The Effects of Kinesio Taping with LASER Therapy to Improve on Pain Threshold, Blood Flow, and Balance Ability in Patient with Knee Osteoarthritis

Author(s):  
Kyung-Hun Kim ◽  
Dong Hoon Kim

Abstract Objective We investigated the effects of Kinesio Taping with Laser Therapy (KTLT) on the Pain threshold, Blood flow, and Balance ability of patients with Knee Osteoarthritis. Methods A total of 32 patients were randomly divided into KTLT and Control (CON) group. KTLT group was performed 30 min three times a week for four weeks in low-level laser therapy (LLLT) treatment process with Taping. CON group performed 30 min three times a week for four weeks in sham LLLT treatment process with sham taping. To measure the oppressive pain threshold, Commander Algometer and for the measurement of the blood flow rate of the skin surface, a noninvasive approach, Laser Doppler imaging equipment was used and the standing balance ability test was performed by Center of Pressure (COP), Limited of Stability (LOS). Results There was a significant difference (P<0.05) between before and after training in both groups, and KTLT group showed significant improvement in both groups. Conclusions In this study, we confirmed KTLT on the Pain threshold, Blood flow, and Balance ability of Patient with Knee Osteoarthritis.

2021 ◽  
Author(s):  
Xiuqian Yi ◽  
Jie Sun ◽  
Jiang Qian ◽  
Jie Guo ◽  
Kang Xue

Abstract Backgroud : To evaluate the changes in retinal microvasculature and retrobulbar blood flow, using optical coherence tomography angiography (OCTA) and Color Doppler imaging (CDI) after intravenous chemotherapy (IVC) in patients with retinoblastoma (RB). Methods This was a retrospective comparative case control series involving 30 patients. Ten bilateral RB patients that had a preserved eye with extramacular tumours (group I), 10 unilateral RB treated with IVC that had a normal fellow study eye (group II), and 10 age-matched healthy controls. The macular retinal thickness, foveal avascular zone (FAZ) area, and the macular and peripapillary retinal vessel densities (RVD) were measured. The peak systolic and end diastolic velocities of the ophthalmic, central retinal and posterior ciliary arteries were determined. A comparison among the three groups was conducted. Results Between the three cohorts, OCTA revealed no significant difference in FAZ area, superficial foveal and parafoveal RVD, deep parafoveal RVD and peripapillary RVD, (P ༞ 0.05). By contrast, the mean deep foveal RVD, the full, inner and outer foveal and the parafoveal retinal thickness were significantly lower in group I compared with the controls, (P = 0.046, 0.020, 0.041, 0.044, 0.028). No significant difference in the blood flow velocities occurred in the retrobulbar circulation (P ༞ 0.05). Conclusions In patients with retinoblastoma, OCTA did not detect significant changes of retinal thickness and vessel density in the eyes treated with IVC, but a slight reduction in retinal thickness and the deep foveal RVD seemed to occur in bilateral RB eyes. The retrobulbar blood flow parameters showed no measurable changes.


2021 ◽  
Author(s):  
Hacı Koç ◽  
Faruk Kaya ◽  
Ümit İpeksoy

Abstract PurposeThis study investigates the relationship between ophthalmic artery blood flow parameters and retinal nerve fiber layer (RNFL) thickness in eyes with pseudoexfoliation. MethodsThree comparisons were made in this study. In the first, eyes without glaucoma with pseudoexfoliation in any of the eyes were compared with the control group. In the second, eyes with pseudoexfoliation and without glaucoma were compared with those with pseudoexfoliation and glaucoma. In the third, cases with glaucoma and pseudoexfoliation were compared with the control group. Ophthalmic artery colour Doppler imaging measurements were performed in all patients. Also, peripapillary RNFL analysis was performed. ResultsA statistically significant difference was found between the total RNFL measurements according to group (p = 0.012; p < 0.05). From the paired comparisons, the total RNFL measurements from the control group were higher than the group without glaucoma (p = 0.010). No statistically significant difference was found between the total RNFL measurements of the other groups (p > 0.05). In the pseudoexfoliative glaucoma (PXG) group, there was a statistically significant negative correlation between total RNLF and Peak systolic velocity (PSV) (r = -0.743; p < 0.01). There was also a statistically significant negative correlation between total RNLF and End diastolic velocity (EDV) (r = -0.691; p < 0.01). There was no significant relationship between total RNLF and resistive index (RI) measurements (p > 0.05). ConclusionPseudoexfoliation syndrome(PXS) caused a decrease in the PSV and EDV values of ophthalmic artery blood flow parameters. Again, PXS caused a decrease in total RNFL, RNFL S, RNFL I and RNFL T thickness values.


2020 ◽  
Vol 1 (1) ◽  
pp. 13-16
Author(s):  
Afif Zainuri Wafiq ◽  
Atika Yulianti

Introduction: Knee Osteoarthritis is a condition that frequently occurs in elderly which has a major impact on the elderly’s disability. As a degenerative disease, knee osteoarthritis occurs due to cartilage damage which is then accompanied by inflammation, pain, stiff joints and muscles thereby limiting the range of motion. This research aims to compare the effect of Kinesio taping and a combination of myofascial release and Kinesio taping intervention on ROM improvement in elderly with knee osteoarthritis.Methods: This study applies a quasi-experimental design with a non-equivalent group approach. Goniometer is applied as a measurement instrument. 25 people participated in this study who were recruited through purposive sampling. The sample was then divided into 2 groups which were given treatment 3 times a week in one month. The control group with Kinesio Taping treatment consisted of 14 samples and the case group with a combination treatment of myofacial release and Kinesio taping consisted of 11 samples. Furthermore, data analysis was performed with the Shapiro Wilk test, Wilcoxon rank test, and the Mann-Whitney test using SPSS version 25.Results: The comparison test results show that the significance value of p yields 0.6> 0.05, therefore H1 is rejected, and H0 is accepted. The interpretation of these results is that there is no significant difference between the effects of Kinesio taping and the combination of myofacial release and Kinesio taping on increasing ROM in the elderly with the risk of knee osteoarthritis.Conclusion: This study shows that there is no significant difference in the effect of the treatment of Kinesio taping and the combination of myofacial release and Kinesio taping in increasing ROM in the elderly with osteoarthritis.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiuqian Yi ◽  
Jie Sun ◽  
Jiang Qian ◽  
Jie Guo ◽  
Kang Xue

Abstract Backgroud To evaluate the changes in retinal microvasculature and retrobulbar blood flow, using optical coherence tomography angiography (OCTA) and Color Doppler imaging (CDI) after intravenous chemotherapy (IVC) in patients with retinoblastoma (RB). Methods This was a retrospective comparative case control series involving 30 patients. Ten bilateral RB patients that had a preserved eye with extramacular tumours (group I), 10 unilateral RB treated with IVC that had a normal fellow study eye (group II), and 10 age-matched healthy controls. The macular retinal thickness, foveal avascular zone (FAZ) area, and the macular and peripapillary retinal vessel densities (RVD) were measured. The peak systolic and end diastolic velocities of the ophthalmic, central retinal and posterior ciliary arteries were determined. A comparison among the three groups was conducted. Results Between the three cohorts, OCTA revealed no significant difference in FAZ area, superficial foveal and parafoveal RVD, deep parafoveal RVD and peripapillary RVD, (P > 0.05). By contrast, the mean deep foveal RVD, the full, inner and outer foveal and the parafoveal retinal thickness were significantly lower in group I compared with the controls, (P = 0.0329, 0.0153, 0.0311 0.0352, 0.0215). No significant difference in the blood flow velocities occurred in the retrobulbar circulation (P > 0.05). Conclusions In patients with retinoblastoma, OCTA did not detect significant changes of retinal thickness and vessel density in the eyes treated with IVC, but a slight reduction in retinal thickness and the deep foveal RVD seemed to occur in bilateral RB eyes. The retrobulbar blood flow parameters showed no measurable changes.


2019 ◽  
Vol 30 (04) ◽  
pp. 206-213
Author(s):  
Dong Hoon Kim ◽  
Kyung-Hun Kim ◽  
Suk-Min Lee

Abstract Objective We investigated the effects of eye movement with PNF neck movement on trunk stability and standing position balance ability of chronic stroke patients. Methods A total of 30 patients were randomly divided into EMPN group and CON group. EMPN group was performed 60 min three times a week for 8 weeks in eye movement and PNF neck movement. CON group performed conservative treatment for 60min. The trunk stability was measured by the Trunk impairment scale (TIS) and the standing balance ability test was performed by Center of Pressure (COP), Limited of Stability (LOS), Berg Balance Scale (BBS) and Functional Reach Test (FRT). Results There was a significant difference (P<0.05) between before and after training in both groups, and EMPN group showed significant improvement in both groups. Conclusions In this study, we confirmed oculogyration and neck movement by PNF have positive effects on the trunk stability and the standing position balance ability of chronic stroke patients.


2020 ◽  
Vol 24 (4) ◽  
pp. 157-162
Author(s):  
Manolya Akin ◽  
İnci Kesilmiş

Background and Study Aim. Taekwondo (TKD) is a combat sport emphasizing on kicking techniques and dynamic footwork. Specialized balance ability is crucial for Taekwondo practitioners. Nowadays balance could be improved with specific strength training such as blood flow restriction and plyometric training. Thus, the aim of this study was to understand the effect of blood flow restriction (BFR) and pliometric training methods on the development of dynamic balance at the martial art of Taekwondo. Material and Methods. Totally 31 TKD athletes between 15-19 ages participated voluntarily and were divided into three groups as blood flow restriction (n=11), plyometric training (n=10) and control groups (n=10). In addition to normal taekwondo training, 8 week training programs were applied to the pliometric and blood flow restriction groups, and no training program was applied to the control group. At the beginning and after the trainings, dynamic balance ability measured with Prokin Tecnobody equipment for 30 seconds slalom test.  Results. The difference between pre-test and post-test values of BFR group’s dynamic balance (antero-posterior sway) was found to be statistically different (p<.05) while according to the pliometric training results, there was no statistically significant difference (p>.05). Also, there was not any difference in terms of gender (p>.05). Conclusions. Strength development is neccessary for dynamic balance improvement in athletes. Since taekwondo athletes use strength and balance ability for rapid kicking and change direction, these motor abilities are important for success. Based on the findings of this study; it is recommended that BFR method may be useful and so it can be included in training programs.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Martin Bjørn Stausholm ◽  
Jan Magnus Bjordal

AbstractWe read with interest the article by Gomes et al. entitled: “Exercise program combined with electrophysical modalities in subjects with knee osteoarthritis: A randomised, placebo-controlled clinical trial”. Gomes et al. concluded that the low-level laser therapy (LLLT) did not reduce knee osteoarthritis pain when applied as an adjunct to exercise therapy. We argue that Gomes et al. neglected relevant laser treatment recommendations in the conduct and reporting of the trial.Gomes et al. did not state the Joules per treatment spot applied. We calculated the Joules applied from other laser information in the report and found that it is too low of a dose according to the World Association for Laser Therapy (WALT) guidelines. Furthermore, we have published a meta-analysis of 22 placebo-controlled trials demonstrating a significant difference in pain-relieving effect between doses in adherence and non-adherence to the WALT guidelines. However, neither the WALT guidelines, nor our meta-analysis was mentioned by Gomes et al.Moreover, Gomes et al. did not state whether the output power of the laser device was measured, and this is concerning because in the city of São Paulo, where the trial was conducted, most laser devices have been found to deliver less of a dose than specified by the manufacturers.In summary, we found that the best available evidence regarding effective and ineffective LLLT dosing from systematic reviews was neglected in the conduct and reporting of the trial, and that the laser device may not have been calibrated.


Biomedicine ◽  
2021 ◽  
Vol 41 (1) ◽  
pp. 82-87
Author(s):  
M Arun Kumar ◽  
D Venkatesh ◽  
Savita Ravindra

Introduction and Aim: Knee Osteoarthritis (KOA) is a common degenerative joint disease which is one of the leading causes of disability in elderly people. Electromyography (EMG) is an electrophysiological method in evaluating skeletal muscle activity. Low-level laser (light) therapy (LLLT) is a modality of treatment used in several conditions required to suppress the pain, inflammation, stimulation of healing and restoration of function. Surface EMG parameters were studied before and after the low level laser therapy in subjects with knee osteoarthritis.  Materials and Methods: Subjects with knee OA participated in the study. Low level laser therapy (LLLT) was administered using a laser device with probe giving maximum power output of 10 mw with a wavelength of 810 nm. Surface electromyography (sEMG) of quadriceps muscles was recorded in all the study participants before and after the therapy. The parameters were statistically compared.  Results: There was a statistically significant difference between the maximum contraction and duration of contraction before and after the laser intervention in all the muscles.  Conclusion: It can be concluded that the muscle performance increased in the subjects with knee OA after the LLLT.


2021 ◽  
Vol 12 (3) ◽  
pp. 322-328
Author(s):  
Young-Han Park ◽  
Dae-Hwan Lee ◽  
Youn-Bum Sung

Purpose: This study aims to investigate the effect of the Kinesio taping method on the balance ability and gait ability of hemiplegic stroke patients by applying it to the lower extremities of the ankle on the affected side, addressing instability and asymmetry by improving the stability of the muscles and ankle joint. Methods: This study confirmed the general characteristics of hemiplegic patients diagnosed with stroke. Kinesio taping was applied to the lower extremities of 15 subjects in the experimental group, and they performed mat and treadmill exercises. In addition, basic mat and treadmill exercises were performed by the 15 subjects in the control group. The exercise regimens were performed 18 times: three times a week for six weeks. Results: In the paired-sample T-test used for within-group comparison of BBS, TUG and stance time on nonparetic side value, there was a significant difference between pre- and post-test for experimental group. However, in the control group, there was a statistically significant difference only in TUG. In the inter-group comparison, the experimental group showed a statistically significant improvement in BBS, TUG and stance time on nonparetic side value compared to the control group. Conclusion: The experiment’s results demonstrate that the application of Kinesio taping-combined exercise provides stability of the muscles and ankle joints of the lower extremities during walking by improving balance ability, and improves overall gait stability by increasing the stance phase time of the affected side in hemiplegic stroke patients.


Author(s):  
Aung Aung Nwe ◽  
Myo Tint Tun ◽  
Si Thu Aung ◽  
La Min Tun ◽  
Khin Thuzar Myaing

Background: Knee osteoarthritis (OA) is one of the commonest chronic joint problems presenting with pain and stiffness. As a consequence, activities of daily living are limited and decline the quality of life. Kinesio tape (KT) has been popular in worldwide by its positive effects including reducing pain, relieving stiffness and improving function. However, the therapeutic application tension, direction and technique have not been identified yet and still weak evidence in OA knee. Aims: To find out the effectiveness of Kinesio taping in the management of OA knee. Study Design: Hospital based randomized control trial. Place and duration of Study: This study was conducted in the Outpatient Department of Physical Medicine and Rehabilitation in both Mandalay Orthopedics Hospital and 300 Bedded Teaching Hospital, Mandalay. It was started from May, 2017 to August, 2018. Methodology: A total of 60 patients were randomly assigned into group A and group B. Group A (intervention group) received KT plus conventional exercise and group B (control group) received conventional exercise alone. Both groups were assessed in week 0 (before study), week 2 (during study) and week 3 (end of study). Assessments measures were VAS, WOMAC index and TUG test. The amount of analgesic consumptions was recorded in week 2 and week 3 assessments. Results: There were no significant differences in baseline characteristics of patients between the two groups. The intragroup analysis showed significant difference in VAS, WOMAC index and TUG test (p<0.05) in both groups. However, intergroup analysis showed more significant improvements of VAS, WOMAC index and TUG test in intervention group than control group in week 2 and week 3 (p<0.05). Conclusion: KT plus conventional exercise is more effective than conventional exercise alone in terms of relieving pain, reducing stiffness and improving function in patients with OA knee.


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