NCT07228585

Brief Summary

This study aims to compare the effects of kinesiology taping and interval exercise on reducing symptoms, improving quality of life, and vital parameters in individuals with venous insufficiency. The study will be conducted at the Department of Cardiovascular Surgery, Faculty of Medicine, Necmettin Erbakan University, Konya, and will involve individuals aged 18 to 65 who have been diagnosed with venous insufficiency. Participants will be selected according to inclusion criteria and randomised into three groups. These groups will consist of a group receiving kinesiology taping and lifestyle recommendations, a group receiving kinesiology taping combined with interval exercise and lifestyle recommendations, and a control group receiving only lifestyle recommendations. Participants will be followed up for eight weeks, with assessments conducted twice: before and after treatment. In kinesiology taping groups, taping will be applied twice a week for eight weeks, with a total of sixteen sessions. During application, the lymphatic correction technique will be used to increase venous circulation. Taping will begin over the popliteal vein and be applied along the gastrocnemius, soleus, and tibialis posterior muscles with a tension of fifteen to twenty per cent. Participants will inform the physiotherapist if they experience any discomfort or skin sensitivity related to the bandaging, and skin reactions and tolerance levels will be monitored during weekly check-ups. In the group undergoing interval exercise, participants will participate in a mild to moderate exercise programme for thirty to forty minutes, three days a week for eight weeks. The exercises will be performed under the supervision of a physiotherapist and will be of an intensity equivalent to levels three to five on the Borg scale. The programme will include a five-minute warm-up phase, a twenty-minute main exercise section, and a five-minute cool-down period. The main section will consist of three phases, with low-intensity, moderate-intensity, and recovery exercises applied alternately. In the low-intensity section, light-paced walking and step movements will be performed; in the moderate-intensity section, fast-paced walking, ankle pumping movements, squats or calf raises will be performed; in the recovery section, light walking or wrist movements will be preferred. The main exercise will be completed after the cycle is repeated four times, followed by light stretching movements and diaphragmatic breathing exercises during the cool-down phase. Exercise compliance will be monitored on a weekly basis. Standard lifestyle recommendations will be provided to all groups participating in the study. As lifestyle changes in venous insufficiency have both therapeutic and symptom-reducing effects, participants will be given detailed information on this subject. Lifestyle recommendations include increasing physical activity habits such as walking briskly for at least thirty minutes daily and using stairs. As part of leg elevation recommendations, it will be advised to keep the legs above heart level for fifteen to twenty minutes, two or three times a day. Individuals whose jobs require them to stand still for long periods will be advised to take a short walk every thirty minutes. Nutritional recommendations will emphasise reducing salt intake, drinking at least two litres of water daily, and eating fibre-rich foods. Smoking participants will be counselled to quit and asked to avoid wearing tight trousers and high-heeled shoes. As part of skin care, participants will be instructed to use moisturiser once a day to prevent dryness and cracking in the lower extremities. Lifestyle recommendations will be presented to participants via a brochure, and participants in the control group will also follow the same recommendations. The conditions of the study and safety measures have been determined with great care. All procedures will be performed by experienced physiotherapists, taking into account the participants' medical history and contraindications. Assessments will be conducted twice: at the beginning and at the end of the eight-week period. Measurements will include ankle circumference, pain intensity at rest, during sleep and during exercise, blood pressure, heart rate, respiratory rate, body temperature, oxygen saturation, Borg scale assessment, physical activity level measurement, functional capacity assessment, central sensitisation level and quality of life in venous insufficiency. The six-minute walk test will be used to assess functional capacity, the visual analogue scale will be applied for pain, this parameter will be examined using the central sensitisation inventory, and quality of life will be assessed using scales specific to venous insufficiency. The International Physical Activity Questionnaire will be used for physical activity level.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
33

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Sep 2025

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 22, 2025

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

November 13, 2025

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 14, 2025

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 8, 2026

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

April 13, 2026

Completed
Last Updated

April 21, 2026

Status Verified

April 1, 2026

Enrollment Period

4 months

First QC Date

November 13, 2025

Last Update Submit

April 20, 2026

Conditions

Keywords

venous insufficiencykinesiology tapeinterval traininglifestyle recommendationsphysiotherapy and rehabilitationphysiotherapy

Outcome Measures

Primary Outcomes (1)

  • Change in Central Sensitization Inventory (CSI Part A Score)

    Central sensitization symptoms will be assessed using the Central Sensitization Inventory (CSI) Part A. Total score ranges from 0 to 100, with higher scores indicating greater central sensitization. Time Frame: At baseline (before intervention) and after 8 weeks of intervention.

    At baseline (before intervention) and after 8 weeks of intervention.

Secondary Outcomes (6)

  • Change in Central Sensitization Inventory (CSI Part B)

    At baseline (before intervention) and after 8 weeks of intervention.

  • Change in Venous Insufficiency-Specific Quality of Life (VEINES-QOL/Sym)

    At baseline (before intervention) and after 8 weeks of intervention.

  • Change in Pain Intensity (Visual Analog Scale, VAS)

    At baseline (before intervention) and after 8 weeks of intervention.

  • Change in Functional Capacity (6-Minute Walk Test)

    At baseline (before intervention) and after 8 weeks of intervention.

  • Change in Perceived Exertion (Modified Borg Scale)

    At baseline (before intervention) and after 8 weeks of intervention.

  • +1 more secondary outcomes

Study Arms (3)

Active Comparator: KT + Advice

ACTIVE COMPARATOR

Participants receive lifestyle modification advice for venous insufficiency, including reducing prolonged standing, interrupting sitting with leg movements, and elevating legs above heart level. All participants are advised on daily physical activity (at least 30 minutes of brisk walking), leg elevation (2-3 times for 15-20 minutes), low-salt and high-fiber diet, hydration, smoking cessation, and skin care. Kinesio taping is applied using lymphatic correction techniques from the popliteal area to the lower leg (15-20% tension), changed twice weekly for eight weeks.

Behavioral: Kinesio Taping and Lifestyle Advice

Experimental: KT + Exercise + Advice

EXPERIMENTAL

Participants receive standard lifestyle advice as described for venous insufficiency and Kinesio taping using lymphatic correction techniques (popliteal to lower leg, covering gastrocnemius, soleus, and tibialis posterior, 15-20% tension). Tape is replaced twice weekly for eight weeks. Interval exercise is performed three times weekly for 30-40 minutes, consisting of warm-up, alternating low- and moderate-intensity phases, and cool-down with stretching and diaphragmatic breathing. Weekly monitoring ensures safety and adherence.

Behavioral: Kinesio Taping and Interval Exercise with Lifestyle Advice

Active Comparator: Advice Only

ACTIVE COMPARATOR

Participants receive comprehensive lifestyle modification advice for venous insufficiency, including reduction of prolonged standing, frequent leg movements, leg elevation above heart level, regular physical activity, low-salt and high-fiber diet, hydration, smoking cessation, suitable clothing, and skin moisturizing. All guidance is delivered by physiotherapists, considering individual medical history and contraindications

Behavioral: Lifestyle Advice for Venous Insufficiency

Interventions

Participants receive lifestyle modification advice for venous insufficiency, including reducing prolonged standing, interrupting sitting with leg movements, and elevating legs above heart level. All participants are advised on daily physical activity (at least 30 minutes of brisk walking), leg elevation (2-3 times for 15-20 minutes), low-salt and high-fiber diet, hydration, smoking cessation, and skin care. Kinesio taping is applied using lymphatic correction techniques from the popliteal area to the lower leg (15-20% tension), changed twice weekly for eight weeks.

Active Comparator: KT + Advice

Participants receive standard lifestyle advice as described for venous insufficiency and Kinesio taping using lymphatic correction techniques (popliteal to lower leg, covering gastrocnemius, soleus, and tibialis posterior, 15-20% tension). Tape is replaced twice weekly for eight weeks. Interval exercise is performed three times weekly for 30-40 minutes, consisting of warm-up, alternating low- and moderate-intensity phases, and cool-down with stretching and diaphragmatic breathing. Weekly monitoring ensures safety and adherence.

Experimental: KT + Exercise + Advice

Participants receive comprehensive lifestyle modification advice for venous insufficiency, including reduction of prolonged standing, frequent leg movements, leg elevation above heart level, regular physical activity, low-salt and high-fiber diet, hydration, smoking cessation, suitable clothing, and skin moisturizing. All guidance is delivered by physiotherapists, considering individual medical history and contraindications.

Active Comparator: Advice Only

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Individuals aged 18-65
  • Individuals diagnosed with chronic venous insufficiency (those in stages 0-2 of the CEAP classification)
  • Individuals with no barriers to participating in physical activity
  • Individuals who can read and understand Turkish and have no communication difficulties
  • Individuals with no allergy to kinesiology taping in the kinesiology taping group

You may not qualify if:

  • Diagnosis of acute venous thrombosis
  • History of serious cardiovascular disease
  • Pregnancy or breastfeeding
  • Presence of active infection
  • Those who do not wish to continue participating in the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Necmettin Erbakan University

Konya, Selçuklu, 42130, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Venous Insufficiency

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: The interventional study model evaluates the effects of specific treatments on defined groups. It actively applies an intervention and measures outcomes such as symptoms, function, or quality of life. Randomization assigns participants to experimental or control groups to reduce bias, ensuring observed effects are due to the intervention. In physiotherapy, interventions may include exercise, taping, or manual therapy, with outcomes assessed before and after treatment. Ethical approval, informed consent, and standardized procedures are essential. Despite resource demands, this model provides reliable evidence, guiding clinical decisions and improving patient outcomes.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Physiotherapist (MSc student in Physiotherapy and Rehabilitation)

Study Record Dates

First Submitted

November 13, 2025

First Posted

November 14, 2025

Study Start

September 22, 2025

Primary Completion

January 8, 2026

Study Completion

April 13, 2026

Last Updated

April 21, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will share

The Individual Participant Data (IPD) Sharing Plan is confirmed as "Yes." All de-identified participant-level data collected during the study-including clinical measurements, assessments, and outcome data forming the basis of the study's publications-will be shared. Data will be made available upon reasonable request for secondary analyses, replication studies, or meta-analyses. All data sharing will adhere to strict confidentiality protocols to protect participant privacy, ensuring that no identifiable information is disclosed. Access procedures, including necessary approvals and data use agreements, will be established to facilitate secure and responsible data dissemination.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR

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