OBJECTIVE: The aim of this study was to evaluate the effectiveness of kinesio taping for the management of hemiplegic shoulder pain.
DATA SOURCES: MEDLINE, EMBASE, Web of Science, CENTRAL, CNKI, Wan Fang databases and the grey literature research were searched from inception to July 2020.
METHODS: We considered randomized controlled trials in English or Chinese that used kinesio taping for the treatment of hemiplegic shoulder pain. Two reviewers independently screened the articles, scored the methodological quality using the PEDro scale, assessed risk of bias using the Cochrane's risk of bias tool and extracted the data. The outcomes included pain, motor function of the upper limb, magnitude of shoulder subluxation and activities of daily living post-intervention.
RESULTS: A total of nine studies (n = 424) met the inclusion criteria. A meta-analysis demonstrated a significant effect of kinesio taping on pain (mean difference(MD)= -1.45, 95% confidence interval(CI): -1.98 to-0.92 cm, p < 0.0001), motor function of upper limb (MD = 4.22,95%CI: 3.49 to 4.95, p < 0.00001), magnitude of shoulder subluxation (standardized mean difference(SMD) = -0.65, 95%CI: -0.95 to -0.35, p < 0.0001) and activities of daily living (MD = 6.86, 95% CI: 3.99 to 9.73, p < 0.00001) post-intervention.
CONCLUSION: This meta-analysis suggests a beneficial effect of kinesio taping for reducing shoulder subluxation, improving motor function of the upper limb and activities of daily living in patients with hemiplegic shoulder pain post-intervention, which could not be interpreted simply as a placebo effect. And it was associated with reduced pain for patients with chronic stroke.
|Rehab Clinician (OT/PT)|
Hemiplegic shoulder pain is common problem in patients with stroke. This systematic review is very important. The use of comprehensive searching strategy and appraisal of the evidences are the strength of this review. This meta-analysis suggests a beneficial effect of kinesio taping for reducing shoulder subluxation, improving motor function of the upper limb and activities of daily living in patients with hemiplegic shoulder pain post-intervention. The data comes from low to moderate quality studies. Further studies with better methodology should be performed.
This review included 9 studies with a combined sample of 424 subjects about the effect of kinesio taping for painful shoulder after stroke. Dealing with stroke, that is not such a big sample, but the significance is quite high (p < 0.0001) comparing intervention with no intervention or sham taping. That could be an indication that this intervention should be tried in such an incapacitating condition.
It is important to recognize that in this review, no comparisons were made with other types of tape, so no conclusions can be drawn on it's relative usefulness when compared with rigid or even other types of elastic tape.
This is a more relevant to neurological physiotherapy and pain, but has some cross over to musculoskeletal populations. However, it is a relatively well formulated study. Ongoing progress can be made to minimise risk, and compare this treatment to current practice treatments.
This is a nice paper that highlights the short term benefit of the use of kinesiotape on pain and muscle function in the hemiplegic patient with shoulder pain. Due to the fact that there are little side effects of kinesiotape, it offers a nice option to implement in treatment plans for this challenging condition.