Efficacy of Kinesio taping on the functional recovery of the upper extremity in stroke patients: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

XUE Xiali ¹ , DENG Zhongyi ¹ ,  LI Ning ¹ , SUN Junzhi ¹ , ZHOU Ling ² , HE Ying ³

1. Institute of Sports Medicine and Health, Chengdu Sport University, Chengdu 610041, P.R.China;
2. School of Sports Medicine and Health, Chengdu Sport University, Chengdu 610041, P.R.China;
3. Office of Academic Research, Chengdu Sport University, Chengdu 610041, P.R.China;

Corresponding?author：

LI Ning, Email: lining@cdsu.edu.cn

Keywords：

Kinesio taping; Stroke; Upper limb; Functional recovery; Meta-analysis; Systematic review; Randomized controlled trial

DOI：

10.7507/1672-2531.202101169

Video：

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Objective To systematically review the efficacy of Kinesio taping on upper limb function recovery in stroke patients.Methods PubMed, The Cochrane Library, Web of Science, WanFang Data, CNKI and VIP databases were electronically searched to collect randomized controlled trials (RCTs) of the efficacy of Kinesio taping on upper limb function recovery in stroke patients from inception to December 20^th, 2020. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies. Meta-analysis was then performed by using RevMan 5.3 software.Results A total of 13 RCTs involving 589 patients were included. The results of meta-analysis showed that compared with the control group, Kinesio taping significantly improved the FMA-UE score (MD=6.21, 95%CI 3.68 to 8.74, P<0.000 01), VAS score (MD=1.76, 95%CI 1.30 to 2.23, P<0.000 01), and MBI score (MD=10.28, 95%CI 8.43 to 12.13, P<0.000 01) of patients.Conclusions Current evidence shows that the Kinesio taping can significantly improve the upper limb motor function, pain, and daily living ability of stroke patients. Due to the limited quality and quantity of the included studies, more high-quality studies are needed to verify the above conclusions.

Citation： XUE Xiali, DENG Zhongyi, LI Ning, SUN Junzhi, ZHOU Ling, HE Ying. Efficacy of Kinesio taping on the functional recovery of the upper extremity in stroke patients: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2021, 21(8): 882-888. doi: 10.7507/1672-2531.202101169 Copy

1.	Khaku AS, Tadi P. Cerebrovascular disease. Treasure Island (FL): StatPearls Publishing, 2021.
2.	Lerma Casta?o PR, Rodríguez Laiseca YA, Montealegre Suárez DP, et al. Effects of kinesiotaping combined with the motor relearning method on upper limb motor function in adults with hemiparesis after stroke. J Bodyw Mov Ther, 2020, 24(4): 546-553.
3.	Gaitan M, Bainbridge L, Parkinson S, et al. Characteristics of the shoulder in patients following acute stroke: a case series. Top Stroke Rehabil, 2019, 26(4): 318-325.
4.	Wanklyn P, Forster A, Young J. Hemiplegic shoulder pain (HSP): natural history and investigation of associated features. Disabil Rehabil, 1996, 18(10): 497-501.
5.	Klit H, Finnerup NB, Overvad K, et al. Pain following stroke: a population-based follow-up study. PLoS One, 2011, 6(11): e27607.
6.	Santos GL, Souza MB, Desloovere K, et al. Elastic tape improved shoulder joint position sense in chronic hemiparetic subjects: a randomized sham-controlled crossover study. PLoS One, 2017, 12(1): e0170368.
7.	Myers JB, Lephart SM. The role of the sensorimotor system in the athletic shoulder. J Athl Train, 2000, 35(3): 351-363.
8.	Huang YC, Leong CP, Tso HH, et al. The long-term effects of hyaluronic acid on hemiplegic shoulder pain and injury in stroke patients: a randomized controlled study. Medicine (Baltimore), 2018, 97(35): e12078.
9.	Murie-Fernández M, Carmona Iragui M, Gnanakumar V, et al. Painful hemiplegic shoulder in stroke patients: causes and management. Neurologia, 2012, 27(4): 234-244.
10.	Santos GLD, Silva ESMD, Desloovere K, et al. Effects of elastic tape on kinematic parameters during a functional task in chronic hemiparetic subjects: a randomized sham-controlled crossover trial. PLoS One, 2019, 14(1): e0211332.
11.	Jaraczewska E, Long C. Kinesio taping in stroke: improving functional use of the upper extremity in hemiplegia. Top Stroke Rehabil, 2006, 13(3): 31-42.
12.	Qafarizadeh F, Kalantari M, Ansari NN, et al. The effect of kinesiotaping on hand function in stroke patients: a pilot study. J Bodyw Mov Ther, 2018, 22(3): 829-831.
13.	Pandian JD, Kaur P, Arora R, et al. Shoulder taping reduces injury and pain in stroke patients: randomized controlled trial. Neurology, 2013, 80(6): 528-532.
14.	Williams S, Whatman C, Hume PA, et al. Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness. Sports Med, 2012, 42(2): 153-164.
15.	Hochsprung A, Domínguez-Matito A, López-Hervás A, et al. Short- and medium-term effect of kinesio taping or electrical stimulation in hemiplegic shoulder pain prevention: a randomized controlled pilot trial. NeuroRehabilitation, 2017, 41(4): 801-810.
16.	Grampurohit N, Pradhan S, Kartin D. Efficacy of adhesive taping as an adjunt to physical rehabilitation to influence outcomes post-stroke: a systematic review. Top Stroke Rehabil, 2015, 22(1): 72-82.
17.	Celik D, Karaborklu Argut S, Coban O, et al. The clinical efficacy of kinesio taping in shoulder disorders: a systematic review and meta analysis. Clin Rehabil, 2020, 34(6): 723-740.
18.	Dall'Agnol MS, Cechetti F. Kinesio taping associated with acupuncture in the treatment of the paretic upper limb after stroke. J Acupunct Meridian Stud, 2018, 11(2): 67-73.
19.	Ghozy S, Dung NM, Morra ME, et al. Efficacy of kinesio taping in treatment of shoulder pain and disability: a systematic review and meta-analysis of randomised controlled trials. Physiotherapy, 2020, 107: 176-188.
20.	Fugl-Meyer AR, J??sk? L, Leyman I, et al. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med, 1975, 7(1): 13-31.
21.	Platz T, Pinkowski C, van Wijck F, et al. Reliability and validity of arm function assessment with standardized guidelines for the Fugl-Meyer test, action research arm test and box and block test: a multicentre study. Clin Rehabil, 2005, 19(4): 404-411.
22.	王玉龍, 高曉平, 李雪萍. 康復功能評定學(第三版). 北京: 人民衛生出版社, 2018: 427-429.
23.	Cumpston M, Li T, Page MJ, et al. Updated guidance for trusted systematic reviews: a new edition of the Cochrane handbook for systematic reviews of interventions. Cochrane Database Syst Rev, 2019, 10: ED000142.
24.	Huang YC, Leong CP, Wang L, et al. Effect of kinesiology taping on hemiplegic shoulder pain and functional outcomes in subacute stroke patients: a randomized controlled study. Eur J Phys Rehabil Med, 2016, 52(6): 774-781.
25.	Huang YC, Chang KH, Liou TH, et al. Effects of Kinesio taping for stroke patients with hemiplegic shoulder pain: a double-blind, randomized, placebo-controlled study. J Rehabil Med, 2017, 49(3): 208-215.
26.	Yang L, Yang J, He C. The Effect of kinesiology taping on the hemiplegic shoulder pain: a randomized controlled trial. J Healthc Eng, 2018, 2018: 8346432.
27.	Huang YC, Chen PC, Tso HH, et al. Effects of kinesio taping on hemiplegic hand in patients with upper limb post-stroke spasticity: a randomized controlled pilot study. Eur J Phys Rehabil Med, 2019, 55(5): 551-557.
28.	秦宏, 馬丹, 羅峰, 等. 肌內效貼布治療腦卒中后肩手綜合征患者疼痛腫脹療效觀察. 中國運動醫學雜志, 2014, 33(12): 1149-1152, 1160.
29.	楊雅敬. 肌內效貼對腦卒中后上肢痙攣的療效. 中國康復理論與實踐, 2016, 22(9): 1045-1048.
30.	趙力生, 王建文. 肌內效貼對腦卒中偏癱患者肩關節半脫位的效果. 中國康復理論與實踐, 2017, 23(10): 1200-1202.
31.	施伯瀚, 厲坤鵬, 胡寅虎, 等. 肌內效貼對腦卒中患者肩關節半脫位后肩痛的療效觀察. 中國康復醫學雜志, 2018, 33(3): 310-314.
32.	李威, 李丹, 趙宜蓮, 等. 兩種肌內效貼貼扎方法對腦卒中后偏癱痙攣期患者肩痛的效果. 中國康復理論與實踐, 2018, 24(2): 184-190.
33.	金海蓮, 程敏, 李義召, 等. 口服芬必得結合肌內效貼對腦卒中后肩痛患者康復訓練效果的影響. 中國康復醫學雜志, 2018, 33(9): 1105-1107.
34.	朱韞鈺, 蔣超, 羅菁, 等. 肌內效貼結合康復訓練治療腦卒中后肩手綜合征的療效觀察. 中華物理醫學與康復雜志, 2019, 41(8): 588-590.
35.	劉陽, 李建華, 陶靜琰, 等. 運動貼布聯合徒手淋巴引流術對腦卒中后肩手綜合征及上肢功能療效觀察. 中國康復醫學雜志, 2019, 34(9): 1094-1096.
36.	朱韞鈺, 蔣超, 羅菁, 等. 肌內效貼聯合經皮神經電刺激治療腦卒中后Ⅰ期肩手綜合征的療效觀察. 中華物理醫學與康復雜志, 2020, 42(5): 437-439.
37.	Wang M, Pei ZW, Xiong BD, et al. Use of Kinesio taping in lower-extremity rehabilitation of post-stroke patients: a systematic review and meta-analysis. Complement Ther Clin Pract, 2019, 35: 22-32.
38.	Ortiz-Ramirez J, Perez-De la Cruz S. Efficacy of the application of kinesio tape in patients with stroke. Rev Neurol, 2017, 64(4): 175-179.
39.	Kalron A, Bar-Sela S. A systematic review of the effectiveness of Kinesio taping-fact or fashion? Eur J Phys Rehabil Med, 2013, 49(5): 699-709.
40.	Mostafavifar M, Wertz J, Borchers J. A systematic review of the effectiveness of kinesio taping for musculoskeletal injury. Phys Sportsmed, 2012, 40(4): 33-40.
41.	Morris D, Jones D, Ryan H, et al. The clinical effects of Kinesio? Tex taping: a systematic review. Physiother Theory Pract, 2013, 29(4): 259-270.
42.	Kim EB, Kim YD. Effects of kinesiology taping on the upper-extremity function and activities of daily living in patients with hemiplegia. J Phys Ther Sci, 2015, 27(5): 1455-1457.
43.	劉坤, 瞿強, 闞世鋒. 肌內效貼在中樞神經系統損傷康復中的應用現狀. 廣西醫學, 2020, 42(2): 194-197.
44.	Heo MY, Kim CY, Nam CW. Influence of the application of inelastic taping on shoulder subluxation and pain changes in acute stroke patients. J Phys Ther Sci, 2015, 27(11): 3393-3395.
45.	Kwon SS. The effects of the taping therapy on range of motion, pain and depression in stroke patient. Taehan Kanho Hakhoe Chi, 2003, 33(5): 651-658.
46.	Kneeshaw D. Shoulder taping in the clinical setting. J Bodyw Mov Ther, 2002, 6(1): 2-8.
47.	Thelen MD, Dauber JA, Stoneman PD. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. J Orthop Sports Phys Ther, 2008, 38(7): 389-395.
48.	Kaltenborn JM, Kahanov L. Kinesio taping, Part 1: An overview of its use in athletes. Athl Ther Tod, 2007, 12(3): 17-18.
49.	Kalichman L, Frenkel-Toledo S, Vered E, et al. Effect of kinesio tape application on hemiplegic shoulder pain and motor ability: a pilot study. Int J Rehabil Res, 2016, 39(3): 272-276.
50.	Nuzzo R. Scientific method: statistical errors. Nature, 2014, 506(7487): 150-152.
51.	Pillastrini P, Rocchi G, Deserri D, et al. Effectiveness of neuromuscular taping on painful hemiplegic shoulder: a randomised clinical trial. Disabil Rehabil, 2016, 38(16): 1603-1609.
52.	Huang YC, Liang PJ, Pong YP, et al. Physical findings and sonography of hemiplegic shoulder in patients after acute stroke during rehabilitation. J Rehabil Med, 2010, 42(1): 21-26.
53.	Shakeri H, Keshavarz R, Arab AM, et al. Clinical effectiveness of kinesiological taping on pain and pain-free shoulder range of motion in patients with shoulder impingement syndrome: a randomized, double blinded, placebo-controlled trial. Int J Sports Phys Ther, 2013, 8(6): 800-810.
54.	Langhorne P, Coupar F, Pollock A. Motor recovery after stroke: a systematic review. Lancet Neurol, 2009, 8(8): 741-754.

1. Khaku AS, Tadi P. Cerebrovascular disease. Treasure Island (FL): StatPearls Publishing, 2021.
2. Lerma Casta?o PR, Rodríguez Laiseca YA, Montealegre Suárez DP, et al. Effects of kinesiotaping combined with the motor relearning method on upper limb motor function in adults with hemiparesis after stroke. J Bodyw Mov Ther, 2020, 24(4): 546-553.
3. Gaitan M, Bainbridge L, Parkinson S, et al. Characteristics of the shoulder in patients following acute stroke: a case series. Top Stroke Rehabil, 2019, 26(4): 318-325.
4. Wanklyn P, Forster A, Young J. Hemiplegic shoulder pain (HSP): natural history and investigation of associated features. Disabil Rehabil, 1996, 18(10): 497-501.
5. Klit H, Finnerup NB, Overvad K, et al. Pain following stroke: a population-based follow-up study. PLoS One, 2011, 6(11): e27607.
6. Santos GL, Souza MB, Desloovere K, et al. Elastic tape improved shoulder joint position sense in chronic hemiparetic subjects: a randomized sham-controlled crossover study. PLoS One, 2017, 12(1): e0170368.
7. Myers JB, Lephart SM. The role of the sensorimotor system in the athletic shoulder. J Athl Train, 2000, 35(3): 351-363.
8. Huang YC, Leong CP, Tso HH, et al. The long-term effects of hyaluronic acid on hemiplegic shoulder pain and injury in stroke patients: a randomized controlled study. Medicine (Baltimore), 2018, 97(35): e12078.
9. Murie-Fernández M, Carmona Iragui M, Gnanakumar V, et al. Painful hemiplegic shoulder in stroke patients: causes and management. Neurologia, 2012, 27(4): 234-244.
10. Santos GLD, Silva ESMD, Desloovere K, et al. Effects of elastic tape on kinematic parameters during a functional task in chronic hemiparetic subjects: a randomized sham-controlled crossover trial. PLoS One, 2019, 14(1): e0211332.
11. Jaraczewska E, Long C. Kinesio taping in stroke: improving functional use of the upper extremity in hemiplegia. Top Stroke Rehabil, 2006, 13(3): 31-42.
12. Qafarizadeh F, Kalantari M, Ansari NN, et al. The effect of kinesiotaping on hand function in stroke patients: a pilot study. J Bodyw Mov Ther, 2018, 22(3): 829-831.
13. Pandian JD, Kaur P, Arora R, et al. Shoulder taping reduces injury and pain in stroke patients: randomized controlled trial. Neurology, 2013, 80(6): 528-532.
14. Williams S, Whatman C, Hume PA, et al. Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness. Sports Med, 2012, 42(2): 153-164.
15. Hochsprung A, Domínguez-Matito A, López-Hervás A, et al. Short- and medium-term effect of kinesio taping or electrical stimulation in hemiplegic shoulder pain prevention: a randomized controlled pilot trial. NeuroRehabilitation, 2017, 41(4): 801-810.
16. Grampurohit N, Pradhan S, Kartin D. Efficacy of adhesive taping as an adjunt to physical rehabilitation to influence outcomes post-stroke: a systematic review. Top Stroke Rehabil, 2015, 22(1): 72-82.
17. Celik D, Karaborklu Argut S, Coban O, et al. The clinical efficacy of kinesio taping in shoulder disorders: a systematic review and meta analysis. Clin Rehabil, 2020, 34(6): 723-740.
18. Dall'Agnol MS, Cechetti F. Kinesio taping associated with acupuncture in the treatment of the paretic upper limb after stroke. J Acupunct Meridian Stud, 2018, 11(2): 67-73.
19. Ghozy S, Dung NM, Morra ME, et al. Efficacy of kinesio taping in treatment of shoulder pain and disability: a systematic review and meta-analysis of randomised controlled trials. Physiotherapy, 2020, 107: 176-188.
20. Fugl-Meyer AR, J??sk? L, Leyman I, et al. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med, 1975, 7(1): 13-31.
21. Platz T, Pinkowski C, van Wijck F, et al. Reliability and validity of arm function assessment with standardized guidelines for the Fugl-Meyer test, action research arm test and box and block test: a multicentre study. Clin Rehabil, 2005, 19(4): 404-411.
22. 王玉龍, 高曉平, 李雪萍. 康復功能評定學(第三版). 北京: 人民衛生出版社, 2018: 427-429.
23. Cumpston M, Li T, Page MJ, et al. Updated guidance for trusted systematic reviews: a new edition of the Cochrane handbook for systematic reviews of interventions. Cochrane Database Syst Rev, 2019, 10: ED000142.
24. Huang YC, Leong CP, Wang L, et al. Effect of kinesiology taping on hemiplegic shoulder pain and functional outcomes in subacute stroke patients: a randomized controlled study. Eur J Phys Rehabil Med, 2016, 52(6): 774-781.
25. Huang YC, Chang KH, Liou TH, et al. Effects of Kinesio taping for stroke patients with hemiplegic shoulder pain: a double-blind, randomized, placebo-controlled study. J Rehabil Med, 2017, 49(3): 208-215.
26. Yang L, Yang J, He C. The Effect of kinesiology taping on the hemiplegic shoulder pain: a randomized controlled trial. J Healthc Eng, 2018, 2018: 8346432.
27. Huang YC, Chen PC, Tso HH, et al. Effects of kinesio taping on hemiplegic hand in patients with upper limb post-stroke spasticity: a randomized controlled pilot study. Eur J Phys Rehabil Med, 2019, 55(5): 551-557.
28. 秦宏, 馬丹, 羅峰, 等. 肌內效貼布治療腦卒中后肩手綜合征患者疼痛腫脹療效觀察. 中國運動醫學雜志, 2014, 33(12): 1149-1152, 1160.
29. 楊雅敬. 肌內效貼對腦卒中后上肢痙攣的療效. 中國康復理論與實踐, 2016, 22(9): 1045-1048.
30. 趙力生, 王建文. 肌內效貼對腦卒中偏癱患者肩關節半脫位的效果. 中國康復理論與實踐, 2017, 23(10): 1200-1202.
31. 施伯瀚, 厲坤鵬, 胡寅虎, 等. 肌內效貼對腦卒中患者肩關節半脫位后肩痛的療效觀察. 中國康復醫學雜志, 2018, 33(3): 310-314.
32. 李威, 李丹, 趙宜蓮, 等. 兩種肌內效貼貼扎方法對腦卒中后偏癱痙攣期患者肩痛的效果. 中國康復理論與實踐, 2018, 24(2): 184-190.
33. 金海蓮, 程敏, 李義召, 等. 口服芬必得結合肌內效貼對腦卒中后肩痛患者康復訓練效果的影響. 中國康復醫學雜志, 2018, 33(9): 1105-1107.
34. 朱韞鈺, 蔣超, 羅菁, 等. 肌內效貼結合康復訓練治療腦卒中后肩手綜合征的療效觀察. 中華物理醫學與康復雜志, 2019, 41(8): 588-590.
35. 劉陽, 李建華, 陶靜琰, 等. 運動貼布聯合徒手淋巴引流術對腦卒中后肩手綜合征及上肢功能療效觀察. 中國康復醫學雜志, 2019, 34(9): 1094-1096.
36. 朱韞鈺, 蔣超, 羅菁, 等. 肌內效貼聯合經皮神經電刺激治療腦卒中后Ⅰ期肩手綜合征的療效觀察. 中華物理醫學與康復雜志, 2020, 42(5): 437-439.
37. Wang M, Pei ZW, Xiong BD, et al. Use of Kinesio taping in lower-extremity rehabilitation of post-stroke patients: a systematic review and meta-analysis. Complement Ther Clin Pract, 2019, 35: 22-32.
38. Ortiz-Ramirez J, Perez-De la Cruz S. Efficacy of the application of kinesio tape in patients with stroke. Rev Neurol, 2017, 64(4): 175-179.
39. Kalron A, Bar-Sela S. A systematic review of the effectiveness of Kinesio taping-fact or fashion? Eur J Phys Rehabil Med, 2013, 49(5): 699-709.
40. Mostafavifar M, Wertz J, Borchers J. A systematic review of the effectiveness of kinesio taping for musculoskeletal injury. Phys Sportsmed, 2012, 40(4): 33-40.
41. Morris D, Jones D, Ryan H, et al. The clinical effects of Kinesio? Tex taping: a systematic review. Physiother Theory Pract, 2013, 29(4): 259-270.
42. Kim EB, Kim YD. Effects of kinesiology taping on the upper-extremity function and activities of daily living in patients with hemiplegia. J Phys Ther Sci, 2015, 27(5): 1455-1457.
43. 劉坤, 瞿強, 闞世鋒. 肌內效貼在中樞神經系統損傷康復中的應用現狀. 廣西醫學, 2020, 42(2): 194-197.
44. Heo MY, Kim CY, Nam CW. Influence of the application of inelastic taping on shoulder subluxation and pain changes in acute stroke patients. J Phys Ther Sci, 2015, 27(11): 3393-3395.
45. Kwon SS. The effects of the taping therapy on range of motion, pain and depression in stroke patient. Taehan Kanho Hakhoe Chi, 2003, 33(5): 651-658.
46. Kneeshaw D. Shoulder taping in the clinical setting. J Bodyw Mov Ther, 2002, 6(1): 2-8.
47. Thelen MD, Dauber JA, Stoneman PD. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. J Orthop Sports Phys Ther, 2008, 38(7): 389-395.
48. Kaltenborn JM, Kahanov L. Kinesio taping, Part 1: An overview of its use in athletes. Athl Ther Tod, 2007, 12(3): 17-18.
49. Kalichman L, Frenkel-Toledo S, Vered E, et al. Effect of kinesio tape application on hemiplegic shoulder pain and motor ability: a pilot study. Int J Rehabil Res, 2016, 39(3): 272-276.
50. Nuzzo R. Scientific method: statistical errors. Nature, 2014, 506(7487): 150-152.
51. Pillastrini P, Rocchi G, Deserri D, et al. Effectiveness of neuromuscular taping on painful hemiplegic shoulder: a randomised clinical trial. Disabil Rehabil, 2016, 38(16): 1603-1609.
52. Huang YC, Liang PJ, Pong YP, et al. Physical findings and sonography of hemiplegic shoulder in patients after acute stroke during rehabilitation. J Rehabil Med, 2010, 42(1): 21-26.
53. Shakeri H, Keshavarz R, Arab AM, et al. Clinical effectiveness of kinesiological taping on pain and pain-free shoulder range of motion in patients with shoulder impingement syndrome: a randomized, double blinded, placebo-controlled trial. Int J Sports Phys Ther, 2013, 8(6): 800-810.
54. Langhorne P, Coupar F, Pollock A. Motor recovery after stroke: a systematic review. Lancet Neurol, 2009, 8(8): 741-754.

Chinese Journal of Evidence-Based Medicine

Efficacy of Kinesio taping on the functional recovery of the upper extremity in stroke patients: a meta-analysis

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