Kinesiology tape

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Kinesiological tape (or physio tape ) is an elastic, textile , colored adhesive tape which is used in alternative medicine and competitive sports. It is applied to the skin using special techniques ("taping") and is intended to have health-promoting effects. Its effectiveness has not been scientifically confirmed.

history

In 1973 the Japanese chiropractor Kenzo Kase developed the method and, in cooperation with the Nitto Denko Corporation, the associated tape.

In the case of sports injuries , the focus should not be on immobilizing the joints, but on mobilizing the musculoskeletal system . The sustainability of manual treatment should be increased and side effects of chiropractic treatment should be reduced. Users point out that controlled, moderate exercise can promote the healing process in certain injuries.

Since the late 1980s, Japanese and Korean athletes have been using the "colorful plasters". At the 2008 Olympic Games in Beijing, some athletes competed with kinesiological tapes. Western media took up the topic. The topic was also taken up in public broadcasting .

Today, manufacturers and users offer taping variants for problems in the areas of sports physiotherapy , sports traumatology , pain therapy , orthopedics , lymphology , neurology , fascia therapy and much more. Manufacturer names are for example Medi-Taping , Pain Relief Technique ( BSN medical ), Aku-Taping , Pinotaping , Dolo-Taping , and Flexotaping . There is a large number of training courses and seminars for doctors, physiotherapists and occupational therapists. Some products are marketed to laypeople for self-taping.

material

The material properties should ensure functional movements (free range of motion) and enable free training, in contrast to the conventional, inelastic bandage that is used for compression , splinting and augmentation .

The textile is applied to the carrier film (paper backing) with a ten percent stretch; it is cotton fabric with elastane threads, viscose , or synthetic. The elasticity of the tapes is usually stated as "stretchable to 130 to 140%" of the original length. Individual providers point to an elasticity of up to 180%. The tapes are primarily lengthways, but also diagonally elastic. This allows the tape to follow the joint movements. The elasticity properties should be similar to those of human skin. Acrylate adhesive is applied in waves to the carrier material, which is activated by body heat and rubbing. The tape is air and moisture permeable. It is water-resistant and sticks while showering, swimming and with increased perspiration. It stays on the skin for up to seven days. The trade sells tape rolls and pre-cut pieces (“pre-cuts”).

application

The users use taping against back pain , strains , fiber tears , atrophies , imbalances , shoulder impingement syndrome , shoulder instabilities, supraspinatus tendon syndrome, condition after shoulder dislocations , ligament injuries , instabilities, osteoarthritis , tendinitis , achillodynia , epicondylitis , patellar tendinitis . Ä. a. The same applies to non-orthopedic problems such as headaches , neuropathies , multiple sclerosis , lymphedema , and ascites .

The Kenzo Kase method begins with an examination of the cervical and thoracic spine, abdominal wall tension, hip mobility and extremities. For the selection of the taping technique, the surface tension (skin and fascia ), the pain picture, the quality and quantity of movement and vegetative symptoms should be recorded. These are not the usual medical and physiotherapeutic examination techniques.

Now tape cuts of different shapes are necessary: ​​so-called I, Y, X reins, and compartments. In the case of acutely overloaded muscles, glue is applied from the base to the origin to detonate . In the case of weak muscles, or if increased contraction is desired (for toning), glue is applied from the origin to the insertion . There are also adhesive techniques for the fascia ("Fascia Correction", "Space Correction"), tendons and ligaments ("Ligament / Tendon Correction"), scars , functional correction techniques ("Mechanical Correction", "Functional Correction"), techniques for the Lymph (original method: "Lymphatic Correction"), nerves, and for the internal organs.

The kinesio tape is available in many bright colors. According to Kenzo Kase, red tape absorbs more light and increases the temperature of the fabric; blue tape is supposed to lower it. Other providers want to "withdraw energy" with blue tape and treat acute injuries, stimulate with red tape and improve chronic diseases. Beige is chosen when a "lymphatic massage" and not an "energetic treatment" is desired. Yellow is said to lighten and calm the mood, increase general well-being and support the immune system.

Patients expect better muscle tension, muscle function, and joint function , pain reduction, and tissue relief. In addition, improvement of the microcirculation and lymph drainage, overall self-healing power . This is supposed to be conveyed by stimulating the extrinsic receptors (e.g. for heat and pain) and intrinsic ( proprioceptive ) receptors of the skin. According to alternative medical concepts, meridians and acupuncture points should be influenced and the visceral system massaged.

Contraindications and side effects

Allergic reactions and skin irritation are common side effects. The tape must not be used if you are allergic to polyacrylate adhesive ("plaster allergy"). It should also not be stuck to diseased skin (e.g. fungal infections, erythema , erysipelas ).

Study situation

Despite increasing distribution, there is no evidence of effectiveness or the alleged mechanisms of action.

Almost all of the studies available are of poor quality and hardly conclusive. The majority of these are small series or individual case reports, and the larger case series are usually examined without negative controls or randomization . The study situation is still best for sports injuries. A literature review from the perspective of manual medicine showed sufficient evidence for pain reduction and improved muscle function. However, other meta-analyzes come to the conclusion that no stable effect can be proven.

In Germany, kinesiological taping is not covered by health insurances due to the lack of proof of effectiveness . However, individual health insurance companies contribute to the costs.

literature

  • K. Kase, J. Wallis, T. Kase: Clinical Therapeutic Applications of the Kinesio Taping Method. Albuquerque, New Mexico, USA 2003.
  • K. Kase: Illustrated Kinesio Taping. KEN'I KAI INFORMATION, Third Edition, Albuquerque, New Mexico, USA 2000, ISBN 1-880047-24-1 .
  • Kinesio Taping Association: Kinesio Taping® Upper Extremity Workbook (1). 2nd Edition. Tokyo, Japan 2005.
  • Kinesio Taping Association: Kinesio Taping® Lower Extremity Workbook (2). 3. Edition. Tokyo, Japan 2006.
  • H. Mommsen, K. Eder, U. Brandenburg: Leukotape K - pain therapy and lymph therapy according to Japanese tradition. Spitta Verlag, Balingen 2008, ISBN 978-3-938509-16-6 .
  • D. Sielmann, I. Hammelmann: Medi-Taping in Sport. Karl F. Haug Verlag, Stuttgart 2008, ISBN 978-3-8304-2269-3 .
  • KJ Groth, R.-E. Gericke: Just stick the pain away - the innovative therapy with the Kinesio tapes. FA Herbig Verlagbuchhandlung, Munich 2005, ISBN 3-7766-2437-X .
  • HU Hecker, K. Liebchen: Aku-Taping - gentle against pain. Haug Verlag, Stuttgart 2005, ISBN 3-8304-2212-1 .
  • B. Kumbrink: K-Taping: A practical handbook Basics, application techniques , indications. Springer Medizin Verlag, Heidelberg 2009, ISBN 978-3-540-72439-1 .
  • N. Lutter, E. Reichardt: Dolo-Taping: The gentle way of pain therapy - medical text and workbook. Aurum Verlag, Bielefeld 2008, ISBN 978-3-89901-127-2 .

Web links

Commons : Kinesio taping  - collection of pictures, videos and audio files

Individual evidence

  1. ↑ U. Aussem, S. Breitenbach: Taping with great potential in surgery. In: Passion for surgery. 1 (5/6), May / June 2011, Article 03_02. BDC Online from October 16, 2017.
  2. ^ JA Buckwalter: Effects of early motion on healing of musculoskeletal tissues. In: Hand Clin. 12 (1), Feb 1996, pp. 13-24.
  3. ↑ JA Buckwalter: Activity vs. rest in the treatment of bone, soft tissue and joint injuries. In: The Iowa orthopedic journal. Volume 15, 1995, pp. 29-42, PMID 7634042 , PMC 2329066 (free full text) (review).
  4. ↑ D. Ulrich: How does the use of classic tape and kinesio tape affect the stability of the ankle? Zurich University of Applied Sciences, Department of Health Physiotherapy 2006, submitted: June 19, 2009 Bachelor thesis
  5. ↑ Jürgen Bröker: Alternative treatment - colorful stripes against pain. In: Spiegel online . April 4, 2006, accessed November 30, 2019 .
  6. ↑ Werner Bartens : Kinesio tape at Mario Balotelli - lucky glue instead of salvation. In: sueddeutsche.de . July 1, 2012, accessed December 5, 2019.
  7. ↑ Kinesio tapes: The blue striped Super Mario. In: Spiegel online. June 30, 2012, accessed April 14, 2015.
  8. ↑ Kinesio-Tapes: Colored plasters conquer the Olympia, Summer Games London 2012. In: Augsburger Allgemeine. August 2, 2012: 30 to 40 percent of all athletes use it here
  9. ↑ Björn Platz: The bandages of the future - do sports without pain? Accompanying entry to the television broadcast. In: daserste.de. August 28, 2013, archived from the original on April 6, 2017 ; accessed on April 27, 2019 .
  10. ↑ How effective are kinesio tapes? on: ndr.de
  11. ↑ Be flexible and tape yourself! ( Memento from April 17, 2015 in the Internet Archive ) on: Selbst-tapen.de
  12. ↑ J. Asmussen, PD Monday: Taping Seminar - A textbook and exercise book for functional associations on the musculoskeletal system, their mode of action, areas of application and the recommended dressing technique. Spitta Verlag, Balingen 2003.
  13. ↑ a b Kinesio Tape: unfounded hype surrounding colorful tape medizin-transparent.at Medizin-Transparent.at, accessed on April 29, 2015.
  14. ↑ A. Yasukawa, P. Patel, C. Sisung: Pilot study: Investigating the effects of Kinesio Taping® in an acute pediatric rehabilitation setting. In: American Journal of Occupational Therapy. Vol. 60, 2006, pp. 104-110.
  15. ↑ Koss J, Munz J: What is the current state of evidence and knowledge about the effectiveness of medical taping with regard to circulation, muscle function, correction, pain and proprioception? Manual Therapy 2012; 16 (03): 138-149, doi : 10.1055 / s-0032-1322427
  16. ↑ S. Williams, C. Whatman, PA Hume, K. Sheerin: Kinesio Taping in Treatment and Prevention of Sports Injuries: A Meta-Analysis of the Evidence for its effectiveness. In: Sports Med. 42 (2), Feb. 1, 2012, pp. 153-164.
  17. ↑ M. Mostafavifar, J. Wertz, J. Borchers: A systematic review of the effectiveness of kinesio taping for musculoskeletal injury. In: Phys Sportsmed. 40 (4), Nov 2012, pp. 33-40.
  18. ↑ Richard F. Ellis: The use and treatment efficacy of kinesthetic taping for musculoskeletal conditions: a systematic review. In: New Zealand Journal of. 38.2, 1980, p. 56.
  19. ↑ P. d. Parreira, L. d. Costa et al. a .: Current evidence does not support the use of Kinesio Taping in clinical practice: a systematic review. In: Journal of physiotherapy. Volume 60, number 1, March 2014, pp. 31-39, doi : 10.1016 / j.jphys.2013.12.008 , PMID 24856938 (review).
  20. ^ IA Muñoz-Barrenechea, MA Garrido-Beroíza u. a .: [A systematic review of the functional effectiveness of kinesiotaping in individuals with ankle instability]. In: Medwave. Volume 19, number 4, May 2019, p. E7635, doi : 10.5867 / medwave.2019.04.7635 , PMID 31150374 .
  21. ↑ EC Lim, MG Tay: Kinesio taping in musculoskeletal pain and disability that lasts for more than 4 weeks: is it time to peel off the tape and throw it out with the sweat? A systematic review with meta-analysis focused on pain and also methods of tape application. In: British Journal of Sports Medicine. 2015. doi: 10.1136 / bjsports-2014-094151 . PMID 25595290 .
  22. ↑ Kinesio tape: a plaster for more mobility. DAK website, accessed November 28, 2019