A randomized controlled trial of a mixed Kinesio taping–compression technique on venous symptoms,pain,peripheral venous flow,clinical severity and overall health status in postmenopausal women with chronic venous insufficiency

Abstract

Objectives:

To investigate the effect of a mixed Kinesio taping treatment in women with chronic venous insufficiency.

Design:

A double-blinded randomized clinical trial.

Setting:

Clinical setting.

Participants:

One hundred and twenty postmenopausal women with mild–moderate chronic venous insufficiency were randomly assigned to an experimental group receiving standardized Kinesio taping treatment for gastrocnemius muscle enhancement and ankle functional correction, or to a placebo control group for simulated Kinesio taping.

Main outcomes variables:

Venous symptoms, pain, photoplethysmographic measurements, bioelectrical impedance, temperature, severity and overall health were recorded at baseline and after four weeks of treatment.

Results:

The 2 × 2 mixed model ANCOVA with repeated measurements showed statistically significant group * time interaction for heaviness (F = 22.99, p = 0.002), claudication (F = 8.57, p = 0.004), swelling (F = 22.58, p = 0.001), muscle cramps (F = 7.14, p = 0.008), venous refill time (right: F = 9.45, p = 0.023; left: F = 14.86, p = 0.001), venous pump function (right: F = 35.55, p = 0.004; left: F = 17.39 p = 0.001), extracellular water (right: F = 35.55, p = 0.004; left: F = 23.84, p = 0.001), severity (F = 18.47, p = 0.001), physical function (F = 9.15, p = 0.003) and body pain (F = 3.36, p = 0.043). Both groups reported significant reduction in pain.

Conclusion:

Mixed Kinesio taping-compression therapy improves symptoms, peripheral venous flow and severity and slightly increases overall health status in females with mild chronic venous insufficiency. Kinesio taping may have a placebo effect on pain.

Keywords

Kinesio taping oedema health status pain venous insufficiency in the leg

Get full access to this article

View all access options for this article.

References

Bromen

Pannier

Stang

. Should sex-specific differences in venous diseases be explained by pregnancies and hormonal intake? Gesundheitswesen 2004; 66: 170–174.

Labropoulos

Giannoukas

Nicolaides

. The role of venous reflux and calf muscle pump function in nonthrombotic chronic venous insufficiency. Correlation with severity of signs and symptoms. Arch Surg 1996; 131: 403–406.

Dix

Brooke

McCollum

. Venous disease is associated with an impaired range of ankle movement. Eur J Vasc Endovasc Surg 2003; 25: 556–561.

Rabe

Stücker

Esperester

. Efficacy and tolerability of a red-vine-leaf extract in patients suffering from chronic venous insufficiency – results of a double-blind placebo-controlled study. Eur J Vasc Endovasc Surg 2011; 41: 540–547.

Padberg

Jr Johnston

Sisto

. Structured exercise improves calf muscle pump function in chronic venous insufficiency: a randomized trial. J Vasc Surg 2004; 39: 79–87.

Heinen

van der Vleuten

de Rooij

. Physical activity and adherence to compression therapy in patients with venous leg ulcers. Arch Dermatol 2007; 143: 1283–1288.

Long

. Venous thromboembolism: pharmacological and nonpharmacological interventions. J Cardiovasc Nurs 2009; 24: 8–13.

Ramos-González

Moreno Lorenzo

Matarán Peñarrocha

. Comparative study on the effectiveness of myofascial release manual therapy and physical therapy for venous insufficiency in postmenopausal women. Complement Ther Med 2012; 20: 291–299.

Nicolaides

Allegra

Bergan

. Management of chronic venous disorders of the lower limbs: guidelines according to scientific evidence. Int Angiol 2008; 27: 1–59.

10.

Partsch

Flour

Coleridge Smith

. Consensus statement. Indications for compression therapy in venous and lymphatic disease. Consensus based on experimental data and scientific evidence. Under the auspices of the UIP. Int Angiol 2008; 27: 193–219.

11.

Edwards

. Why patients do not comply with compression bandaging. Br J Nur 2003; 12: 5–10.

12.

Cataldo

De Godoy

De Barros

. The use of compression stockings for venous disorders in Brazil. Phlebology 2012; 27: 33–40.

13.

Kase

Tatyusuki

Tomoki

. Development of Kinesio™ tape. In: Kase

Tatyusuki

Tomoki

. (eds) Kinesio™ taping perfect manual, second edition. Japan: Tokyo, 1996, pp. 117–118.

14.

Kase

Wallis

Kase

. Clinical therapeutic applications of the Kinesio taping method, first edition. Japan: Tokyo, 2003.

15.

Słupik

Dwornik

Białoszewski

. Effect of Kinesio Taping on bioelectrical activity of vastus medialis muscle. Preliminary report. Ortop Traumatol Rehabi. 2007; 9: 644–651.

16.

Hsu

Chen

Lin

. The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. J Electromyogr Kinesiol 2009; 19: 1092–1099.

17.

Paoloni

Bernetti

Fratocchi

. Kinesio Taping applied to lumbar muscles influences clinical and electromyographic characteristics in chronic low back pain patients. Eur J Phys Rehabil Med 2011; 47: 237–243.

18.

Yoshida

Kahanov

. The effect of kinesio taping on lower trunk range of motions. Res Sports Med 2007; 15: 103–112.

19.

Gloviczki

Comerota

Dalsing

. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2011; 53: 2–48.

20.

Kelechi

Bonham

. Measuring venous insufficiency objectively in the clinical setting. J Vasc Nurs 2008; 26: 67–73.

21.

Jünger

Steins

Hahn

. Microcirculatory dysfunction in chronic venous insufficiency (CVI). Microcirculation 2000; 7: 3–12.

22.

King

Clamp

Hutchinson

. Bioelectrical impedance: a new method for measuring post-traumatic swelling. J Orthop Trauma 2007; 21: 462–470.

23.

Mittermayr

Fries

Gruber

. Leg edema formation and venous blood flow velocity during a simulated long-haul flight. Thromb Res 2007; 120: 497–504.

24.

Masedo

Esteve

. Some empirical evidence regarding the validity of the Spanish version of the McGill Pain Questionnaire (MPQ-SV). Pain 2000; 85: 451–457.

25.

Rutherford

Padberg

Comerota

. Venous severity scoring: an adjunct to venous outcome assessment. J Vasc Surg 2000; 31: 1307–1312.

26.

Vilagut

Valderas

Ferrer

. Interpretation of SF-36 and SF-12 questionnaires in Spain: physical and mental components. Med Clin (Barc.) 2008; 130: 726–735.

27.

Launois

Mansilha

Jantet

. International psychometric validation of the Chronic venous disease quality of life questionnaire (CIVIQ-20). Eur J Vasc Endovasc Surg 2010; 40: 783–789.

28.

Thomas

. Compression bandaging in the treatment of venous leg ulcers, 2001. http://www.worldwidewounds.com/1997/september/ThomasBandaging/bandage-paper.html (accessed 10 July 2012).

29.

O’Meara

Cullum

Nelson

. Compression for venous leg ulcers. Cochrane Database Syst Rev 2009; 21: CD000265.

30.

Qiao

Liu

Ran

. The impact of gastrocnemius muscle cell changes in chronic venous insufficiency. Eur J Vasc Endovasc Surg 2005; 30: 430–436.

31.

Van Uden

van der Vleuten

Kooloos

. Gait and calf muscle endurance in patients with chronic venous insufficiency. Clin Rehabil 2005; 19: 339–344.

32.

Roaldsen

Biguet

Elfving

. Physical activity in patients with venous leg ulcer–between engagement and avoidance. A patient perspective. Clin Rehabil 2011; 25: 275–286.

33.

Nelson Worel

. Venous thromboembolism: what is preventing achievement of performance measures and consensus guidelines? J Cardiovasc Nurs 2009; 24: S14–S19.

34.

Thelen

Dauber

Stoneman

. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. J Orthop Sports Phys Ther 2008; 38: 389–395.

35.

García-Muro

Rodríguez-Fernández

Herrero-de-Lucas

. Treatment of myofascial pain in the shoulder with Kinesio taping. A case report. Man Ther 2010; 15: 292–295.

36.

Castro-Sánchez

Lara-Palomo

Matarán-Peñarrocha

. Kinesio taping reduces disability and pain slightly in chronic non-specific low back pain: a randomised trial. J Physiother 2012; 58: 89–95.

37.

Bogachev

VIu

Shekoian

. Pain and other symptoms of chronic venous diseases: pathophysiology and therapeutic principles. Angiol Sosud Khir 2009; 15: 79–85.

38.

Sawkins

Refshauge

Kilbreath

. The placebo effect of ankle taping in ankle instability. Med Sci Sports Exerc 2007; 39: 781–788.

39.

Chen

Alexander

Kai Lo

Cook

. Effects of functional fascial taping on pain and function in patients with non-specific low back pain: a pilot randomized controlled trial. Clin Rehabil 2012; 26: 924–933.

40.

Dobrila-Dintinjana

Nacinović-Duletić

. Placebo in the treatment of pain. Coll Antropol 2011; 35: 319–323.

41.

Faghri

Yount

. Electrically induced and voluntary activation of physiologic muscle pump: a comparison between spinal cord-injured and able-bodied individuals. Clin Rehabil 2002; 16: 878–885.

42.

Pierce

McLeod

. Feasibility of treatment of lower limb edema with calf muscle pump stimulation in chronic heart failure. Eur J Cardiovasc Nurs 2009; 8: 345–353.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.36 MB