Comparative Effects of Wearing Knee Support Brace and Kinesiotaping on Pain, Physical Activity Level and Kinesiophobia in Patients with Knee Osteoarthritis

Main Article Content

Arooj Iftikhar
Zain ul Abbas
Saima Jabbar
Zaaira Jaan
M Soban Afzal
Mahnoor Liaqat

Abstract

Background: Osteoarthritis (OA), primarily affecting knees, hips, and hands, is the most prevalent form of arthritis, with knee OA being a significant cause of disability in older individuals. It poses a substantial burden on personal health and healthcare systems, characterized by symptoms like joint pain, restricted motion, and muscle weakness.


Objective: This study aimed to compare the effectiveness of knee support braces and kinesiotaping in managing symptoms of knee OA, focusing on pain reduction, physical activity enhancement, and kinesiophobia mitigation.


Methods: Conducted at the University of Lahore Teaching Hospital from December 2022 to July 2023, this randomized controlled trial enrolled individuals aged 45-60 years with grade II-III medial compartment knee OA. Participants were purposively sampled and randomly allocated into two groups: the knee brace group and the kinesiotaping group. Data collection involved the Visual Analogue Scale (VAS) for pain, the International Physical Activity Questionnaire Short-Form (IPAQ-SF) for physical activity level, and the Tampa Scale of Kinesiophobia (TSK) for measuring kinesiophobia. Interventions included a three-month rehabilitation program with either knee braces or kinesiotaping, supplemented with a home exercise program. Statistical analysis was performed using SPSS version 25, employing parametric tests like independent sample t-tests and repeated measures ANOVA.


Results: The study comprised 96 participants, with a mean age distribution across groups ranging from 45 to 60 years. At baseline, pain scores were comparable between groups. However, significant reductions in pain scores were noted in the kinesiotaping group at the 4th (mean difference = 0.39, p = 0.001), 8th (mean difference = 0.39, p = 0.001), and 12th weeks (mean difference = 0.71, p = 0.000). Physical activity levels, as per IPAQ-SF, also showed significant improvements in the kinesiotaping group at the 4th, 8th, and 12th weeks. Kinesiophobia levels, measured by TSK, decreased significantly in the kinesiotaping group over the study period.


Conclusion: Kinesiotaping was found to be more effective than knee braces in reducing pain, enhancing physical activity levels, and decreasing kinesiophobia in patients with knee OA. These findings suggest that kinesiotaping could be a preferred non-surgical intervention in the management of knee OA symptoms.

Article Details

How to Cite
Iftikhar, A., Abbas, Z. ul, Jabbar, S., Jaan, Z., Afzal, M. S., & Liaqat, M. (2024). Comparative Effects of Wearing Knee Support Brace and Kinesiotaping on Pain, Physical Activity Level and Kinesiophobia in Patients with Knee Osteoarthritis. Journal of Health and Rehabilitation Research, 4(1), 102–108. https://doi.org/10.61919/jhrr.v4i1.303
Section
Articles
Author Biographies

Arooj Iftikhar, The University of Lahore

MS Scholar, University Institute of Physical Therapy

Zain ul Abbas, The University of Lahore

Assistant Professor, Sehat Medical Complex 

Saima Jabbar, Jinnah Hospital Lahore

Physiotherapist

Zaaira Jaan, Federal Institute of Health Sciences Lahore

Principal

Mahnoor Liaqat, The University of Lahore

MS-MSK, University Institute of Physical Therapy

References

Törmälehto S, Mononen ME, Aarnio E, Arokoski J, Korhonen RK, Martikainen J. Health-related quality of life in relation to symptomatic and radiographic definitions of knee osteoarthritis: data from Osteoarthritis Initiative (OAI) 4-year follow-up study. Health and quality of life outcomes. 2018;16(1):1-12.

Lespasio MJ, Piuzzi NS, Husni ME, Muschler GF, Guarino A, Mont MA. Knee osteoarthritis: a primer. The Permanente Journal. 2017;21.

Georgiev T, Angelov AK. Modifiable risk factors in knee osteoarthritis: treatment implications. Rheumatology international. 2019;39(7):1145-57.

Kulkarni K, Karssiens T, Kumar V, Pandit H. Obesity and osteoarthritis. Maturitas. 2016;89:22-8.

Arslan IG, Damen J, de Wilde M, van den Driest JJ. Incidence and Prevalence of Knee Osteoarthritis Using Codified and Narrative Data From Electronic Health Records: A Population-Based Study. 2022;74(6):937-44.

Bannuru RR, Osani M, Vaysbrot E, Arden N, Bennell K, Bierma-Zeinstra S, et al. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis and cartilage. 2019;27(11):1578-89.

Hochberg MC, Altman RD, April KT, Benkhalti M, Guyatt G, McGowan J, et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis care & research. 2012;64(4):465-74.

Brosseau L, Taki J, Desjardins B, Thevenot O, Fransen M, Wells GA, et al. The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part one: introduction, and mind-body exercise programs. Clinical rehabilitation. 2017;31(5):582-95.

Meulders A, Karsdorp PA, Claes N, Vlaeyen JW. Comparing counterconditioning and extinction as methods to reduce fear of movement-related pain. The Journal of Pain. 2015;16(12):1353-65.

Cuevas-Trisan R. Balance problems and fall risks in the elderly. Clinics in geriatric medicine. 2019;35(2):173-83.

Milner J, Hartnettt D, DeFroda SF. Alternatives to Knee Braces. 2022;35(3):266-72.

Melese H, Alamer A, Hailu Temesgen M, Nigussie F. Effectiveness of kinesio taping on the management of knee osteoarthritis: a systematic review of randomized controlled trials. Journal of Pain Research. 2020:1267-76.

Hsieh L-F, Lin Y-T, Wang C-P, Liu Y-F, Tsai C-T. Comparison of the effect of Western-made unloading knee brace with physical therapy in Asian patients with medial compartment knee osteoarthritis—A preliminary report. Journal of the Formosan Medical Association. 2020;119(1):319-26.

Srilekha C, Kumar CP. The study on prevalence and management of osteoarthritis in South India. International Journal of Orthopaedics Sciences. 2019;5(4):112-7.

Alcock MM. Defining pain: past, present, and future. Pain. 2017;158(4):761-2.

Aicher B, Peil H, Peil B, Diener H. Pain measurement: Visual Analogue Scale (VAS) and Verbal Rating Scale (VRS) in clinical trials with OTC analgesics in headache. Cephalalgia. 2012;32(3):185-97.

Thivel D, Tremblay A, Genin PM, Panahi S, Rivière D, Duclos M. Physical Activity, Inactivity, and Sedentary Behaviors: Definitions and Implications in Occupational Health. Frontiers in public health. 2018;6:288.

Lavelle G, Noorkoiv M, Theis N, Korff T, Kilbride C, Baltzopoulos V, et al. Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF) as a measure of physical activity (PA) in young people with cerebral palsy: A cross-sectional study. Physiotherapy. 2020;107:209-15.

Larsson C, Ekvall Hansson E, Sundquist K, Jakobsson U. Kinesiophobia and its relation to pain characteristics and cognitive affective variables in older adults with chronic pain. BMC geriatrics. 2016;16:128.

Koho P. Fear of movement: Epidemiological and clinical evaluation in the Finnish general population and chronic musculoskeletal pain patients and relevance for rehabilitation. Tieteellinen tutkimus ORTONin julkaisusarja. 2015.

Wong WS, Kwok HY, Luk KD, Chow YF, Mak KH, Tam BK, et al. Fear of movement/(re)injury in Chinese patients with chronic pain: Factorial validity of the Chinese version of the Tampa Scale for Kinesiophobia. Journal of rehabilitation medicine. 2010;42(7):620-9.

Khruakhorn S, Chiwarakranon S. Effects of hydrotherapy and land-based exercise on mobility and quality of life in patients with knee osteoarthritis: a randomized control trial. Journal of Physical Therapy Science. 2021;33(4):375-83.

Wang C, Iversen MD, McAlindon T, Harvey WF, Wong JB, Fielding RA, et al. Assessing the comparative effectiveness of Tai Chi versus physical therapy for knee osteoarthritis: design and rationale for a randomized trial. BMC Complementary and Alternative Medicine. 2014;14(1):333.

Donec V, Kubilius R. The effectiveness of Kinesio Taping® for mobility and functioning improvement in knee osteoarthritis: a randomized, double-blind, controlled trial. Clinical rehabilitation. 2020;34(7):877-89.

Althomali OW, Amin J. Prevalence of Symptomatic Knee Osteoarthritis in Saudi Arabia and Associated Modifiable and Non-Modifiable Risk Factors: A Population-Based Cross-Sectional Study. 2023;11(5).

Moretti B, Spinarelli A, Varrassi G, Massari L, Gigante A, Iolascon G, et al. Influence of sex and gender on the management of late-stage knee osteoarthritis. MUSCULOSKELETAL SURGERY. 2022;106(4):457-67.

Driban JB, Harkey MS, Barbe MF, Ward RJ, MacKay JW, Davis JE, et al. Risk factors and the natural history of accelerated knee osteoarthritis: a narrative review. BMC Musculoskeletal Disorders. 2020;21(1):332.

Yang J, Ji Q, Ni M, Zhang G, Wang Y. Automatic assessment of knee osteoarthritis severity in portable devices based on deep learning. Journal of Orthopaedic Surgery and Research. 2022;17(1):540.

Lu Z, Li X, Chen R, Guo C. Kinesio taping improves pain and function in patients with knee osteoarthritis: A meta-analysis of randomized controlled trials. International journal of surgery (London, England). 2018;59:27-35.

Priore LB, Lack S, Garcia C, Azevedo FM, de Oliveira Silva D. Two Weeks of Wearing a Knee Brace Compared With Minimal Intervention on Kinesiophobia at 2 and 6 Weeks in People With Patellofemoral Pain: A Randomized Controlled Trial. Archives of physical medicine and rehabilitation. 2020;101(4):613-23.

Liu K, Yin L, Ma Z, Yu B, Ma Y, Huang L. Effect of Different Kinesio Taping Interventions on the Local Thresholds of Current Perception and Pressure Pain in Healthy Adults. Front Physiol. 2020;11:596159.

Abolhasani M, Halabchi F, Honarpishe R, Cleland JA, Hakakzadeh A. Effects of kinesiotape on pain, range of motion, and functional status in patients with osteoarthritis: a randomized controlled trial. 2019;15(4):603-9.

Günaydin Ö E, Bayrakci Tunay V. Comparison of the added effects of kinesio taping and extracorporeal shockwave therapy to exercise alone in knee osteoarthritis. Physiotherapy theory and practice. 2022;38(5):661-9.

Wu H, Yao R, Wu J, Wen G, Wang Y. Does kinesio taping plus exercise improve pain and function in patients with knee osteoarthritis?: A systematic review and meta-analysis of randomized controlled trials. Front Physiol. 2022;13:961264.

Wageck B, Nunes GS, Bohlen NB, Santos GM, de Noronha M. Kinesio Taping does not improve the symptoms or function of older people with knee osteoarthritis: a randomised trial. Journal of physiotherapy. 2016;62(3):153-8.

Castrogiovanni P, Di Giunta A, Guglielmino C, Roggio F, Romeo D, Fidone F, et al. The effects of exercise and kinesio tape on physical limitations in patients with knee osteoarthritis. Journal of Functional Morphology and Kinesiology. 2016;1(4):355-68.

Kavak F, Kavak B, Tonga E. AB1430-HPR Effectiveness of functional rigid taping on pain, function and kinesiophobia in patients with low back pain. BMJ Publishing Group Ltd; 2018.

Gholami M, Kamali F, Mirzeai M, Motealleh A, Shamsi M. Effects of kinesio tape on kinesiophobia, balance and functional performance of athletes with post anterior cruciate ligament reconstruction: a pilot clinical trial. BMC Sports Science, Medicine and Rehabilitation. 2020;12(1):57.

Most read articles by the same author(s)