Abstract

BackgroundTo date, published systematic reviews concerning the effects of Kinesio Taping (KT) on muscle strength have not analysed facilitatory and inhibitory applications separately. As a result, their results could be substantially affected by clinical heterogeneity. This meta-analysis was conducted to determine the effectiveness of using a facilitatory application of KT for lower limb muscle strength and functional performance (distance in a single-leg hop and vertical jump height) in individuals without disabilities and in those with musculoskeletal conditions (muscle fatigue, chronic musculoskeletal diseases, and post-operative orthopaedic conditions).MethodsSearches were conducted on six major electronic databases. Randomised controlled trials that used facilitatory KT were included. Standardised mean differences (SMDs) were calculated and random-effects models were used for analysis.ResultsThirty-seven randomised controlled trials were included. KT was superior to controls for improving lower limb muscle strength in individuals with muscle fatigue (short-term effect, pooled SMD = 0.53, 95% CI = 0.09 to 0.96; long-term effect, pooled SMD = 0.61, 95% CI = 0.12 to 1.11) and in individuals with chronic musculoskeletal diseases (pooled SMD = 1.24, 95% CI = 0.33 to 2.16) with large effect sizes. The use of KT in populations without disabilities was not supported. There is insufficient evidence for the effect of KT on functional performance in individuals with musculoskeletal conditions.ConclusionsContrary to prior research, the existing evidence shows that KT can improve lower limb muscle strength in individuals with muscle fatigue and chronic musculoskeletal diseases. The effect sizes produced in this meta-analysis show that KT may be superior to some existing treatments for these conditions. In addition, this study suggests that practitioners may wish to avoid the use of KT in individuals without disabilities.Trial registrationPROSPERO registration number CRD42017075490, registered on 21 November 2017.

Highlights

  • To date, published systematic reviews concerning the effects of Kinesio Taping (KT) on muscle strength have not analysed facilitatory and inhibitory applications separately

  • Study selection The initial search on the electronic databases identified 729 studies, and 15 additional articles were identified after a manual search

  • The corresponding authors were contacted via email, but only one author replied

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Summary

Introduction

To date, published systematic reviews concerning the effects of Kinesio Taping (KT) on muscle strength have not analysed facilitatory and inhibitory applications separately. As a result, their results could be substantially affected by clinical heterogeneity. Yam et al BMC Musculoskeletal Disorders (2019) 20:212 cutaneous mechanoreceptors [4] This effect would increase motor unit excitability and elicit a muscle spindle reflex if the direction of pull matches the direction of muscle contraction. KT’s pulling force may stretch the Golgi tendon organs if the directions of the pull and the muscle contraction are in opposite directions. It has been claimed that because KT can be kept on the skin for 3–5 days, KT can provide prolonged treatment [5]

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