scholarly journals Add-on effect of Kinesiotape in patients with acute lateral ankle sprain: a randomized controlled trial

2019 ◽  
Author(s):  
Jeong-Cheol Shin ◽  
Jae-Hong Kim ◽  
Dongwoo Nam ◽  
Gwang-Cheon Park ◽  
Jeong-Soon Lee

Abstract Background: Evidence on the add-on effect of Kinesiotape (KT) on acupuncture for treating ankle sprains remains insufficient. We assessed the add-on effect of KT on ankle sprains by comparing acupuncture combined with KT (AcuKT) with acupuncture alone in patients with acute lateral ankle sprain (ALAS). Methods: This study was a multicenter, randomized, controlled clinical trial that included a per-protocol analysis of the add-on effect of KT on ALAS. The randomization was software-based and only the assessors were blinded. Sixty participants (20 each from three centers) with Grade I or II ALAS were randomly assigned to acupuncture (n=30) or AcuKT (n=30) group. Both groups received acupuncture treatment once daily, 5 days per week for 1 week. The AcuKT group received additional KT treatment. Visual analog scale (VAS) scores for pain and Foot and Ankle Outcome Score (FAOS) were obtained, and edema measurements were performed at baseline (Week 0), at the end of the intervention (Week 1), and at 4 weeks after intervention (Week 5). The European Quality of Life Five Dimension-Five Level Scale (EQ-5D-5L) measurements were conducted at Week 0, Week 1, Week 5, and Week 26 after the intervention. The number of recurrent ankle sprains was determined at 4, 8, 12, and 26 weeks after the intervention. Results: Fifty-six patients with ALAS completed the trial (AcuKT group, 27; acupuncture group, 29). There were significant changes in VAS score (AcuKT: p<0.001; acupuncture: p<0.001), FAOS (AcuKT: p<0.001; acupuncture: p<0.001), and EQ-5D-5L measurements (AcuKT: p<0.001; acupuncture: p<0.001) within both groups. There were no significant differences between groups in terms of any outcome and in a subanalysis based on symptom severity. Conclusions: These results indicate that AcuKT did not show positive add-on effects of KT on acupuncture in terms of pain reduction, edema, recovery of function, activities of daily living, quality of life, and relapse of ALAS.

2019 ◽  
Author(s):  
Jeong-Cheol Shin ◽  
Jae-Hong Kim ◽  
Dongwoo Nam ◽  
Gwang-Cheon Park ◽  
Jeong-Soon Lee

Abstract Background Evidence on the add-on effect of Kinesiotape (KT) on acupuncture for treating ankle sprains remains insufficient. We assessed the add-on effect of KT on ankle sprain by comparing acupuncture combined with KT(AcuKT) with acupuncture alone in patients with acute lateral ankle sprain (ALAS). Methods This study was a multicenter, randomized, controlled clinical trial that included a per-protocol analysis of the add-on effect of KT on ALAS. The randomization was software-based and only the assessors were blinded. Sixty participants(20 each from three centers) with grade I or II ALAS were randomly assigned to an acupuncture (n=30) or AcuKT (n=30) group. Both groups received acupuncture treatment once daily, 5 days per week for 1 week. The AcuKT group received additional KT treatment. Visual analog scale (VAS) scores for pain and Foot and Ankle Outcome Score (FAOS) were obtained, and edema measurements were performed at baseline (week 0), at the end of the intervention (week 1), and at 4 weeks after the intervention (week 5).The European Quality of Life Five Dimension-Five Level Scale (EQ-5D-5L) measurements were conducted at week 0, week 1, week 5, and 26 weeks after the intervention. The number of recurrent ankle sprains was determined at 4,8,12, and 26weeks after the intervention. Results Fifty-six patients with ALAS completed the trial (AcuKT group, 27; acupuncture group, 29). There were significant changes(week 0 vs. week 1;week 0 vs. week 5) in VAS, FAOS, and EQ-5D-5L in both groups and in edema measurement in the AcuKT group alone. There were no significant differences between both groups regarding any outcome and in a subanalysis based on symptom severity. Conclusions These results indicate that AcuKT did not show the positive add-on effects of KT on acupuncture regarding pain reduction, edema, recovery of function, activities of daily living, quality of life, and relapse of ALAS.


JMIR Nursing ◽  
10.2196/20747 ◽  
2020 ◽  
Vol 3 (1) ◽  
pp. e20747
Author(s):  
Mahboube Davoudi ◽  
Tahereh Najafi Ghezeljeh ◽  
Farveh Vakilian Aghouee

Background Patients with heart failure have low quality of life because of physical impairments and advanced clinical symptoms. One of the main goals of caring for patients with heart failure is to improve their quality of life. Objective The aim of this study was to investigate the effect of the use of a smartphone-based app on the quality of life of patients with heart failure. Methods This randomized controlled clinical trial with a control group was conducted from June to October 2018 in an urban hospital. In this study, 120 patients with heart failure hospitalized in cardiac care units were randomly allocated to control and intervention groups. Besides routine care, patients in the intervention group received a smartphone-based app and used it every day for 3 months. Both the groups completed the Minnesota Living with Heart Failure Questionnaire before entering the study and at 3 months after entering the study. Data were analyzed using the SPSS software V.16. Results The groups showed statistically significant differences in the mean scores of quality of life and its dimensions after the intervention, thereby indicating a better quality of life in the intervention group (P<.001). The effect size of the intervention on the quality of life was 1.85 (95% CI 1.41-2.3). Moreover, the groups showed statistically significant differences in the changes in the quality of life scores and its dimensions (P<.001). Conclusions Use of a smartphone-based app can improve the quality of life in patients with heart failure. The results of our study recommend that digital apps be used for improving the management of patients with heart failure. Trial Registration Iranian Registry of Clinical Trials IRCT2017061934647N1; https://www.irct.ir/trial/26434


Trials ◽  
2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Jae-Hong Kim ◽  
Myung-Rae Cho ◽  
Ju-Hyung Park ◽  
Jeong-Cheol Shin ◽  
Ji-Hyun Cho ◽  
...  

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jae-Hong Kim ◽  
Cham-Kyul Lee ◽  
Eun-Yong Lee ◽  
Myoung-Rae Cho ◽  
Young-Su Lee ◽  
...  

Abstract Background Dangguixu-san (DS), a herbal extract, is widely used in Korean medicine to treat pain and swelling caused by ankle sprain. However, there is insufficient evidence regarding the effects of DS on ankle sprains. Accordingly, we assessed the efficacy and safety of DS for the treatment of acute lateral ankle sprain (ALAS). Methods This study was a multicenter (two Korean hospitals), randomized, double-blind, placebo-controlled, parallel-arm clinical trial with a 1:1 allocation ratio that included a per-protocol analysis and sub-analysis based on symptom severity. Forty-eight participants (n = 28 at Semyung University Korean Medicine Hospital in Chungju; n = 20 at DongShin University Gwangju Korean Medicine Hospital) with grade I or II ALAS that occurred within 72 h before enrollment were randomized to a DS (n = 24) or placebo (n = 24) group. Both groups received acupuncture treatment once daily for 5 consecutive days and the trial medication (DS/placebo capsule) three times a day for 7 consecutive days. Primary (visual analog scale [VAS] scores for pain) and secondary (Foot and Ankle Outcome Scores [FAOS], edema, and European Quality of Life Five-Dimension-Five-Level Scale [EQ-5D-5L] scores) outcome measures were recorded at baseline (week 0), the end of the intervention (week 1), and 4 weeks after treatment completion (week 5). Results Forty-six participants completed the trial (n = 23 each). Changes in VAS scores, FAOS Symptom/Rigidity, and FAOS Ache from week 1 to week 5 showed significant differences between the two groups. Sub-analyses showed significant differences in changes of FAOS Ache (week 0 to week 5) and VAS scores, total FAOS, and EQ-5D-5L scores (week 1 to week 5) between the two subgroups (grade II). There were no adverse events and significant negative changes in clinical laboratory parameters in both groups. Conclusions Overall, the results of this study are in favor of DS combined with acupuncture and suggest that DS combined with acupuncture is a safe treatment with positive long-term effects in terms of pain reduction and symptom alleviation in patients with grade I or II ALAS. Trial registration Clinical Research Information Service KCT0002374. Registered on July 11, 2017; retrospectively registered.


2020 ◽  
Author(s):  
Mahboube Davoudi ◽  
Tahereh Najafi Ghezeljeh ◽  
Farveh Vakilian Aghouee

BACKGROUND Patients with heart failure have low quality of life because of physical impairments and advanced clinical symptoms. One of the main goals of caring for patients with heart failure is to improve their quality of life. OBJECTIVE The aim of this study was to investigate the effect of the use of a smartphone-based app on the quality of life of patients with heart failure. METHODS This randomized controlled clinical trial with a control group was conducted from June to October 2018 in an urban hospital. In this study, 120 patients with heart failure hospitalized in cardiac care units were randomly allocated to control and intervention groups. Besides routine care, patients in the intervention group received a smartphone-based app and used it every day for 3 months. Both the groups completed the Minnesota Living with Heart Failure Questionnaire before entering the study and at 3 months after entering the study. Data were analyzed using the SPSS software V.16. RESULTS The groups showed statistically significant differences in the mean scores of quality of life and its dimensions after the intervention, thereby indicating a better quality of life in the intervention group (<i>P</i>&lt;.001). The effect size of the intervention on the quality of life was 1.85 (95% CI 1.41-2.3). Moreover, the groups showed statistically significant differences in the changes in the quality of life scores and its dimensions (<i>P</i>&lt;.001). CONCLUSIONS Use of a smartphone-based app can improve the quality of life in patients with heart failure. The results of our study recommend that digital apps be used for improving the management of patients with heart failure. CLINICALTRIAL Iranian Registry of Clinical Trials IRCT2017061934647N1; https://www.irct.ir/trial/26434


Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Jeong-Cheol Shin ◽  
Jae-Hong Kim ◽  
Dongwoo Nam ◽  
Gwang-Cheon Park ◽  
Jeong-Soon Lee

Trials ◽  
2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Jae-Hong Kim ◽  
Eun-Yong Lee ◽  
Myung-Rae Cho ◽  
Cham-Kyul Lee ◽  
Ji-Hyun Cho

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