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Application of kinesiology taping for pain management in oncologic patients Cover

Application of kinesiology taping for pain management in oncologic patients

Open Access
|Apr 2020

Figures & Tables

Fig. 1.

Applications used in the study group by Conejo et al. recreated by the authors on a model: A. Application for a carpal tunnel syndrome; B. Application for the pain in cervical spine and neck; C. Application for lumbar spine

Fig. 2.

Applications used in the study group by Imperatori et al. recreated by the authors on a model: A. Application used for the trigger point and the diaphragm; B. Application for the deltoid muscle

Fig. 3.

Application used by the author for a thoracotomy related scar observed in the ZP patient

Summary of the studies included in the analysis after reviewing the available literature

StudyStudy typeStudy groupProblem descriptionInterventionEffects of the interventionP
Conejo etal. [27]Randomised controlled trial with a placebo groupGroup: 40 W1 Age: 50-82 (av. age 66.3 y) Diagnosis: breast cancer during the Ais therapyPain in the carpal tunnelApplication (CureTape, Fysiotape BV Netherlands): – X shape application, middle crossing point on the palmar wrist area; short anchors on the little finger hypothenar region and thenar eminence of the thumb; after elbow extension forearm supination and hand dorsiflexion – tape applied with the functional strips along the muscle and to the medial epicondyle of the humerus– I shape application, wrist in a neutral position, base of the application without tension, anchored on the dorsal side of the ulna, 50% tensionAfter 5 week intervention authors observed an improvement in the overall health status (67.5 vs 76.7 global health status/QoL in the study group) reduction in pain (6.1 vs 4.9 in VAS in the study group and 29.16 vs 19.99 on the questionnaire) and decrease in fatigue from 26.6 to 21.6.Global health status/QoL (p=0.005)Pain:
  • VAS (p = 0.009)

  • questionnaire (p = 0.04)

Fatigue (p = 0.01)
Pain and morning stiffness in the L-S spineApplication (CiireTape, Fysiotape BV Netherlands):.
  • two I strips, with a base on the sacrum (S1) patient with a flexed spine, paraspinal application placed paravertebrally along the iliocostalis muscle on both sides of the spine, in the direction of the cranium, no tension.

Pain and morning stiffness in the C spineApplication (CiireTape, Fysiotape BV Netherlands):
  • Y shape application, patient with a mild cervical flexion, base of the tape at the upper Th spine (Th1-Th2), strips applied toward cranial on both sides of the C spine, no tensio

  • two I shape tapes (one a side), base from the head of the humerus, upper limb adducted, application on supraspinatus muscle, end at the medial edge of scapula, no tensio

Imperatori etal. [28]Prospective randomised controlled trial with a placebo groupGroup: 92 W1+M2 Age: 18-85 y Diagnosis: lung cancerSurgery related chest pain after a lobectomyApplication (Kinesio Tex Gold):
  • ‘Star’ shape application for the chest trigger point with 25-50% tension in the middle of the tape,

  • Y shape application on the deltoid muscle, base without tension at the deltoid tuberosity, strips with 15% tension along the muscle medial and lateral side

  • I shape application placed horizontally on the lower anterior chest along the diaphragm.

After the application patients reported: less frequent chest pain, reduction in pain intensity, (↓ 1 in VAS) after 5th and 8th day from the surgery and lest frequent chest pain on posmiddelerative 30th day (7 vs 24%).Pain:
  • 5 day (p < 0.01)

  • 8 day (p < 0.05)

  • 30 day (p = 0.03)

Banerjee et al. [29]Case studyWoman Age: 46 y Diagnosis: breast cancer with metastasisPain sensation after a spine surgery (Th8 fracture); “tearing’, “searing’ accompanied by stiffness in the mid-trapezius regionApplication (Tiger K Tape):
  • three I shape tapes with a 20% tension applied directly over the painful region from superior to inferior direction over the shoulder girdle and upper back, patient in a sitting position with a mild cervicothoracic flexion, arm hanging forward.

After 7 days from the application – 50% decrease in pain intensity and reduced tearing and searing sensations by 85%. Pain episodes were weaker and less frequent.
Banerjee et al. [30]Case studyWoman Age: early 40s Diagnosis: breast cancer with metastasis (bone, liver, lungs)Chest pain accompanied by breathlessness, oedema, vertebral compression fractures in C and Th spine.Pain located in the L-S spine regionSevere nausea, abdominal bloating and oedema in the liver region.Lymphatic application:
  • tape with thin stripes (fans), application placed on a chest during the inspiration phase of the breathing cycle with 10-20% tension, base without tension in the vicinity of axillary lymph nodes.

Analgesic application:
  • Y shape strip along the spine applied cranially with a base on the sacrum (S1).

Lymphatic application:
  • tape with thin stripes (fans) over the patient liver region with 10-20% tension.

Reduction of chest pain, no noticeable change in pain intensity in lower back region. Decrease in breathlessness from moderate to mild. Smaller nausea, facilitated consumption of liquids and food.
Pyszora et al. [31]Case studiesMan Age: 80 y Diagnosis: lung cancerPain in the C spine and shoulder area. Most intense in the high cervical region of the paraspinal muscles, the suprascapular and acromion area on the right side of the body.Application was preceded by – INIT (integrated neuromuscular inhibition technique) a soft tissue technique used on a trapezius muscle trigger point. KT was used as a supporting technique in a form of a “star’ shaped application placed directly over the painful myofascial trigger point of the trapezius muscle.A reduction in pain was observed resulting in increased patient activity
Woman Age: 62 y Diagnosis: multiple myelomaBone pain, located mostly in the spine as a result of vertebral fractures (Th4-5), abdomen pain as a result of constipation.In order to reduce muscle tension the myofascial release technique (MFR) was used on of the rectus abdominis, pyramidalis, abdominal obliques and transversus abdominis. Four Y shape tapes were used in a form of spiral application for intestines aimed to minimize the constipation problem and to release the tightness in the abdomen. Additionally the family was instructed to perform abdomen massages 2x/day.Decrease in muscle tone of the abdomen muscles following the reduction of abdominal pain. Increased ability to carry out daily activities by the patient.
Woman Age: 77 y Diagnosis: breast cancerSevere pain sensation in the knee and ankle joints after tibial fracture stabilizing surgery as a result of a metastasis.Application:
  • fascial – with the use of two Y shape tapes on a knee joint in order to reduce skin tension and muscle tone,

  • lymphatic over the knee joint with thin stipes (fans). Additionally a post-isometric relaxation was performed for the muscles surrounding ankle joint.

Oedema and pain reduction resulting in the improvement of patients locomotory skills as well as increased activity and independence in daily life (simple housework).
Language: English
Page range: 32 - 41
Submitted on: Feb 5, 2020
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Accepted on: Mar 17, 2020
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Published on: Apr 18, 2020
In partnership with: Paradigm Publishing Services

© 2020 Jarosław Amarowicz, Maja Warzecha, published by University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License.