The Effect of Dynamic and Rigid Tape Application on the Asymmetry of the Lower Limbs

NCT ID: NCT04345224

Last Updated: 2022-04-12

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 90 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-12-10
• Study Completion Date: 2022-03-30

Brief Summary

This is a prospective randomized three brachial, single-blinded, placebo-controlled trial, which aims at assessing the impact of the gluteal muscle taping with a dynamic tape and a non-elastic tape on the activation of the gluteal muscles and the distribution of the lower limb load in healthy people.

The study participants will be randomly classified into the following groups: A - dynamic kinesiology taping, B - rigid tape, C - placebo group (sham). Patients will be evaluated three times - before applying the tapes, 30 minutes after applying the tapes and 48 hours after applying the tapes.

Detailed Description

The gluteus maximus is the largest and strongest muscle in the human body. Its function is primarily to extend the hip joint. The back fibers of the gluteus medius and gluteus minimus muscles provide the additional help. These muscles also perform the functions of abductors and external rotators of the hip joint.

The incorrect strength and activation time of the muscles stabilizing the hip joint result in the disturbed load distribution of the lower limbs. This may cause the overloading of the bone and muscle structures. Disorders of the functions of the external hip rotators and abductors may lead to such health problems as: patellofemoral conflict, ilio-tibial band syndrome or non-specific pains of the hip, knee, sacroiliac and lumbar spine. Neurological diseases, such as stroke, causing paresis of the limbs, accompanied by a decrease or increase in muscle tone and disturbed load distribution, are also an obstacle to gait re-education and limit the efficiency of everyday activities.

Dynamic tapes were created by Kenso Kase MD in Japan. Their characteristic feature is extensibility reaching 130-140 percent. The tape is based on sensory effects on fascia mechanoreceptors. Depending on the slicing technique used, the following effects can be achieved: the activation or reduction of muscle tone, the reduction of pain and an increased flow of tissue fluids.

The concept of using a rigid tape was created and developed by Jenny McConnell. A characteristic feature of a rigid tape is the lack of stretchability, thanks to which mechanical stabilization of a specific section of the body can be achieved. The effects of using a rigid tape include: the reduction of pain, the activation or reduction of muscle tone, and the correction of joint components.

For many years, research has been conducted into the effects of using a dynamic tape and a rigid tape on the muscle functions. In many cases, reports from various authors are contradictory. There is also a lack of publications assessing the effect of a tape on the buttock muscle activation and the associated lower limb load distribution. There is therefore a need for further research.

The aim of the project is to assess the impact of gluteal muscle taping with a dynamic tape and a rigid tape on the distribution of lower limb load in healthy people. The confirmation of research hypotheses will allow for the introduction of a new therapy tool in neurological patients (e.g. after stroke), but also healthy people, to prevent a lower limb and spine structures overloading.

Conditions

Muscle Weakness

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Dynamic tape

The gluteal muscle group will be covered with a dynamic tape.

Group Type: EXPERIMENTAL

Dynamic tape

Intervention Type: OTHER

A kinesiology tape will be applied to the lateral hip of the affected side to facilitate the gluteus medius muscle activation while the participant is lying down. The first third of one I-strip will begin at the posterior iliac crest without tension to provide an anchor that will not cross the target tissue. The participant will actively flex the adducted hip to allow for the application of the middle third of the tape with approximately 50 percent tension (able to visualize the wave pattern in the tape). Subsequently, with the leg in the original position, the remainder of the tape will be applied without tension, ending approximately at the greater trochanter. Afterward, the second I-strip will be applied in the same manner starting at the anterior iliac crest.

Rigid tape

The gluteal muscle group will be covered with a rigid tape.

Group Type: EXPERIMENTAL

Rigid tape

Intervention Type: OTHER

The rigid tape will be applied in a standing position. The first tape will be applied from the greater trochanter to the anterior iliac crest. The second from the greater trochanter to the posterior iliac crest. Both tapes are applied with the muscle mass lifted towards the iliac crest.

Sham tape

The gluteal muscle group will be covered with a paper tape - a sham application.

Group Type: SHAM_COMPARATOR

Sham tape

Intervention Type: OTHER

The control group (sham tape application) will receive a single strip of a Kinesio tape across the lateral affected hip without tension in the tape or muscle stretch.

Interventions

Dynamic tape

A kinesiology tape will be applied to the lateral hip of the affected side to facilitate the gluteus medius muscle activation while the participant is lying down. The first third of one I-strip will begin at the posterior iliac crest without tension to provide an anchor that will not cross the target tissue. The participant will actively flex the adducted hip to allow for the application of the middle third of the tape with approximately 50 percent tension (able to visualize the wave pattern in the tape). Subsequently, with the leg in the original position, the remainder of the tape will be applied without tension, ending approximately at the greater trochanter. Afterward, the second I-strip will be applied in the same manner starting at the anterior iliac crest.

Intervention Type: OTHER

Rigid tape

The rigid tape will be applied in a standing position. The first tape will be applied from the greater trochanter to the anterior iliac crest. The second from the greater trochanter to the posterior iliac crest. Both tapes are applied with the muscle mass lifted towards the iliac crest.

Intervention Type: OTHER

Sham tape

The control group (sham tape application) will receive a single strip of a Kinesio tape across the lateral affected hip without tension in the tape or muscle stretch.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• not using non-steroidal anti-inflammatory drugs (NSAIDs) for at least one week prior to testing,
• age - 19-24 years old

Exclusion Criteria

• spine, hip, knee or ankle surgery,
• spine, hip, knee or ankle injuries within 6 months before the start of the examination,
• neurological and otolaryngological diseases, which may result in imbalances.

• Minimum Eligible Age: 19 Years
• Maximum Eligible Age: 24 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

John Paul II University in Biała Podlaska

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Krystyna Gawlik, Ph.D

Role: STUDY_CHAIR

Pope John Paul II State School of Higher Education in Biala Podlaska

Locations

Pope John Paul II State School Of Higher Education in Biała Podlaska

Biała Podlaska, , Poland

Countries

Poland

Other Identifiers

PopeJohnPaulIIStateSchHigherE1

Identifier Type: -

Identifier Source: org_study_id