Kinesiotaping Applied to the Thumb in Rheumatoid Hand

NCT05515965 | Completed

• 1 other identifier: RomatolojiParmak
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

Objective: It was aimed to evaluate the acute effect of Kinesiotape taping on pain, function, range of motion and grip strength parameters in patients with rheumatoid arthritis and hand involvement. Material and Methods: A total of 34 patients, 27 women and 7 men, diagnosed with RA according to the American Rheumatism Association (ACR) criteria were included in our study. All patients were divided into two groups as Kinesiotape and Control groups, each consisting of 17 patients. Subjective pain intensity was evaluated with the Visual Analog Scale, range of motion was evaluated with a goniometer, functional evaluation was evaluated with the Grip Skill Test, hand grip strength was evaluated with a dynamometer, and finger grip strength was evaluated with a pinchmeter. Evaluation parameters were evaluated before and 1 hour after the application, and the acute effect was examined. The patients in the kinesiotape group were taped with the mechanical correction method and the patients in the Control group were taped with tensionless gluing of the I tape. Applications were made on both dominant and nondominant hands.

Conditions

Rheumatoid Arthritis; Kinesiotape; Hand Deformity

Keywords

Rheumatoid Arthritis; Kinesiotape; Grip Strength; Hand function; Hand deformity

Outcome Measures

Primary Outcomes (5)

• Subjective Pain Intensity

  The subjective pain intensity of the patients was assessed with the Visual Analogue Scale. The Visual Analog Scale includes scoring between 0 and 10. The corresponding numbers from 0 to 10 were explained to the patients. It was explained that the absence of pain was 0, the most severe pain felt was 10, and moderate pain was 5.

  1 hour

• Range of Motion

  The range of motion of hand and metacarpophalangeal jonit were assessed using a goniometer

  1 hour

• Functional Assessment

  Grip Skill test will also be applied, and this test was basically developed for cases with RA. It has three main components; Filling the glass with water, holding socks, envelopes with paper clips. The maximum time allocated to each test is 60 seconds. The time to complete the first and second tests is multiplied by 1.8 and added to the other values. The total score range is 10-279. A high score means impaired hand function. The mean score value in healthy individuals is 16.5 (11-20).

  1 hour

• Hand muscle strength

  Hand grip strength was measured by dynamometer. The patient squeezed and released the dynamometer 3 times and the average of these three values was recorded.

  1 hour

• Finger muscle strength

  Finger grip strength was measured by pinchmeter. The patient squeezed and released the dynamometer 3 times and the average of these three values was recorded.

  1 hour

Study Arms (2)

Kinesiotape

EXPERIMENTAL

The patients in the Kinesiotape group were taped with the mechanical correction method.

Other: Kinesiotaping

Control

SHAM COMPARATOR

In the patients in the Control group were taped with tensionless gluing of the I tape.

Other: Sham

Interventions

Kinesiotaping OTHER

The mechanical correction method of taping to the Kinesiotape group was used. In rheumatoid hand patients, due to the presence of a deformity called hitchhiker's finger, the thumb is taped with 50-75% tension to create a pulling force in the direction of flexion and abduction. The application was performed with the patient in a sitting position with his arm supported by a pillow from the elbow. Evaluation parameters were evaluated before and 1 hour after the application, and the acute effect was examined. Both the dominant and nondominant hands of the patients were taped and the differences between the two hands were also examined.

Kinesiotape

Sham OTHER

Sham application was applied to both dominant and nondominant hands in Control Group patients. Sham taping is the bonding of I tape to the 1st finger without tension and does not contain any features. Evaluation parameters were evaluated before and 1 hour after the application, and the acute effect was examined. Both the dominant and nondominant hands of the patients were taped and the differences between the two hands were also examined.

Control

Eligibility Criteria

• Age: 18 Years - 60 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• diagnosed as Level 2-3 Rheumatoid Arthritis
• no change in pharmacological treatment until 1 month before the study

You may not qualify if:

• Presence of acute disease
• Diagnosis of Level 4 Rheumatoid Arthritis
• Intra-articular or intramuscular injection application in the previous months
• Presence of hand-wrist surgery history in the last 6 months
• Non-rheumatoid hand deformity

Sponsors & Collaborators

• Istanbul Arel University: lead

Study Sites (1)

Ozge Baykan Copuroglu

Bahçelievler, Istanbul, 34194, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Arthritis, Rheumatoid; Hand Deformities

Interventions

salicylhydroxamic acid

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Connective Tissue Diseases; Skin and Connective Tissue Diseases; Autoimmune Diseases; Immune System Diseases

Study Officials

• Ozge Baykan Copuroglu, MSc

  Istanbul Arel University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Blinding was ensured by patients and rheumatologist were unaware the type of physiotherapy treatment application
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prelector/ Physiotherapist

Study Record Dates

• First Submitted: August 24, 2022
• First Posted: August 25, 2022
• Study Start: April 1, 2018
• Primary Completion: October 1, 2018
• Study Completion: October 15, 2018
• Last Updated: August 25, 2022

Record last verified: 2022-08

Locations

TU (1)