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kinesio tape

در نشریات گروه پزشکی
  • Soheyla Jouybar *, Soheilaa Rabieepoor, Maryam Najjar Zade, Vahid Ali Nejad
    Background & aim

    Childbirth is a pivotal event in a woman's life, involving both physiological and psychological aspects. Managing labor pain and enhancing the childbirth experience are critical components of maternal care. The present study aimed to determine the impact of Kinesio taping on labor pain intensity and childbirth experience in pregnant women.

    Methods

    A clinical trial was conducted in 2021 at Imam Khomeini Hospital (RA) in Mahabad, West Iran. A total of 75 pregnant women  were randomly assigned to three groups (25 subjects in each group) of intervention 1 (applying Kinesio tape to the skin areas located in T12 to L2 and S2 to S4 vertebrae), intervention 2 (applying Kinesiotape to the skin area of the T1 to T4 vertebrae) and the control group (without intervention). Pain intensity was measured using the Visual Analog Scale, and the overall childbirth experience was assessed by Childbirth Experience Questionnaire (CEQ) . Data were analyzed by SPSS software (version 20).  

    Results

    Comparison of the mean score of labor pain intensity in the active phase of labor in the three groups showed a significant decrease in pain intensity over time in intervention group 1, compared with the control group (P<0.001). Comparison of childbirth experience scores and its dimensions after intervention in the three groups indicated a significantly greater improvement in intervention group 1 compared to the other two groups (P<0.05).

    Conclusion

    Results showed Kinesio tape that attached to spinal segments, can be used as a non-pharmacological childbirth pain reduction method and it can be used to create a positive childbirth experience.

    Keywords: Kinesio Tape, Labor Pain Intensity, Labor Experience, Active Phase Of Labor
  • Katayoon Rezaei, Shohreh Taghizadeh, Amir Nejati, Farahnaz Emami *
    Background
     Ankle sprains are common musculoskeletal injuries in sports and physical activities, often leading to balance impairments. The research investigated the impact of combined fibular repositioning taping (FRT) and facilitatory fibularis longus taping on postural balance and proprioception of the ankle joint in individuals with Chronic Ankle Instability (CAI).
    Methods
    The double-blind randomized controlled trial was conducted at the Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences (SUMS). A total of 40 patients aged between 18 and 50 were randomly allocated to either the intervention or placebo group. In the intervention group, participants received a combined FRT and facilitatory fibularis longus taping. In contrast, participants in the placebo group received an adhesive gauze from the medial malleolus to the midpoint of the tibia. Static and dynamic postural stability and stability limits were evaluated using the Biodex Balance SD system. Proprioception of the ankle joint was assessed using the active ankle joint repositioning test with a Biodex isokinetic dynamometer. Data within each group were compared before and immediately after taping and 48 hours after taping.
    Results
    The comparison of static postural stability before and immediately after the taping application revealed a significant decrease within groups (P = 0.01). Additionally, there was a statistically significant difference between groups before and 48 hours after taping (P = 0.002). A significant difference was observed between groups immediately after taping (P = 0.03) for dynamic postural stability at the double leg stance position. In contrast, no significant difference was found between groups 48 hours after taping (P = 0.05).
    Conclusion
    The results suggest that combined FRT and facilitatory fibularis longus taping could enhance static and dynamic postural stability in individuals with CAI.
    Keywords: Ankle Sprain, Fibular Repositioning Tape, Joint Laxity, Kinesio Tape, Postural Balance
  • حامد ابراهیم پور، امیرعلی جعفرنژادگرو*، ابراهیم پیری، احسان فخری میرزانق

    یکی از بزرگ ترین و پیچیده ترین مفاصل بدن انسان مفصل زانو است. ژنووالگوم (زانوی ضربدری) یکی از ناهنجاری های اندام تحتانی در صفحه فورنتال است که می تواند با تغییرات بیومکانیک اندام تحتانی همراه باشد. این مرور سیستماتیک به منظور ارزیابی اثر انواع تمرینات ورزشی اصلاحی و ابزارهای حمایتی در مبتلایان به زانوی ضربدری انجام شد. جستجوی مقالات از نوع پژوهشی اصیل، مروری و کارآزمایی بالینی به زبان فارسی و انگلیسی از پایگاه های استنادی WOS ، SID ، ISC ، Magiran ، Scopus ، PubMed و Google Scholar منتشر شده طی ژانویه 2008 تا ابتدای مارس 2023 انجام شد. تعداد 76 مقاله مرتبط بر اساس معیارهای ورود و خروج انتخاب شدند و در نهایت 22 مقاله در ارتباط با اثر انواع تمرینات ورزشی و ابزارهای حمایتی بر عارضه زانوی ضربدری مورد بررسی و تحلیل قرار گرفتند. یافته های یک مطالعه در ارتباط با اثر تمرینات هوازی با اثرگذاری بر شاخص توده بدنی و کاهش شدت ژنووالگوم بود. یافته های برخی از مطالعات در زمینه اثر مثبت انجام تمرینات مقاومتی و اصلاحی بر بهبود فعالیت الکتریکی عضلات و ثبات زانو بوده است. بررسی یافته های یک مطالعه نشان داد که استفاده از کفی طبی می تواند عاملی مهم برای افزایش حمایت از مفصل زانو هنگام فرود از پله ها باشد. یافته های شش مطالعه نشان دهنده اثر مثبت استفاده ارتز، گوه و بریس در مبتلایان زانوی ضربدری بودند. در حالی که تنها در یک مطالعه به اثر منفی استفاده از ابزارهای فوق به دلیل کاهش زاویه محدود کننده بریس مورد استفاده در مفصل زانو، افزایش نیروهای وارده و در نهایت افزایش آسیب اشاره شده است. در نهایت یافته های سه مطالعه با اثر مثبت استفاده از کنزیوتیپ در مبتلایان به عارضه زانو ضربدری مرتبط بودند. به نظر می رسد که انجام تمرینات ورزشی اصلاحی به ویژه تمرینات مقاومتی با تراباند و اصلاحی همراه با ابزارهای حمایتی همچون کفی برای حمایت قوس داخلی پا و کنزیوتیپ می تواند برای کاهش درجات والگوس زانو در مبتلایان به عارضه زانو ضربدری مفید واقع شود.

    کلید واژگان: پای ضربدری، ورزش درمانی، کنزیوتیپ، کفی های ارتوز
    Hamed Ebrahimpour, Amirali Jafarnezhadgero*, Ebrahim Piri, Ehsan Fakhri Mirzanag

    This systematic review aimed to evaluate the effects of various corrective exercises and supportive tools in individuals with genu valgum. To ensure a comprehensive review, a search for original research, review articles, and clinical trials in both Persian and English was conducted using databases such as WOS, SID, ISC, Magiran, Scopus, PubMed, and Google Scholar. The search covered publications during January 2008 to March 2023. A total of 76 relevant articles were selected based on strict inclusion and exclusion criteria, with 22 articles ultimately reviewed and analyzed regarding the effects of various corrective exercises and supportive tools on genu valgum. Findings from one study indicated that aerobic exercises had a significant impact on reducing body mass index (BMI) and the severity of genuvalgum. Other studies reported positive effects of resistance and corrective exercises on improving muscle electrical activity and knee stability. One study demonstrated that the use of orthotic insoles could significantly enhance knee joint support during stair descent. Six studies highlighted the positive effects of using orthoses, wedges, and braces in individuals with genu valgum. Conversely, one study pointed out the negative impact of these tools, citing the reduced limiting angle of the brace, increased applied forces, and, ultimately, greater injury risk. However, findings from three studies overwhelmingly supported the positive effects of using kinesiotape in individuals with genu valgum, providing optimism about the effectiveness of these interventions. In conclusion, our review underscores the promising potential of corrective exercises, particularly resistance exercises with TheraBand, and the combination of these with supportive tools such as insoles for arch support and kinesiotape. These interventions show significant promise in reducing the degree of knee valgus in individuals with genu valgum. This hopeful outlook can inspire healthcare professionals and individuals seeking evidence-based interventions for genu valgum, empowering them with the knowledge to make informed decisions about their care.

    Keywords: Genu Valgum, Exercise Therapy, Kinesio Tape, Orthotic Insoles
  • علی اکبر صوفی زاده، مهرداد عنبریان*
    زمینه و هدف

    هدف این مطالعه، مقایسه اثر بخشی یک جلسه استراحت و کینزیوتیپ بر روی سطح درد، ناتوانی و دامنه حرکتی گردن در افرادی بود که به دنبال استفاده از گوشی هوشمند از درد و ناراحتی در ناحیه گردن شکایت داشتند.

    مواد و روش ها

    تعداد 24 نفر با میانگین سنی 71/25 سال که به دنبال استفاده از گوشی هوشمند از درد و ناراحتی در ناحیه گردن شکایت داشتند، در این مطالعه نیمه تجربی شرکت کردند. طی دو روز متوالی مداخلات محافظه کارانه شامل استراحت و کینزیوتیپ را دریافت کردند. مدت زمان اعمال هر مداخله یک جلسه بود. میزان درد، ناتوانی و دامنه حرکتی فقرات گردنی به ترتیب با ابزار دیداری سنجش میزان درد (VAS)، پرسشنامه شاخص ناتوانی گردن و گونیامتر قبل از شروع درمان (بلافاصه پس از 15 دقیقه استفاده از گوشی هوشمند)، و پس از انجام مداخلات استراحت و تیپینگ اندازه گیری شدند. داده ها با آزمون آنالیز واریانس با اندازه های تکراری تجزیه و تحلیل شدند (05/0<p).

    یافته ها

    هر دو روش استراحت و تیپینگ سبب کاهش معنادار نمره درد و ناتوانی شد، اما تاثیر تیپینگ بیشتر بود. همچنین، هر دو روش مداخله ای سبب افزایش معناداری در دامنه حرکتی فقرات گردنی شدند ولی اثربخشی روش کینزیوتیپ بیشتر از استراحت بود.

    نتیجه گیری

    نتایج این مطالعه نشان دهنده اثربخشی بهتر یک جلسه کینزیوتیپ نسبت به استراحت در کاهش درد و ناتوانی گردن و افزایش دامنه حرکتی فقرات گردنی کاربران تلفن همراه بود

    کلید واژگان: کینزیوتیپ، شاخص ناتوانی، گوشی هوشمند، گردن درد
    Aliakbar Sufizadeh, Mehrdad Anbarian*
    Aims and Background

    The purpose of the study was to compare the effectiveness of single session resting and kinesio taping on pain level, disability and range of motion among individuals who complained of pain and discomfort in the neck after using a smartphone.

    Methods

    Twenty-four individuals with average age of 25.71 years, who complained of pain and discomfort in the neck after using a smartphone, participated in this quasi-experimental study. During two consecutive days, they received conservative interventions including resting and kinesio taping exercise. The duration of each intervention was one session. The level of pain, disability and the cervical spine's range of motion were measured with the visual analog scale (VAS), the neck disability index questionnaire and cervical spine's range of motion using the standard goniometer before starting the treatment (immediately after 15 minutes of using the smartphone), and after performing resting and taping interventions. The data were analyzed by ANOVA with repeated measures (p<0.05).

    Results

    Both resting and taping methods were significantly decreased the mean score of pain and disability of the neck, but the effect of taping was more. The results also showed that both intervention methods led to a significant increase in cervical spine's range of motion, but the effectiveness of taping was higher than resting.

    Conclusion

    The results of this study showed that kinesio tape technique in comparing with resting can more effectively decreased the amount of pain and disability in the neck as well as incising cervical spine's range of motion in smartphone users.

    Keywords: Kinesio Tape, Disability Index, Smartphone, Neck Pain
  • Zahra Ordudari *, Farzaneh Fadaei, Ehsanollah Habibi
    Background and aims

    Nowadays, one of the purposes of ergonomics is to identify the risk factors of musculoskeletal disorders and provide solutions to reduce them. The aim of this study was to investigate the effect of using Kinesio tape and doing exercise during working hours for 8 weeks on the reduction of risk and pain and improvement of hand function during daily activities.

    Methods

    This clinical trial study was carried out on 40 female workers employed in the manufacturing industry. The subjects were divided into three groups, including exercise-taping, exercise, and control, and performed an 8-week rehabilitation program twice a week. To assess the upper limb function, the cognitive demand of the assigned task, and hand strength, the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, Borg Scale, and a dynamometer were used, respectively.

    Results

    The results of this study indicated a decrease in upper limb disability and increased grip strength in the tape plus exercise group compared to the control group (P<0.05). However, no significant change in the Borg scale was found in any of the three groups (P>0.05).

    Conclusion

    It can be concluded that attending at least 2 or 3 exercise sessions per week and using Kinesio tape can be effective in reducing pain in the upper limb.

    Keywords: Disability, Upper limb, Assembly workers, Exercise, Kinesio tape
  • Ehsan Naderifar, Maryam Tarameshlu, Reza Salehi, Leila Ghelichi*, Arash Bordbar, Negin Moradi, Branda Lessen
    Background

    The survival rate in premature infants (PIs) has increased, but many have medical and developmental complications. Difficulty with sucking, swallowing, and poor nourishment are common complications. This study aimed to investigate the effects of Kinesio-tape (KT) combined with premature infant oromotor intervention (PIOMI) on feeding efficiency (mean volume intake [%MV]), oromotor skills (Preterm Oral Feeding Readiness Assessment Scale [POFRAS]), and weight gain in PIs.  

    Methods

    In this single-subject study, 5 PIs with feeding problems were received the PIOMI-KT for 7 consecutive days. The main outcome measure was the POFRAS scale. The %MV and weight gain were the secondary outcome measures. Measurements were taken before treatment (T0), after the 4th session (T1), and after the 7th session (T3).  

    Results

    The POFRAS scores, %MV, and weight gain improved in all infants after treatment. The maximum and minimum change in level between the baseline and treatment phase was +26 and+16 for POFRAS, +54 and, +34 for %MV, +180, and +100 for weight gain. The treatment trend was upward for all infants and shown by the directions of the slopes indicated by positive values. The feeding problems were resolved in all infants after the 7th treatment session.  

    Conclusion

    The combination therapy of PIOMI-KT improved feeding function in PIs.

    Keywords: PIOMI, Kinesio-Tape, Premature, Infants, Feeding Problems
  • Chunapis Boonkerd, Kodchakorn Thinchuangchan, Niphada Chalarak, Santiparp Thonpakorb, Ratchanon Wanasoonthontham, Thanawat Kitsuksan, Teerapat Laddawong*
    Background

    Chronic ankle instability has a detrimental impact on joint proprioception and muscle strength and negatively influences balance. Kinesio tape is gaining popularity among athletes as a technique to prevent ankle injuries while engaging in sports, although its efficiency in treating those limitations has been questioned.

    Objectives

    The study aimed to measure how Kinesio tape influenced static and dynamic balance and ankle proprioception in CAI patients.

    Methods

    Twenty-eight men with chronic ankle instability were randomly assigned to one of three taping treatments: Kinesio tape (KT), placebo tape (PT), or no taping (NT). Isokinetic dynamometry was used to test joint position sense (JPS) and threshold for detecting passive motion (TTDPM). The static and dynamic balances were assessed using the Balance Error Scoring System (BESS) and the Star Excursion Balance Test (SEBT). The differences in JPS, TTDPM, and static and dynamic balance test results across the three conditions were investigated using one-way repeated-measures ANOVA.

    Results

    In the BESS test, the use of KT resulted in a much lower number of errors than the use of NT. The passive JPS maximum inversion test revealed that KT had better proprioception than PT and NT conditions. There were no significant differences in the other assessed variables across the tape.

    Conclusion

    In CAI participants, KT may aid preserve static balance and enhance proprioception.

    Keywords: Kinesio Tape, Proprioception, Balance, Chronic Ankle Instability
  • Farzane Fadaei, Zahra Ordudari, Ehsanollah Habibi*
    Introduction

    Work-related musculoskeletal pain is generally caused by poor physical conditions and repetitive movement. The aim of this research was to Research the effect of the of 8-weeks of Kinesio Tape and exercise on maximum key pinch endurance and pain reduction in the assembly workers.

    Method

    This study was done on 40 female workers employed in the assembly part of an electrical industry. The subjects were disported into three groups: exercise-taping, exercise and control, and performed an 8-week rehabilitation plan twice a week. To assess the upper limb disability and key pinch endurance before and after the intervention, the DASH questionnaire (Disabilities of the Arm, Shoulder and Hand) and pinch gauge were used, respectively. Data were evaluated with SPSS 20 and one-way ANOVA, Chi-Square and paired t-test tests. P-value less than 0.05 was considered statistically significant. The reliability and validity of dynamometer are proved for measuring grip strength and are described as standard for measuring grip power. In this study, pinch gauge (SH 5005 SAEHAN Hydraulic Pinch Gauge, South Korea (was used to measure pinch strength. Studies show that pinch gauge has high calibration accuracy and precision.

    Results

    The results of this study demonstrated a decrease in upper limb disability in the two groups of exercise and taping-exercise compared to the control group (P <0.05). Chi-square test showed a statistically significant difference between the history of hand pain in the three Groups (p<0.05) but between the other variables no significant difference was found between the three groups (P>0.05). Also paired t-test showed that the two hand's key pinch endurance was significantly increased in the two intervention groups compared to the control group.

    Conclusion

    using a Kinesio Tape can be effective in reducing pain and physical damage in hands. In other hand, doing sport exercise, lead to the increase in the maximum key pinch endurance and decrease in the upper limb disability.Therefore, can be done at least 2 or 3 exercise sessions per week during working hours.

    Keywords: Disability, key pinch, assembly workers, exercise, Kinesio Tape
  • آزاده عسگرپور، علی یلفانی*، زهرا رئیسی
    هدف

    بهبود کنترل پاسچر (Postural Control)  به عنوان یک توانایی اساسی عملکردی برای انجام فعالیت های روزمره زندگی ضروری است. خستگی عضلانی، اطلاعات رسیده از منابع حسی به مغز را مختل، کنترل پاسچر را تحت تاثیر و تعادل را کاهش می دهد. با توجه به نقش اساسی پا به عنوان نقطه اصلی برخورد میان زمین و بدن، هرگونه مداخله ی خارجی موثر بر پا، می تواند تعادل را تحت تاثیر خود قرار دهد. هدف از تحقیق حاضر تاثیر آنی تیپینگ مچ پا بر توانایی حفظ تعادل ایستا و پویا با و بدون ورودی بینایی قبل و بعد از خستگی بود.

    روش بررسی

    جامعه آماری پژوهش حاضر دانشجویان دختر دانشگاه بوعلی سینا بودند. پس از اعلام فراخوان مطالعه، با توجه به معیارهای ورود و خروج، 20 داوطلب زن به عنوان نمونه آماری وارد مطالعه شدند. معیارهای ورود به پژوهش عبارت بودند از: برتر بودن پای راست، عدم ابتلا به ناهنجاری های (Deformitry) بارز در اندام تحتانی و برخورداری از ارتفاع نرمال ناویکولار. مداخلات به کار رفته در مطالعه حاضر شامل اعمال کینزیوتیپ به روش بسکت ویو (Basket Weave) در مچ پا و ایجاد خستگی توسط پروتکل خستگی بروس بود. تعادل ایستا و پویای آزمودنی ها قبل و بعداز تیپینگ در زمان های با و بدون خستگی با استفاده از دستگاه تعادل سنج بایودکس مورد بررسی قرار گرفت. داده ها با استفاده از آزمون تحلیل واریانس با اندازه های تکراری در سطح معناداری (0/05>p) با استفاده از نرم افزار SPSS مورد تجزیه و تحلیل قرار گرفتند.

    یافته ها

    اثر زمان (با و بدون خستگی) و وضعیت (با و بدون کینزیوتیپ) در هیچ یک از متغیرهای مورد بررسی معنادار نبود (0/05≤p). همچنین اثر متقابل زمان و وضعیت در بهبود تعادل ایستا در وضعیت چشم باز (0/13=p) و چشم بسته (0/297 =p) و تعادل پویا (0/738=p) قبل و بعد از اعمال پروتکل خستگی تفاوت معناداری نشان نداد.

    نتیجه گیری

    با توجه به نتایج، تیپینگ مچ پا قبل و بعد از اعمال پروتکل خستگی در افراد سالم منجر به بهبود تعادل ایستا و پویا نگردید. به نظر می رسد انجام مطالعات تکمیلی بیشتری در این زمینه مورد نیاز است که به ما نشان دهد آیا تیپینگ موجب افزایش توانایی کنترل پاسچر می شود یا بیشتر نقش دارونما دارد.

    کلید واژگان: تعادل ایستا، تعادل پویا، خستگی، کنزیوتیپ
    A Asgarpoor, A Yalfani *, Z Raisi
    Purpose

    Improving postural control is essential as a basic functional ability to perform daily life activities. Muscle fatigue disrupts information received from sensory input to the brain, affects postural control, and reduces balance. Regarding the fundamental role of the foot as the principal point of contact between land and body, any external intervention that affecting the foot can therefore affect the balance. The aim of the present study was to evaluate the immediate effect of ankle taping on the ability to maintain static and dynamic balances with and without visual input before and after fatigue.

    Methods

    The statistical population of the present study was female colleague students of Bu-Ali Sina University. 20 female volunteers were enrolled in this study as a study population according to the inclusion and exclusion criteria. Criteria for inclusion in the study were: the right foot was the dominant foot, no obvious deformities in the lower extremities and normal navicular height. The interventions used in the present study included the application of Kinesiotape by basket weave method in the ankle and the creation of fatigue by the Bruce fatigue protocol. The static and dynamic balance of the subjects before and after taping with and without visual information were examined before and after fatigue using a Biodex balance system. Data were analyzed using repeated-measures ANOVA test (p<0.05) using SPSS software.

    Results

    The effect of time (with and without fatigue) and condition (with and without Kinesiotape) was not significant in any of the studied variables (p≥0.05). Also, the interaction of time and position in improving static balance in open eye (p=0.13) and closed eye (p=0.297) and dynamic balance (p = 0.738) before and after fatigue protocol did not showed a significant difference.

    Conclusion

    According to the results, ankle taping before and after the application of fatigue protocol in healthy individuals did not lead to improved static and dynamic balance. It seems that more studies are needed to show whether taping increases the ability to control the posture or it is more of a placebo role.

    Keywords: Static balance, Dynamic Balance, Fatigue, kinesio tape
  • Tayebeh Aalishahi, Seyede Maryam Lotfipur Rafsanjani, Zohreh Ghorashi, AhmadReza Sayadi
    Background

    Low Back Pain (LBP) is one of the most common complaints during pregnancy, which could cause performance disability. Kinesio tape is a drug‑free elastic therapeutic cotton tape used in treating musculoskeletal problems. This study aims to determine the effects of Kinesio tape on LBP and disability in pregnant women.

    Materials and Methods

    A total of 80 pregnant women with LBP who were referred to the comprehensive health service centers were randomly assigned into the two groups of Kinesio tape and adhesive tape. Pain intensity was determined by the visual analog scale before and on the 1st, 2nd, 7th, and 14th day after the intervention and the disability by Roland‑Morris disability questionnaire before and on the 7th and 14th day after the intervention. Data analysis was performed by, Two‑way repeated‑measures ANOVA, Friedman, and Wilcoxon tests.

    Results

    The intensity of pain decreased in both groups compared to the pre‑intervention period; Kinesio (χ2 = 48.94, df = 4, p </em>< 0.001) control (χ2 = 22.94, df = 4, p </em>< 0.001); however, the comparison results of pain intensity were not different in the two groups at different times (p </em>≥ 0.05). The effects of time was significant (Two‑way repeated‑measures ANOVA, F1,83 = 10.63, p </em>< 0.001), but the effects of time and group were not significant (F1,83 = 0.31, p </em>= 0.722) and indicated a decreasing trend of functional disability in two groups.

    Conclusions

    The Kinesio tape reduced the disability caused by LBP during pregnancy and had a lasting effect after the tape was removed.

    Keywords: Disability evaluation, Iran, Kinesio tape, low back pain, pregnancy
  • محمد باغبانی، محمدتقی امیری خراسانی*، عبدالحمید دانشجو
    مقدمه و اهداف

    فرود، ازجمله حرکاتی است که می تواند نیروی برخوردی به بزرگی دو تا دوازده برابر وزن بدن ایجاد نماید که اغلب با مکانیسم های آسیب اندام تحتانی مرتبط است که کینزیوتیپ، با افزایش حس عمقی، بهبود راستای مفصل، کاهش درد و برداشتن فشار از روی بافت های عصبی، جهت پیشگیری پیشنهاد می شود؛ بنابراین هدف از تحقیق حاضر، بررسی تاثیر کینزیوتیپ بر کینماتیک مچ پا هنگام فرود روی سطح پایدار و ناپایدار در افراد با یا بدون پیچ خوردگی مچ پا است.

    مواد و روش ها

    روش تحقیق حاضر از نوع نیمه تجربی با طرح دو گروهی در گروه های کنترل (بدون پیچ خوردگی مچ پا) و تجربی (با پیچ خوردگی مچ پا) بود. تعداد سی نفر از دانشجویان پسر دانشگاه شهید باهنر کرمان به صورت هدفمند و در دسترس انتخاب و در دو گروه با (پانزده نفر) و بدون پیچ خوردگی (پانزده نفر) مچ پا تقسیم شدند. سپس، هر دو عمل فرود روی سطوح پایدار و ناپایدار، با یا بدون کینزیوتیپ را انجام دادند. پارامترهای حداکثر دورسی و پلانتار فلکشن، سوپنیشن، پرونیشن و حداکثر سرعت زاویه ای مچ پا به وسیله سیستم سه بعدی آنالیز حرکت ثبت شد. تحلیل آماری داده ها با استفاده از آزمون تی مستقل و آنالیز مکرر واریانس در سطح معناداری 0/05 انجام گرفت.

    یافته ها

    میزان پلانتار فلکشن مچ پا در افراد سالم و پیچ خورده هنگام فرود روی سطوح پایدار و ناپایدار با یا بدون کینزیوتیپ کاهش معناداری وجود ندارد (0/07=P)، اما در پارامتر دورسی فلکشن مچ پا در دو گروه، کاهش معناداری وجود داشت (0/001=P). از طرف دیگر، در میزان پرونیشن، کاهش معنادار نبود (0/66=P)، اما در میزان سوپینیشن پا، کاهش معنا داری وجود داشت (0/001=P).

    نتیجه گیری

    نتایج این تحقیق نشان داد که افراد دچار پیچ خوردگی پا نسبت به افراد سالم هنگام فرود با زاویه دورسی فلکشن مچ پای کمتر فرود می آیند که می تواند به عنوان یک عامل خطر برای آسیب مچ پا محسوب شود.

    کلید واژگان: فرود، کینماتیک، مفصل مچ پا، پیچ خوردگی مچ پا
    Mohammad Baghbani, Mohammadtaghi Amiri-Khorasani *, Abdolhamid Daneshjoo
    Background and Aims

    Landing is a typical sports motion that can create impact force 2-12 times of body weight, and finally, it’s one of the main reasons for non-contact injuries in ankle ligaments. Specialized. The usual effects of Kinesio tape include increasing proprioception, health direction of joints, reducing pain, and raising pressure on nervous tissue. The study aimed to investigate the effect of Kinesio taping on ankle joint kinematics during landing on stiff and soft surfaces in ankle sprain and healthy persons.

    Methods

    The method of the present study was quasi-experimental with a two-group design in control groups (without ankle sprain) and experimental (with an ankle sprain). A total of 30 male students of the Shahid Bahonar University of Kerman were purposefully and accessibly selected and divided into two groups with (15 students) and without ankle sprains (15 students). Then, they performed both landing operations on stable and unstable surfaces, with and without Kinesio tape. Maximum dorsi and plantar flexion, supination, pronation and maximum ankle angular velocity parameters were recorded by a three-dimensional motion analysis system. Statistical analysis was performed using independent t-test and repeated measures analysis of variance at the significant level of 0.05.

    Results

    There was no significant reduction in plantar flexion of the ankle in healthy and twisted individuals while landing on stable and unstable surfaces with and without Kinesio tape (P≤0.07), but there was a significant reduction in the dorsiflexion in both groups(P≤0.001). On the other hand, there was no significant decrease in pronation (P≤0.66), but there was a significant decrease in foot supination (P≤0.001).

    Conclusion

    Generally, Kinesio tape in recovery ankle movement is offered to persons for ankle sprain. Thus recommendation landing exercises fare with more flexion angle and less knee joint valgus and more dorsiflexion angle at ankle joint and preferable on the unstable surfaces.

    Keywords: landing, Kinematics, Kinesio tape, Ankle joint, Ankle Sprain
  • Zahra Ahmadizadeh *, Atefeh Aminianfar, Karim Ayoubi
    Background

    Kinesio-Tape (KT) is a common method used in rehabilitation, but the KT short-term therapeutic effects on children with cerebral palsy (CP) are unclear yet.

    Objectives

    This study aims to investigate the short-term and immediate effects of KT on postural sway in children with CP.

    Methods

    In this before- and after-study, 27 children aged between 4 and 11 years old with spastic CP were included. Immediate and short-term effects of KT on Quadriceps muscle (QcM) were then assessed using time-up and go test (TUG) and COP (center of pressure) displacement in five assessments.

    Results

    The results of Repeated Measure Analysis show that the short-term use of KT on QcM could reduce COP displacement in both the mediolateral and anteroposterior directions and improve the balance among children with CP (P < 0.05).

    Conclusions

    The immediate effects of KT on the QcM did not change the COP’s displacement and balance. It was demonstrated that the short-term use of KT in QcM could improve the balance of COP and reduce its displacement.

    Keywords: Postural Balance, Kinesio Tape, Cerebral Palsy
  • Sara Fereydounnia, Azadeh Shadmehr, Behrouz Attarbashi Moghadam, Saeed Talebian Moghadam, Seyed Mohsen Mir, Parsa Salemi, Fereshteh Pourkazemi
    Introduction

    The present study aimed to investigate the immediate effects of two types of Kinesio taping on the temporal and spatial variables of gait initiation in individuals with and without Functional Ankle Instability (FAI).

    Materials and Methods

    Thirty semi-professional athletes (15 with and 15 without FAI [control]) were recruited for this study. The gait initiation task was examined before and after the two types of Kinesio taping on a force plate. Temporal (Reaction Phase [RP], Anticipatory Postural Adjustment Phase [APAP]), and spatial variables were recorded and compared between Groups, before and after the tape application.

    Results

    The results of multiple repeated-measure analyses of variance showed no significant differences for “factor” and “Group by factor” interaction effects for any outcome measure (P>0.05). There were no significant differences for Group effects except for the APAP (F=10.27, P=0.003). The APAA was 71.95 ms longer in the FAI Group (476.95±15.87 ms) compared to the control Group (405.04±15.87 ms).

    Conclusion

    Kinesio taping application does not influence any of the gait initiation parameters on the force plate. Participants with FAI demonstrated longer APAP which might be due to recurrent injury and instability during sports or physical activity.

    Keywords: Gait, Functional ankle instability, Kinesio tape, Soccer
  • Mohammadreza Reza Moharrami, Behrooz Nazari, Hassan Mohammadipour Anvari *
    Background
    Many studies have investigated the effects of Kinesio tape on the symptoms of carpal tunnel syndrome (CTS).
    Objectives
    The present study aimed to review the results of clinical trials on the use of Kinesio tape to improve CTS symptoms.
    Methods
    The present systematic review was based on PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) on clinical trials. The keywords “Carpal Tunnel Syndrome, Median Nerve, Kinesio Tape, and Physical Therapy” were searched in Embase, PubMed, SID, Magiran, Cochrane Library, Scopus, ScienceDirect, Springer, Ovid, ProQuest, PEDro, and Google Scholar databases.
    Results
    Out of 1259 articles, only 13 met the requirement for inclusion in the study. The results of 11 articles indicated that the use of Kinesio tape could significantly reduce CTS symptoms.
    Conclusion
    The use of Kinesio tape reduces CTS symptoms (ie, pain, numbness, and hand function).
    Keywords: carpal tunnel syndrome, Kinesio Tape, Pain, Symptoms
  • جاوید مستمند، زهره شفیع زادگان، محمدجواد طراحی، زینب سادات حسینی*
    اهداف

     سندرم درد کشککی رانی یکی از شایع ترین مشکلات مفصل زانوست. کاهش حس عمقی، درد و تغییر در الگوی فعالیت عضلات واستوس داخلی و واستوس خارجی در این گروه از بیماران دیده شده است. هرکدام از این عوامل به نحوی در توانایی حفظ تعادل موثر هستند. تعادل یکی از فاکتورهای کلیدی در انجام فعالیت های روزمره مثل راه رفتن و دویدن است. یکی از روش های درمانی که باعث کاهش درد و بهبود تعادل در افراد مبتلا به سندرم درد کشککی رانی می شود، چسب کینزیولوژی است. با توجه به تفاوت های فیزیولوژیکی و آناتومیکی موجود بین زانوی زنان و مردان و اهمیت بررسی تاثیر چسب کینزیولوژی روی تعادل پویا در مردان مبتلا به سندرم درد کشککی رانی، انجام پژوهشی در این راستا ضروری است. همچنین مطالعه ای که کاربرد و تاثیر چسب کینزیولوژی را در دو گروه زنان و مردان مبتلا به سندرم درد کشککی رانی، روی تعادل پویا و درد مقایسه کرده باشد، یافت نشد؛ بنابراین هدف مطالعه حاضر مقایسه تاثیر چسب کینزیولوژی روی تعادل پویا و درد، بین زنان و مردان مبتلا به سندرم درد کشککی رانی یک طرفه است.

    روش بررسی

    30 مرد و 31 زن در گروه سنی 18 تا 40 سال با درگیری یک طرفه سندرم درد کشککی رانی و با روش نمونه گیری آسان در این مطالعه مداخله ای نیمه تجربی غیرتصادفی شرکت کردند. اندازه گیری تعادل قبل و بعد از اعمال چسب کینزیولوژی روی کشکک، توسط تست تعادل Y انجام شد. در مرحله اول، آزمودنی تست تعادل Y را با سه بار تکرار در هر جهت، انجام می داد؛ بیشترین مقدار عددی حاصل از سه بار اجرای حرکت مزبور در هر جهت، بر طول اندام تحتانی تقسیم شده و به عنوان نمره تعادل پویا و به صورت درصد در آن جهت ثبت می شد. در مرحله دوم پس از 5 دقیقه استراحت و انجام آزمون های اولیه، مرحله مداخله صورت می گرفت. در این مرحله، کشکک اندام درگیر، با هدف ایجاد لغزش داخلی به وسیله چسب کینزیولوژی با کشش 50 الی 75 درصد نسبت به طول اولیه آن، چسب زنی می شد. ملاک موثر بودن روش چسب زنی، با تست single leg squat سنجیده می شد. به این منظور قبل و بعد از چسب زدن، فرد به مدت 10 ثانیه روی پای درگیر و با 45 درجه خمیدگی زانو، چمباتمه می زد و میزان شدت درد، توسط مقیاس دیداری درد (VAS)، با استفاده از این تست ثبت و مقایسه می شد. در صورت کاهش تقریبی 50 درصد در میزان شدت درد، افراد وارد مرحله نهایی می شدند. در غیر این صورت، چسب زنی دوباره تکرار می شد تا میزان کاهش درد مورد نظر، به دست آید. در مرحله نهایی، افراد مورد مطالعه، تست Ybalance را مانند مرحله اول انجام می دادند.

    یافته ها:

     مقایسه درون گروهی پارامترهای تعادل قبل و بعد از کاربرد چسب کینزیولوژی در افراد مبتلا، با استفاده از آزمون تی زوجی نشان دهنده افزایش مقدار عددی فاصله دست یابی روی خطوط رسم شده بر روی زمین در جهت قدامی، خلفی خارجی و خلفی داخلی تست تعادل Y بود که تاثیر چسب زنی کشکک در بهبود تعادل در آزمون Y balance را نشان داد (0/05>P). در مقایسه بین دو گروه قبل و بعد از مداخله، بر اساس آزمون تی مستقل، بین زنان و مردان تفاوت معنا دار در پارامترهای تعادلی استاندارد شده، مشاهده نشد (0/05<P). همچنین در هر دو گروه زنان و مردان، با استفاده از آزمون تی زوجی، میزان شدت درد به صورت معناداری نسبت به قبل از چسب زنی کاهش یافت (0/05>P)، در حالی که در مقایسه بین دو جنس کاهش شدت درد، معنا دار به دست نیامد (0/05<P).

    نتیجه گیری: 

    یافته های تحقیق حاضر نشان داد که استفاده از چسب کینزیولوژی می تواند باعث بهبود تعادل پویا و درد در بیماران مبتلا به سندرم کشککی رانی شود، هرچند به نظر می رسد میزان تاثیرگذاری این روش در زنان و مردان یکسان است و تفاوتی ندارد.

    کلید واژگان: سندرم درد کشککی رانی، چسب کینزیولوژی، تعادل پویا، تست تعادل Y
    Javid Mostamand, Zohreh Shafizadegan, MohammadJavad Tarrahi, Zeinab Sadat Hosseini*
    Objective

     Patellofemoral Pain Syndrome (PFPS) is one of the most common disorders of the knee joint. It is characterized by pain, reduced proprioception, and altered pattern of vastus muscle activation, which effectively maintain the balance needed for performing daily living activities such as walking and running. One treatment method that can reduce pain and improve balance in people with PFPS is Kinesiology Taping (KT). Considering the physiological and anatomical differences in the knee structure of men and women and the importance of studying the effect of KT on the dynamic balance of men with PFPS, this study aims to compare the effect of KT on dynamic balance and pain of men and women with unilateral PFPS.

    Materials & Methods

    This is a quasi-experimental and non-randomized clinical trial. The participants were 30 males and 31 females aged 18-40 years suffering from unilateral PFPS. They were recruited using a convenience sampling method. First, the subjects performed the Y-balance test three times in each of the anterior, posteromedial, and posterolateral directions. The maximum score obtained from the three repetitions in each direction was divided by the limb length and recorded in percentage as a dynamic balance score. After 5 minutes of rest and performing initial tests, the subjects performed the intervention. In this stage, KT with a tension equal to 50%-75% of its initial length was applied on the patella of the involved limb to cause medial glide. The effectiveness of KT was examined under a single-leg squat-test. For this purpose, all subjects performed unilateral squatting on their affected leg for 10 seconds with 45 degrees of knee flexion before and after KT, while their pain level was recorded using the visual analog scale. In case of a 50% reduction in pain, the subjects were allowed to enter the final stage (performing the Y-balance test); otherwise, patellar taping was repeated to obtain the appropriate pain reduction.

    Results

     Within-group comparison of balance parameters before and after KT using the paired t-test showed an increase in the reach distance at three directions in the Y-balance test, revealing a significant improvement in the dynamic balance following KT (P<0.05). According to the independent t-test results, there was no significant difference in balance parameters between males and females before and after the intervention (P>0.05). Moreover, the pain was significantly reduced in both genders after KT (P<0.05), but its difference between men and women was not statistically significant (P>0.05).

    Conclusion

     KT is an appropriate therapeutic intervention for improving dynamic balance and reducing pain in people with PFPS. It seems that KT has the same effect on dynamic balance and pain of women and men with PFPS.

    Keywords: Patellofemoral pain syndrome, Kinesio tape, Postural balance, Patellofemoral syndrome
  • شیوا کرمی، نادر فرهپور*، بنفشه محمدی، مهردخت مزده
    پیش زمینه و هدف

    به دلیل شیوع بالای مولتیپل اسکلروزیس و با توجه به بار مالی سنگین درمان دارویی، عوارض جانبی دارو و عدم درمان قطعی بیماری با داروهای موجود، درمان های غیردارویی برای کنترل آن پیشنهاد می شود. هدف از این مطالعه ارزیابی تاثیر تحریک پوست مچ پا با کینزیوتیپ بر ویژگی های کینماتیکی راه رفتن در زنان مبتلا به مولتیپل اسکلروزیس بود.

    مواد و روش کار: 

    نمونه ی آماری این تحقیق شامل 10 نفر زن مبتلا به مالتیپل اسکلروزیس (5/6-5EDSS=، سن 20 -35 ساله، قد 12± 63/161 سانتیمتر؛ جرم 7 ± 27/65 کیلوگرم؛ BMI: 59/ ±98/24 کیلوگرم بر مترمربع) به عنوان گروه تجربی و 10 نفر آزمودنی سالم همتاسازی شده به عنوان گروه کنترل می باشد. ویژگی های آنتروپومتریکی اندازه گیری و کینماتیک سه بعدی مفاصل اندام تحتانی به وسیله سیستم تحلیل حرکت طی ایستادن و راه رفتن با و بدون کینزیوتیپ بر روی مچ پا ثبت شد. برای تجزیه وتحلیل داده ها از تست های آماری (Repeated Measure) و (Manova) و نرم افزار SPSS با سطح معناداری (05/0˂P) استفاده گردید.

    یافته ها: 

    نتایج حاصل از تحقیق نشان داد که بیماری مولتیپل اسکلروزیس بر الگوی راه رفتن و ویژگی های کینماتیکی افراد تاثیر گذاشته و باعث اختلال در راه رفتن می شود. استفاده از کینزیوتیپ باعث شد میزان زمان گام به طور معنا داری کاهش یابد (004/0=P).

    بحث و نتیجه گیری: 

    کینزیوتیپ، با افزایش دروندادهای حسی از طریق کشش پوست، باعث کاهش زمان قدم یعنی افزایش در سرعت قدم برداشتن شد یا به تعبیر دیگر افزایش سرعت گام برداری شد که نشان دهنده ی آگاهی بیشتر این بیماران از وضعیت پا و اطمینان بیشتر برای افزایش سرعت گام می باشد.

    کلید واژگان: مولتیپل اسکلروزیس، کینزیوتیپ، کینماتیک، راه رفتن
    Shiva Karami, Nader Farahpour*, Banafsheh Mohammadi, Mehrdokht Mazde
    Background & Aims

    Non-medicinal treatments are suggested for controlling Multiple Sclerosis (MS) because of given high the prevalence of this disease, the high costs of drug treatment, side effects of the drug, and the lack of definitive treatment of the disease with existing drug. The purpose of this study was to evaluate the effect tactile stimulation of ankle by Kinesio Tape on walking kinematic properties in women with multiple sclerosis.

    Materials & Methods

    statistical sample of this study consisted of 10 women with multiple sclerosis) EDSS =5-6.5, age 20-35 years, height 161.12 ± 63 cm, mass 65.27 ± 7 Kg and BMI 24/98 ± /59 kg/m²). as the experimental group and 10 healthy matched women as control group.
     Anthropometric measurements and three dimensional kinematic features of the lower extremities joints were recorded by the motion analysis system during standing and walking with and without Kinesio tape on the ankle. Data were analyzed by repeated measures and Manova and SPSS software with significance level of (P<0.05).

    Results

    The results of the study showed that multiple sclerosis influenced on walking pattern and the kinematic features and causing walking disorder. The use of kinesio tape significantly reduced the amount of stride time (P = 0.004).

    Conclusion

    Kinesio tape reduced step time by the increase of sensory inputs through elasticity of skin. The reduction of step time means the increase in the speed of walking. It indicated the more awareness of the patients from foot position and the more confidence for increasing speed step.

    Keywords: Multiple Sclerosis, Kinesio tape, Kinematic, Walking
  • بهاره ضیائی، غلامحسین نساج*
    مقدمه

    مطالعه حاضر، طراحی یک کارآزمایی بالینی تصادفی دو سویه کور می باشد که با هدف تعیین تاثیر افزودن کینزیوتیپ مچ پا به درمان رایج فیزیوتراپی بر راه رفتن و تعادل کودکان مبتلا به فلج مغزی دی پلژی اسپاستیک انجام خواهد شد.

    مواد و روش ها

    این کارآزمایی بالینی بر روی 20 کودک که به صورت تصادفی در دو گروه شاهد و مداخله قرار می گیرند، انجام خواهد شد. برنامه فیزیوتراپی رایج برای تمام شرکت کنندگان یکسان می باشد و هر دو گروه از چهار هفته درمان رایج فیزیوتراپی بهره مند خواهند شد. در گروه مداخله، علاوه بر درمان روتین، کینزیوتیپ به مدت چهار هفته بر مچ پای کودکان اعمال می شود. پس از اتمام این دوره، شش هفته فاز پیگیری هر دو گروه طول می کشد که در این دوره آن ها از درمان فیزیوتراپی بهره مند می شوند. برنامه درمانی دو جلسه در هفته تکرار می گردد. پیامدها شامل آزمون Timed Up and Go (TUG)، معیار ارزیابی عملکرد حرکتی درشت (Gross Motor Function Measure یا GMFM) و مقیاس تعادل کودکان (Pediatric Balance Scale یا PBS) است. توزیع نرمال داده ها با استفاده از آزمون Shapiro-Wilk تعیین می گردد. به منظور تجزیه و تحلیل داده ها و بررسی تغییرات قبل و پس از درمان در هر گروه در صورت نرمال بودن داده ها، از آزمون Paired t و در غیر این صورت، از آزمون Wilcoxon استفاده خواهد شد. همچنین، جهت مقایسه بین گروه ها، از آزمون Repeated measures ANOVA استفاده می شود.

    بحث

    کینزیوتیپ منجر به بهبود حرکات ارادی، هماهنگی و تعادل و استقلال عملکردی در کودکان مبتلا به فلج مغزی می شود. به نظر می رسد مطالعه ای به بررسی تاثیر کینزیوتیپ اصلاحی اکواینوس مچ پا بر راه رفتن و تعادل کودکان مبتلا به فلج مغزی دی پلژی نپرداخته است. در کارآزمایی طراحی شده، مشخص خواهد شد که افزودن کینزیوتیپ مچ پا به درمان فیزیوتراپی، بر عملکرد و تعادل این کودکان تاثیر دارد یا خیر؟

    کلید واژگان: فلج مغزی، کینزیوتیپ، راه رفتن، تعادل
    Bahareh Ziaei, Gholamhosein Nassadj*
    Introduction

    This study is a protocol of a double-blind randomized clinical trial with the aim of determining the effect of ankle KinesioTape® in addition to the routine physiotherapy approach on walking and balance of children with cerebral palsy (CP) suffering from spastic diplegia.

    Materials and Methods

    The present clinical trial was performed on 20 children who were randomly divided into the two groups of control and intervention. 4 weeks of routine physiotherapy program was carried out for all the participants in both groups. In the intervention group, the KinesioTape® was applied to the ankles of the patients for 4 weeks in addition to the routine treatment. After completing this course, a 6-week follow-up phase was conducted for both groups, in which both groups received routine physiotherapy treatment. The treatment program was repeated twice a week. The outcome measures included modified Timed Up and Go (TUG) test, Gross Motor Function Measure (GMFM), and Pediatric Balance Scale (PBS). The normal distribution of the data was determined using the Shapiro-Wilks test. Paired-sample t-test and Wilcoxon nonparametric test were employed to analyze the data and check for changes before and after the treatment in each group. Additionally, the repeated measures analysis of variance (ANOVA) was used to compare between the two groups (P < 0.05).

    Conclusion

    KinesioTape® improves voluntary movement, coordination and balance, and functional independence in children with CP. According to the comprehensive search of literature, it seems that no study to date has examined the effect of ankle equinus corrective KinesioTaping® on walking and balance in children with spastic diplegia. The results of the study can be used to examine the effectiveness of the addition of ankle Kinesio Taping® to physiotherapy on the function and balance of these children.

    Keywords: Cerebral palsy, Walking, Kinesio tape, Posture balance
  • سارا موقر، صدیقه سادات نعیمی*، اصغر رضاسلطانی، محمدمحسن روستایی
    مقدمه و اهداف

     یکی از روش های درمانی در بیماران مبتلا به سندرم تونل کارپال استفاده از کینزیوتیپ است. باتوجه به اینکه تاکنون هیچ مطالعه مروری در این زمینه انجام نشده است، هدف از مطالعه مروری نظام مند حاضر بر مطالعات گذشته بررسی تاثیر کینزیوتیپ در افراد مبتلا به سندرم تونل کارپال می باشد.

    مواد و روش ها

    با استفاده از کلیدواژه های سندرم تونل کارپ، عصب مدیان، کینزیوتیپ و فیزیوتراپی، جستجو در بانک های اطلاعاتیGoogle Scholar, PubMed, PEDro, Science Direct, Springer, Ovid, ProQuest, Cochrane Library, Scopus در فاصله زمانی 2000 تا 2018 انجام شد.

    یافته ها

    از بین مقالات به دست آمده تنها مقالاتی که از کینزیوتیپ در درمان سندرم تونل کارپ استفاده کرده بودند، وارد مطالعه شدند؛ بدین ترتیب از 50 مقاله به دست آمده تنها 11 مقاله وارد مطالعه شد و بقیه حذف شد.

    نتیجه گیری

    تمامی مطالعات حاکی از کاهش درد، افزایش قدرت گریپ و پینچ، کاهش سطح مقطع عرضی عصب مدیان، کاهش تاخیر انتهایی و افزایش سرعت عصب مدیان، و بهبودی در پرسشنامه ها بود. مطالعاتی که از کینزیوتیپ در کنار سایر درمان های فیزیوتراپی استفاده کرده بودند، نشان دهنده افزایش تاثیر در بهبودی مبتلایان به سندرم تونل کارپ به خصوص در طولانی مدت بود.

    کلید واژگان: سندرم تونل کارپ، عصب مدیان، کینزیوتیپ، فیزیوتراپی
    Sara Movaghar, Sedigheh Sadat Naimi *, Asghar Rezasoltani, MohammadMohsen Roostayi
    Background and Aims

    One of the treatment methods for patients with carpal tunnel syndrome is kinesio tape. Since there have not been any systematic review on this issue, the present systematic review was conducted to investigate the effects of kinesio tape in patients with carpal tunnel syndrome.

    Materials and Methods

    Using several keywords, including Carpal tunnel syndrome, Median nerve, Kinesio tape, and Physiotherapy, a literature search was performed for the period between 2000-2018, in Google scholar, Pubmed, PEDro, Science Direct, Springer, Ovid, ProQuest, Cochrane library, and Scopus databases.

    Results

    Among the articles found, only those using kinesio tape for the treatment of carpal tunnel syndrome were included in the study. Out of 50 articles, only 11 were included in the study and other studies were excluded.

    Conclusion

    All the papers studied showed pain relief, increased grip and pinch strength, decreased median nerve cross sectional area, reduced distal latency, increased median nerve speed, and improvement in the questionnaires. Studies that used kinesio tape along with other physiotherapy treatments indicated an increased effect on the recovery of patients with carpal tunnel syndrome, especially in the long term.

    Keywords: Carpal tunnel syndrome, Median nerve, Kinesio tape, Physiotherapy
  • زهرا اردودری*، فرزانه فدایی
    زمینه و هدف

    اختلالات اسکلتی عضلانی به صدمات و بیماری های ماهیچه ها، تاندون ها، لیگامان ها، مفاصل، اعصاب، رگ های خونی و کلیه ساختارهای حمایتی که در حرکت نقش دارند اطلاق میشود. رابطه علی این صدمات با ریسک فاکتورهای ارگونومیکی به اثبات رسیده است. گرچه این اختلالات اغلب منجر به فوت نمی شود لکن ناتوانی و حتی از کار افتادگی دایم پیامدهای معمولی آن است. دست انسان دارای سیستم اسکلتی عضلانی پیچیده و خاصی است که کارهای متعددی را به درستی انجام میدهد. نیروی چنگش معمولا عملکرد دست را ارزیابی می کند و به عنوان نشانه ای از سلامت عمومی، سلامت فیزیکی و عملکرد ماهیچه ای محسوب می گردد.کینزیوتیپ به منظور حصول اثرات درمانی مختلف مانند بهبود گردش خون، تسکین یا مهار درد مستقیما روی پوست قرار داده میشود. نیروی چنگش نیز معمولا عملکرد دست را ارزیابی میکند و نشانه ای از سلامت عمومی محسوب میگردد. در مونتاژکاران به دلیل اینکه قسمتی از بدن مکررا و بدون استراحت مورد استفاده قرار میگیرد، خطر ابتلا به اختلالات اسکلتی عضلانی افزایش میابد. این مطالعه با هدف بررسی تاثیر استفاده همزمان از کینزیوتیپ و انجام حرکات ورزشی بر حداکثر قدرت key pinch در صنایع الکتریکی انجام شد.

    روش بررسی

     این مطالعه کارآزمایی بالینی روی 40 کارگر زن شاغل در واحد مونتاژ انجام شد. افراد به مدت هشت هفته و هر هفته دو بار به انجام ورزش و استفاده از کینزیوتیپ پرداختند. بمنظور اندازه گیری  قدرت Key Pinch قبل و بعد از مداخله از دستگاه پینچ گیج  مدل"SH 5005 SAEHAN Hydraulic Pinch Gauge, South Korea" و برای ارزیابی ناتوانی اندام فوقانی هم از پرسشنامه DASH استفاده شد. داده ها با استفاده از نرم افزار SPSS 20 ، آزمون تی زوجی و پیرسون تجزیه و تحلیل و P value کمتر از 05/0 معنادار تلقی گردید.

    یافته ها

     در این مطالعه آزمون تی زوجی نشان داد که بین میانگین قدرت key pinch دست راست و چپ و نیز ناتوانی اندام فوقانی بعد و قبل استفاده همزمان از کینزیوتیپ و ورزش و فقط ورزش، تفاوت معناداری وجود دارد؛ به عبارتی کینزیوتیپ و ورزش روی افزایش قدرت key pinch تاثیر مثبتی داشته است. از طرفی کینزیوتیپ و ورزش باعث کاهش ناتوانی اندام فوقانی شده است. گفتنی است این موارد در گروه کنترل مشاهده نگرید. در این مطالعه، ضریب همبستگی پیرسون نشان داد که از بین متغیرهای دموگرافیک، سن با قدرت key pinch دست راست رابطه منفی و معناداری و با نمره ناتوانی اندام فوقانی رابطه مثبت و معناداری داشت و بین سایر متغیرها رابطه معناداری حاصل نگردید.

    نتیجه گیری

     طبق نتایج می توان بیان نمود، انجام تمرینات ورزشی حداقل 2 یا 3 جلسه در طول هفته در ساعات کاری، در افزایش قدرت key pinch هر دو دست و نیز کاهش ناتوانی اندام فوقانی مونتاژکاران تاثیر گذار است. لذا توصیه میگردد به منظور افزایش بازدهی در برنامه ی کاری پرسنل انجام حرکات ورزشی گنجانده شود. همچنین پیشنهاد می گردد، در خصوص استفاده از کینزیوتیپ در اندام های مختلف و تاثیر آن در بهبود درد و عملکرد کارگران و کارمندان و نیز مردان، بررسی های لازم صورت پذیرد.

    کلید واژگان: کینزیوتیپ، ورزش، Key Pinch، پرسشنامه ناتوانی بازو-شانه-دست، مونتاژکاران
    Zahra Ordudari Eng*, Farzaneh Fadaei Eng

    Abstract

    Background and aims

    Lighting directly and indirectly affects employees' mental health and their performance. Good lighting is required for good visibility of the environment and should provide a luminous environment that is human-friendly and appropriate for the visual task performed. Optimal lighting is one of the most important issues in providing the physical conditions of different places, especially the workplace. Lighting can provide comfortable working conditions, especially visual comfort. Life on Earth cannot be imagined without light. Defects in the qualitative and quantitative aspects of lighting in the workplace can cause visual discomfort and reduce the productivity and efficiency of an individual. Therefore, monitoring the intensity of brightness and color temperature of light is essential to maintain and enhance the health of employees. The quantity and quality of lighting can also affect one's mental health. For example, one of the factors associated with depression is the defect in the quantity and quality of ambient lighting. Correlated color temperatures (CCT) of light play an important role in human psychological and physiological needs. In regards of human perception, two of the most important characteristics of lights are illumination and correlated color temperature (CCT). Studies have proven that different CCT provided by different lighting are important in affecting human beings psychologically and physiologically, through their visual and non-visual processes.. According to European standard EN 12665, visual comfort is defined as a person's mental well-being in the workplace. Studies on lighting in industrial environments have been conducted more frequently and public and office environments have received less attention. CCT is found to have effects on visual and mental fatigue. The right selection of CCT in an office environment will benefit its occupants in terms of visual comfort and reduction of daytime sleepiness. Studies have shown that insufficient and uncomfortable lightning conditions in office environments increase the risk of visual and ergonomic disorders in long term. The aim of this study was to evaluate the illumination and color temperature and its relationship with visual comfort in administrative staff in Hamadan city (west of Iran).

    Methods

    This cross-sectional study was conducted in 50 rooms and among 70 staff of Hamadan University of Medical Sciences and random sampling. In this study, the intensity of illumination at the work surface and at the height of the individual eye The intensity of the local illumination at the work surface and at the level of the individual eye level was measured at the user's point of view and the angles and distances were accurately observed and measured with the presence of the user in the presence of semiconductors or other factors. Also intensity of the Keywords Lighting Color Temperature Visual Fatigue Received: 27/02/2018 Published: 04/04/2020 ID Keywords Kinesio Tape Sport exercise Key pinch Assembly worker DASH Received: 2019-26-06 Accepted: 2020-08-02

    Background and aims

    Musculoskeletal risk factors are multi factorial with physical and psychosocial factors. Physical and Psychosocial risk factors include repetitive tasks, awkward postures, the use of force and job satisfaction, workplace stress, respectively. Work-related musculoskeletal disorders (WMSDs) refer to those in which muscles, blood vessels and nerves around such joints as the neck, shoulder, elbow, wrists, fingers, lower back and leg are involved. WMSDs can reduce working time, lower productivity and increase the health costs of industrial labor in both industrially developed and developing countries. The risk of MSDs increases when a body part is repeatedly used without any time for rest. These disorders are the main cause of disabilities and loss of productivity in the developed countries and are common among workers. Proper workstation design is essential especially in the industries that require manual operation by the operator. Neglecting ergonomic factors in the designation of the workstation causes damage to the musculoskeletal system of the individual workers. In the assembly lines, most of the tasks involve repetitive and precise activities, so assembly workers in these occupations suffer from the resulting physical as well as psychological stresses, which ultimately lead to musculoskeletal disorders. Work-related musculoskeletal disorders among the assembly workers of an electronic component manufacturing industry, showed that more than half of the participants reported pain in their shoulder, wrists and lower back Although, hand pinch strength threshold is the best way to identify people at risk of limitation of motion, it is not yet fully known. Pinch strength assesses the function of hand. Measurement of pinch strength provides valuable information about the function and status of the upper limb and the neuromuscular system. Pinch strength can also be used as a measure of the amount of muscular damage or neurological impaired caused by trauma or surgery. In addition, pinch strength is a good indication of a person's overall physical condition. Assessment of pinch strength, compared to other tests, is simple, easy and of high reproducibility Pinch strength occurs when gripping with any of the fingers or a combination thereof, in concordance with the movement of the thumb whit no palm contact. Kinesio tape is a thin porous cloth with acrylic gluey. This adhesive tape can be stretched up to 140% of its normal length, allowing the joint and muscle to move in their full range without limiting the movement of the joint and the muscle. The mechanism of Kinesio tape therapeutic effect on pain relief is still unclear. In 1998, Kase and his colleagues found that the localized blood flow increases below the area that was taped. Kinesio tape are used in muscle treatment in two ways: 1. For muscles that are elongated, or the muscles in acute phase or those that are involved in overwork activities, the brigade is pushed from the muscular end to the muscle's origin, with the aim of inhibiting muscle function.2 - For muscles that are in the chronic phase or weak muscles, the type is pulled from the muscle origin to the muscle end, which facilitates muscle function. On other hand, in assembly workers, the risk of these disorders increases because the part of the body is used successively and without rest. The current study investigates the simultaneous effect of Kinesio Taping and exercise on maximal key pinch force in Electronically Company.

    Methods

    This research is a clinical trial study of women workers in the assembly unit of an electrical equipment manufacturing industry. In one session, the purpose and a complete overview of the study was fully explained to the 100 female workers employed in the assembly line of the manufacturing company. Selection criteria in this study were the lack of any 1) hand surgery in recent years, 2) osteoporosis, 3) hand fracture or disorder in a hand part and 4) malignant diseases or any known diseases that may affect the variables under study that were determined by the questionnaire and the interviews. Exclusion criteria also were 1) unwillingness to cooperate, 2) irregular participating in doing exercises 3) not completing the research tests and 4) having allergy to kinesio tape adhesives. Out of the one hundred workers invited, 66 accepted to participate in the study. Six workers were also excluded from these 66 participants due to lacking eligibility criteria for entering the program. In addition, during the study, seven workers in the control group showed unwillingness to cooperate, four workers from the exercise group were absent in more than 50% of the exercise sessions and nine workers in the taping and exercise group had adhesive allergy or showed non-willingness to cooperate. Therefore, 40 workers (11 in the taping & exercise intervention group, 16 in the exercise intervention group and 13 in the control group) were the research participants. The DASH (Disability of the Arm, Shoulder and Hand) questionnaire was used to measure the functional impairment of the upper extremity of the workers. The DASH self-assessment questionnaire contains 30 questions measuring performance and physical symptoms. This questionnaire was designed to describe the upper limb disabilities and disorders experienced by individuals as well as to monitor changes in the symptoms and functions over time. Each question has five alternatives to select: from "no difficulty" to "unable to perform activity" that are ranked in a scale of one to five points. Finally, the questionnaire score is calculated using the existing formulas. In 2008, Moussavi et al. translated the questionnaire into Persian and confirmed its validity and reliability. To measure pinch strength of hand, the American Society of Hand Therapists (ASHT) protocol was used. According to its instruction, the participants sit on a chair in such a way that their arms are held tightly to their body without any rotation, and the wrists are in the position of 0-30 degrees of extension and 0-15 degrees of deflection to the ulnar. In this study, the pinch strength was measured three times for both hands, and the average of the three times of maximum effort of the individual to the dynamometer handle was recorded as the hand pinch strength per kg force. Reliability and validity of the Jamar dynamometer for measuring grip strength have been documented and it is described as a standard for measuring the hand strength. The intervention was performed for eight consecutive weeks, twice a week. All sessions were supervised by the physiotherapist and were during work hours at the workplace. At the beginning of each session and after preparing for exercises, the participants performed four trained stretching and strengthening exercises with a 30-second rest between repetitions. The first exercise was the bending of the wrist. In the second exercise, while the palm was placed on the table, the other hand was put on it and the participant tried to raise his fingers from the table. In the third exercise, while the elbow was straight, the participant held the first hand fingers with the other hand and held the wrist once up and once down. In the last exercise, while the wrist was straight, the fingers were bent from the second clause and kept in the same mode. At the end of the exercises, and after putting the kinesio tape on the hands of the first intervention group, the participants returned to their workplace to continue working. It should be noted that when exercising, the participants should not use kinesio tape. Data were analyzed by SPSS 20, paired T test and Pearson correlation coefficient and the P value was considered smaller than 0.05.

    Results

    The present study was conducted on 40 female assemblers working in the electrical industry. The mean and standard deviation of the quantitative data are observable in Table 1. Descriptive statistics of the qualitative variables of the subjects are also presented in Table 2. Paired t-test showed that there was a significant difference between mean left and right hand stability time and upper extremity disability after and before kineso typing and exercise and exercise alone; had a positive. On the other hand, kinesio therapy and exercise have reduced upper extremity disability. It should be noted that these are not observed in the control group.In this study, as can be seen in Table 4, Pearson's correlation coefficient showed that among demographic variables, only age had a positive significant relationship with upper extremity disability score, and no significant relationship was found between other variables.

    Keywords: Kinesio Tape, Sport exercise, Key pinch, Assembly worker, DASH
  • Majid Menhaj, Roghayeh Mohammadi *, Abbas Ziari, Kazem Malmir
    Objectives

    The current study aimed at investigating the effect of applied Kinesio tape on the affected ankle on the amount of exerting force by the non-affected foot in patients with chronic stroke during the stand to sit task.

    Methods

    The current quasi-experimental clinical trial was conducted on 26 patients with chronic stroke. The stand-to-sit task was performed in three positions (symmetric foot placement, and placing the unaffected foot ahead of the affected foot and the unaffected foot behind the affected one), and the vertical axis of the ground reaction force was recorded instantly by a force plate at three time points of 2, 5, and 8 seconds of the stand-to-sit task. Then, Appropriate taping was applied on subjects` affected ankles and all measurements were repeated.

    Results

    At the time points of 2 and 5 seconds, the main effect of foot positions was significant (P = 0.002 and P < 0.0001, respectively); when the tested foot was placed behind, the main effect was significantly different from those of other positions (P = 0.018). However, the main and interactive effect of the tape was not significant (P > 0.05). At the second eight, no significant change was observed (P > 0.05).

    Conclusions

    The current study findings showed that placing the unaffected foot behind the affected one led to more force and there was no significant difference between the forces with and without using the tape

    Keywords: Chronic Stroke, Stand-to-Sit, Kinesio Tape
نکته
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