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 Castaño 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, Jääskö 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.	王玉龙, 高晓平, 李雪萍. 康复功能评定学(第三版). 北京: 人民卫生出版社, 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, 马丹, 罗峰, 等. 肌内效贴布治疗脑卒中后肩手综合征患者疼痛肿胀疗效观察. 中国运动医学杂志, 2014, 33(12): 1149-1152, 1160.
29.	杨雅敬. 肌内效贴对脑卒中后上肢痉挛的疗效. 中国康复理论与实践, 2016, 22(9): 1045-1048.
30.	赵力生, 王建文. 肌内效贴对脑卒中偏瘫患者肩关节半脱位的效果. 中国康复理论与实践, 2017, 23(10): 1200-1202.
31.	施伯瀚, 厉坤鹏, 胡寅虎, 等. 肌内效贴对脑卒中患者肩关节半脱位后肩痛的疗效观察. 中国康复医学杂志, 2018, 33(3): 310-314.
32.	李威, 李丹, 赵宜莲, 等. 两种肌内效贴贴扎方法对脑卒中后偏瘫痉挛期患者肩痛的效果. 中国康复理论与实践, 2018, 24(2): 184-190.
33.	金海莲, 程敏, 李义召, 等. 口服芬必得结合肌内效贴对脑卒中后肩痛患者康复训练效果的影响. 中国康复医学杂志, 2018, 33(9): 1105-1107.
34.	朱韫钰, 蒋超, 罗菁, 等. 肌内效贴结合康复训练治疗脑卒中后肩手综合征的疗效观察. 中华物理医学与康复杂志, 2019, 41(8): 588-590.
35.	刘阳, 李建华, 陶静琰, 等. 运动贴布联合徒手淋巴引流术对脑卒中后肩手综合征及上肢功能疗效观察. 中国康复医学杂志, 2019, 34(9): 1094-1096.
36.	朱韫钰, 蒋超, 罗菁, 等. 肌内效贴联合经皮神经电刺激治疗脑卒中后Ⅰ期肩手综合征的疗效观察. 中华物理医学与康复杂志, 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.	刘坤, 瞿强, 阚世锋. 肌内效贴在中枢神经系统损伤康复中的应用现状. 广西医学, 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 Castaño 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, Jääskö 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. 王玉龙, 高晓平, 李雪萍. 康复功能评定学(第三版). 北京: 人民卫生出版社, 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, 马丹, 罗峰, 等. 肌内效贴布治疗脑卒中后肩手综合征患者疼痛肿胀疗效观察. 中国运动医学杂志, 2014, 33(12): 1149-1152, 1160.
29. 杨雅敬. 肌内效贴对脑卒中后上肢痉挛的疗效. 中国康复理论与实践, 2016, 22(9): 1045-1048.
30. 赵力生, 王建文. 肌内效贴对脑卒中偏瘫患者肩关节半脱位的效果. 中国康复理论与实践, 2017, 23(10): 1200-1202.
31. 施伯瀚, 厉坤鹏, 胡寅虎, 等. 肌内效贴对脑卒中患者肩关节半脱位后肩痛的疗效观察. 中国康复医学杂志, 2018, 33(3): 310-314.
32. 李威, 李丹, 赵宜莲, 等. 两种肌内效贴贴扎方法对脑卒中后偏瘫痉挛期患者肩痛的效果. 中国康复理论与实践, 2018, 24(2): 184-190.
33. 金海莲, 程敏, 李义召, 等. 口服芬必得结合肌内效贴对脑卒中后肩痛患者康复训练效果的影响. 中国康复医学杂志, 2018, 33(9): 1105-1107.
34. 朱韫钰, 蒋超, 罗菁, 等. 肌内效贴结合康复训练治疗脑卒中后肩手综合征的疗效观察. 中华物理医学与康复杂志, 2019, 41(8): 588-590.
35. 刘阳, 李建华, 陶静琰, 等. 运动贴布联合徒手淋巴引流术对脑卒中后肩手综合征及上肢功能疗效观察. 中国康复医学杂志, 2019, 34(9): 1094-1096.
36. 朱韫钰, 蒋超, 罗菁, 等. 肌内效贴联合经皮神经电刺激治疗脑卒中后Ⅰ期肩手综合征的疗效观察. 中华物理医学与康复杂志, 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. 刘坤, 瞿强, 阚世锋. 肌内效贴在中枢神经系统损伤康复中的应用现状. 广西医学, 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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