Kinesiotape and quadriceps strengthening with elastic band in women with knee osteoarthritis and overweight or obesity. A randomized clinical trial / Vendaje kinesiológico y fortalecimiento de cuádriceps con banda elástica en mujeres con osteoartritis de rodilla y sobrepeso u obesidad. Ensayo clínico aleatorizado

BACKGROUND: The beneficial effects of exercise in the treatment of Osteoarthritis (OA) of the knee have been verified in several studies. Kinesiotaping (KT) has been popularized due to its reducing local pressure and increasing circulation, resulting in decreased pain. OBJECTIVE: Determine the clinical effectiveness of strengthening therapy with KT in women with knee OA for pain reduction. METHODS: Thirty two women with knee OA, aged 50-70 years, with overweight or obesity grade I, who were randomized into two groups: one with exercise and KT, and the other, with exercise and placebo technique. Both groups performed stretching and quadriceps strengthening exercise with the elastic band 3 days weekly for 6 weeks. Measurement of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale was taken as primary outcome. Stiffness and functionality of the same index and the Visual Analog Scale (VAS) for pain intensity were measured. RESULTS: At the end of the study, there were no significant differences between the groups. Both groups had a difference of 2.7 points with respect to the baseline measurement, change percentage of 32.2% and 31.1% for placebo and experimental respectively (p = 0.2). CONCLUSIONS: KT plus quadriceps strengthening exercise does not offer advantages for improvement of pain compared with quadriceps strengthening exercise alone in knee OA

ANTECEDENTES: Los efectos benéficos del ejercicio en el tratamiento de la osteoartritis (OA) de rodilla han sido verificados en varios estudios. El vendaje kinesiológico o kinesiotaping (KT) se ha popularizado debido a la reducción de la presión local y el aumento de la circulación, lo que resulta en disminución del dolor. OBJETIVO: Determinar la efectividad clínica de la terapia de fortalecimiento en conjunto con el uso de KT en mujeres con OA de rodilla para la reducción del dolor. MÉTODOS: Participaron 32 mujeres con OA de rodilla, con edades comprendidas entre 50 y 70 años, sobrepeso u obesidad grado I, que fueron asignadas al azar en 2 grupos: uno con ejercicio y KT y otro con ejercicio y vendaje placebo. Ambos grupos realizaron ejercicios de estiramiento y fortalecimiento de los cuádriceps con banda elástica 3 días semanales durante 6 semanas. El desenlace primario fue medido con la subescala del dolor del Western Ontario y McMaster Universities Osteoarthritis Index (WOMAC). Se midieron la rigidez y la funcionalidad del mismo índice y la escala analógica visual (VAS) para la intensidad del dolor. RESULTADOS: Al final del estudio, no hubo diferencias significativas entre los grupos. Ambos grupos tuvieron una diferencia de 2,7 puntos respecto a la medición basal, porcentaje de cambio del 32,2 y 31,1% para placebo y experimental, respectivamente (p = 0,2). CONCLUSIONES: El KT en conjunto con el ejercicio de fortalecimiento no ofrece ventajas para mejorar el dolor en comparación solo con el ejercicio de fortalecimiento en la OA de rodilla

Kinesiotape and quadriceps strengthening with elastic band in women with knee osteoarthritis and overweight or obesity. A randomized clinical trial.

BACKGROUND: The beneficial effects of exercise in the treatment of Osteoarthritis (OA) of the knee have been verified in several studies. Kinesiotaping (KT) has been popularized due to its reducing local pressure and increasing circulation, resulting in decreased pain. OBJECTIVE: Determine the clinical effectiveness of strengthening therapy with KT in women with knee OA for pain reduction. METHODS: Thirty two women with knee OA, aged 50-70 years, with overweight or obesity grade I, who were randomized into two groups: one with exercise and KT, and the other, with exercise and placebo technique. Both groups performed stretching and quadriceps strengthening exercise with the elastic band 3 days weekly for 6 weeks. Measurement of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale was taken as primary outcome. Stiffness and functionality of the same index and the Visual Analog Scale (VAS) for pain intensity were measured. RESULTS: At the end of the study, there were no significant differences between the groups. Both groups had a difference of 2.7 points with respect to the baseline measurement, change percentage of 32.2% and 31.1% for placebo and experimental respectively (p=0.2). CONCLUSIONS: KT plus quadriceps strengthening exercise does not offer advantages for improvement of pain compared with quadriceps strengthening exercise alone in knee OA.