped with tensionless gluing of the I tape. Applications were made on both dominant and nondominant hands.

Full description

This study is a double-blind, randomized clinical trial conducted by the Non-Interventional Ethics Committee from April 2018 to October 2018 in the Rheumatology unit of a university hospital in Turkey. The patients were divided in two groups using simple randomization method. There are 17 patients in groups. As the evaluation content; Socio-demographic information was recorded. Pain assessment was done by participants' subjective pain intensity Visual Analogue scale, mobility assessment was made by evaluating the range of motion with a goniometer, functional assessment was by grasping skill test, hand grip strength was measured by dynamometer, and finger grip strength was measured by pinchmeter. In our study, the mechanical correction method of taping to the Kinesiotape group was used. In rheumatoid hand patients, due to the presence of a deformity called hitchhiker's finger, the thumb is taped with 50-75% tension to create a pulling force in the direction of flexion and abduction. Sham application was applied to both dominant and nondominant hands in Control Group patients. Sham taping is the bonding of I tape to the 1st finger without tension and does not contain any features. Both the dominant and nondominant hands of the patients were taped and the differences between the two hands were also examined.

Enrollment: 34 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• diagnosed as Level 2-3 Rheumatoid Arthritis
• no change in pharmacological treatment until 1 month before the study

Exclusion criteria

• Presence of acute disease
• Diagnosis of Level 4 Rheumatoid Arthritis
• Intra-articular or intramuscular injection application in the previous months
• Presence of hand-wrist surgery history in the last 6 months
• Non-rheumatoid hand deformity

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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34 participants in 2 patient groups

Kinesiotape

Experimental group

Description:

The patients in the Kinesiotape group were taped with the mechanical correction method.

Treatment:

Other: Kinesiotaping

Control

Sham Comparator group

Description:

In the patients in the Control group were taped with tensionless gluing of the I tape.

Treatment:

Other: Sham