Tape on Measurements of Balance in Subjects with Chronic Ankle Instability: a
Randomized Clinical Trial
López-Román A, Fernández-Carnero
J. Arch Of Phys Med And Rehab. 2015, doi: 10.1016/j.apmr.2015.06.022.
individuals with chronic ankle instability, Kinesiology Tape did not improve
balance better than a placebo taping.
injuries to occur in physically active individuals. After an ankle sprain, a person
may develop chronic ankle instability (CAI), and when that happens a person’s
proprioception is reduced leading to balance issues. The authors of this
randomized trial examined the effects of kinesiology tape (KT) on balance among
individuals with CAI using Computerized Dynamic Posturography and Sensory Organization Test. Thirty-six
patients completed the Cumberland Ankle Instability Test (CAIT) to
measure the severity of chronic ankle instability. Thirty volunteers (~18-20
years old) participated in this study due to having CAIT scores less than 27,
representing more ankle instability. The authors randomly assigned each
participant to the KT or control group. The control group was taped with Pretape,
while the KT group (Taping Method for KT)
was taped with KT. The authors tested balance with both groups using the Computerized
Dynamic Posturography and Sensory Organization Test before tape application,
immediately after tape application, and after seven days of use. After tape
application and seven days of use, both groups improved balance but the KT
group was not better than the control group.
immediate and prolonged effects of KT on patients with CAI. Individuals with
CAI have decreased neuromuscular control and altered proprioceptive sense in
their ankle. Previous researchers have indicated that KT and placebo tape can perhaps
enhance position sense through a heightened afferent sensory feedback from the
skin receptors, which may clarify the improvements noticed in both groups.
However, it is unclear if the improvement found in both groups is just a
practice effect, where the participants improved over time because they had
more chances to become more proficient at the task. Previous studies have also
shown that KT application typically fails to improve balance. However, taping
may help increase the patient’s confidence and perception of security and
stability while performing balance tests. With these findings we can suggest
that if the clinician wants to improve balance in patients with CAI, it might
be cheaper to develop a balance training program with the patient and use
pretape to provide sensory feedback, rather than using the KT tape.
Discussion: When and how would you use KT taping? Do you think Kinesiology tape
improves proprioception and balance?
de-la-Torre-Domingo, C., Alguacil-Diego, I., Molina-Rueda, F., López-Román, A., & Fernández-Carnero, J. (2015). Effect of Kinesiology Tape on Measurements of Balance in Subjects With Chronic Ankle Instability: A Randomized Controlled Trial Archives of Physical Medicine and Rehabilitation, 96 (12), 2169-2175 DOI: 10.1016/j.apmr.2015.06.022