Effect of Kinesio Taping on Pain, Range of Motion, Hand Strength, and Functional Abilities in Patients with Hand Osteoarthritis: A Pilot Randomized Clinical Trial

Document Type : RESEARCH PAPER


1 Exercise Physiology Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran

2 University of Social Welfare and Rehabilitation Sciences, Tehran, Iran


Background: Osteoarthritis is one of the most prevalent joint diseases in older adults. Since hands play a key role in
daily activities, their impairment causes disability and reduction of independency. The present study aimed to investigate
the effect of using Kinesio tape on pain, range of motion (ROM), hand strength, and functional abilities in patient with
hand osteoarthritis (HOA).
Methods: In this randomized clinical trial study, 38 patients with the diagnosis of HOA were selected and randomly
assigned to Kinesio tape plus exercise (KT-EXE) and exercise (EXE) groups. Each group included 19 subjects who
participated in an 8-week intervention. Visual analog scale, Disabilities of the Arm, Shoulder, and Hand questionnaire,
as well as goniometer and dynamometer measurements, were used to assess pain severity, upper extremity functional
disabilities, ROM, and grip strength, respectively, before and after the intervention and at 2 months of follow-up.
Results: There was no significant difference in pre-intervention scores between the two groups. Statistical analysis
revealed significant improvement in pain, ROM, hand strength, and upper-extremity functional abilities after the
intervention in KT-EXE and EXE groups. In addition, the follow-up analysis showed significant changes, compared to
the initial assessments except for the pain in the EXE group. Results of the independent t-test revealed that change
was significantly greater in KT-EXE group than that in the EXE group at post-intervention and 2-month follow-up
assessments except for the wrist flexion and upper-extremity functional abilities at final evaluation.
Conclusion: Obtained results of this study showed that Kinesio taping and hand exercise may have a positive effect on
the improvement of pain, ROM, hand strength, and upper-extremity functional abilities in patients with HOA. In addition,
these two methods can be simultaneously used for the rehabilitation of this condition.
Level of evidence: III


Main Subjects

1. Zhang Y, Niu J, Kelly-Hayes M, Chaisson CE, Aliabadi
P, Felson DT. Prevalence of symptomatic hand
osteoarthritis and its impact on functional status
among the elderly the Framingham study. Am J
Epidemiol. 2002; 156(11):1021-7.
2. Botha-Scheepers S, Riyazi N, Watt I, Rosendaal FR,
Slagboom E, Bellamy N, et al. Progression of hand
osteoarthritis over 2 years: a clinical and radiological
follow-up study. Ann Rheum Dis. 2009; 68(8):1260-4.
3. Laulan J, Marteau E, Bacle G. Wrist osteoarthritis.
Orthop Traumatol Surg Res. 2015; 101(1):S1-9.
4. Bagis S, Sahin G, Yapici Y, Cimen OB, Erdogan C.
The effect of hand osteoarthritis on grip and pinch
strength and hand function in postmenopausal
women. Clin Rheumatol. 2003; 22(6):420-4.
5. Zhang W, Doherty M, Leeb BF, Alekseeva L, Arden
N, Bijlsma JW, et al. EULAR evidence based
recommendations for the diagnosis of hand
osteoarthritis-report of a task force of the EULAR
Standing Committee for International Clinical
Studies Including Therapeutics (ESCISIT). Ann
Rheum Dis. 2008; 66(3):377-88.
6. Ye L, Kalichman L, Spittle A, Dobson F, Bennell
K. Effects of rehabilitative interventions on pain,
function and physical impairments in people with
hand osteoarthritis: a systematic review. Arthritis
Res Ther. 2011; 13(1):R28.
7. Stamm T, Van der Giesen F, Thorstensson C, Steen E,
Birrell F, Bauernfeind B, et al. Patient perspective of
hand osteoarthritis in relation to concepts covered
by instruments measuring functioning: a qualitative
European multicentre study. Ann Rheum Dis. 2009;
8. Kjeken I, Dagfinrud H, Slatkowsky-Christensen
B, Mowinckel P, Uhlig T, Kvien TK, et al. Activity
limitations and participation restrictions in women
with hand osteoarthritis: patients’ descriptions and
associations between dimensions of functioning.
Ann Rheum Dis. 2005; 64(11):1633-8.
9. Hill S, Dziedzic KS, Ong BN. The functional and
psychological impact of hand osteoarthritis. Chronic
Illn. 2010; 6(2):101-10.
10. Peters RM, Menendez ME, Mellema JJ, Ring D,
Vranceanu AM. Sleep disturbance and upperextremity
disability. Arch Bone Jt Surg. 2016;
11. Zhang W, Doherty M, Leeb BF, Alekseeva L, Arden
NK, Bijlsma JW, et al. EULAR evidence based
recommendations for the management of hand
osteoarthritis: report of a Task Force of the EULAR
Standing Committee for International Clinical
Studies Including Therapeutics (ESCISIT). Ann
Rheum Dis. 2007; 66(3):377-88.
12. Kloppenburg M. Hand osteoarthritis–an increasing
need for treatment and rehabilitation. Curr Opin
Rheumatol. 2007; 19(2):179-83.
13. Mahendira D, Towheed T. Systematic review of nonsurgical
therapies for osteoarthritis of the hand: an
update. Osteoarthritis Cartilage. 2009; 17(10):1263-8.
14. Valdes K, Marik T. A systematic review of conservative
interventions for osteoarthritis of the hand. J Hand
Ther. 2010; 23(4):334-50.
15. Homayouni K, Zeynali L, Mianehsaz E. Comparison
between Kinesio taping and physiotherapy in the
treatment of de Quervain’s disease. J Musculoskelet
Res. 2013; 16(4):1350019.
16. Lim EC, Tay MG. 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.
Br J Sports Med. 2015; 49(24):1558-66.
17. Liu YH, Chen SM, Lin CY, Huang CI, Sun YN. Motion
tracking on elbow tissue from ultrasonic image
sequence for patients with lateral epicondylitis. 29th
Annual International Conference of the IEEE, Lyon,
France; 2007.
18. Prabhu S, Gurudut P. Effectiveness of kinesio taping
for hand on grip strength and upper limb function in
subjects with cervical radiculopathy: a randomized
controlled trial. Int J Med Res Health Sci. 2017;
19. De Cillis V, Garcí􀆴a A, Dávila AP, Bohr A, Scheines
E. Taping en rizartrosis. Rev Argent Reum. 2014;
20. Villafane JH, Langford D, Alguacil-Diego IM, Fernandez-
Carnero J. Management of trapeziometacarpal
osteoarthritis pain and dysfunction using mobilization
with movement technique in combination with
kinesiology tape: a case report. J Chiropr Med. 2013;
21. Kase K. Clinical therapeutic applications of the
Kinesio taping methods. Francisco: Albuquerque;
22. Williamson A, Hoggart B. Pain: a review of three
commonly used pain rating scales. J Clin Nurs. 2005;
23. Boonstra AM, Schiphorst Preuper HR, Reneman MF,
Posthumus JB, Stewart RE. Reliability and validity of
the visual analogue scale for disability in patients
with chronic musculoskeletal pain. Int J Rehabil Res.
2008; 31(2):165-9.
24. Carey MA, Laird DE, Murray KA, Stevenson JR.
Reliability, validity, and clinical usability of a digital
goniometer. Work. 2010; 36(1):55-66.
25. Norkin CC, White DJ. Measurement of joint motion:
a guide to goniometry. Philadelphia: F.A. Davis
Company; 2016.
26. Innes E. Handgrip strength testing: a review of the
literature. Aust Occup Ther J. 1999; 46(3):120-40.
27. Schreuders TA, Roebroeck ME, Goumans J, van
Nieuwenhuijzen JF, Stijnen TH, Stam HJ. Measurement
error in grip and pinch force measurements in
patients with hand injuries. Phys Ther. 2003;83(9):806-15.
28. Mathiowetz V, Weber K, Volland G, Kashman N.
Reliability and validity of grip and pinch strength
evaluations. J Hand Surg. 1984; 9(2):222-6.
29. Gummesson C, Atroshi I, Ekdahl C. The disabilities
of the arm, shoulder and hand (DASH) outcome
questionnaire: longitudinal construct validity and
measuring self-rated health change after surgery.
BMC Musculoskelet Disord. 2003; 4(1):11.
30. Mousavi SJ, Parnianpour M, Abedi M, Askary-Ashtiani
A, Karimi A, Khorsandi A, et al. Cultural adaptation
and validation of the Persian version of the
Disabilities of the Arm, Shoulder and Hand (DASH)
outcome measure. Clin Rehabil. 2008; 22(8):749-57.
31. Rogers MW, Wilder FV. The effects of strength training
among persons with hand osteoarthritis: a two-year
follow-up study. J Hand Ther. 2007; 20(3):244-50.
32. Østerås N, Kjeken I, Smedslund G, Moe RH,
Slatkowsky-Christensen B, Uhlig T, et al. Exercise for
hand osteoarthritis: a cochrane systematic review. J
Rheumatol. 2017; 44(12):1850-8.
33. Brateanu D. Kinesio taping technique and kinesio
tex. Timisoara Phys Educ Rehabil J. 2009; 2(3):36.
34. Coopee Ra. Elastic taping (Kinesio Taping Method).
New York: Rehabilitafion of The Hand and Upper
Extremity; 2011. P. 1539-28.
35. Williams S, Whatman C, Hume PA, Sheerin K. Kinesio
taping in treatment and prevention of sports injuries.
Sports Med. 2012; 42(2):153-64.
36. Bae SH, Lee JH, Oh KA, Kim KY. The effects of kinesio
taping on potential in chronic low back pain patients
anticipatory postural control and cerebral cortex. J
Phys Ther Sci. 2013; 25(11):1367-71.
37. Campolo M, Babu J, Dmochowska K, Scariah S,
Varughese J. A comparison of two taping techniques
(kinesio and mcconnell) and their effect on anterior
knee pain during functional activities. Int J Sports
Phys Ther. 2013; 8(2):105-10.
38. Djordjevic OC, Vukicevic D, Katunac L, Jovic S.
Mobilization with movement and kinesiotaping
compared with a supervised exercise program
for painful shoulder: results of a clinical trial. J
Manipulative Physiol Ther. 2012; 35(6):454-63.
39. GonzáLez-Iglesias J, Fernández-de-Las-Peñas C,
Cleland J, Huijbregts P, Gutiérrez-Vega MDR. Shortterm
effects of cervical kinesio taping on pain and
cervical range of motion in patients with acute
whiplash injury: a randomized clinical trial. J Orthop
Sports Phys Ther. 2009; 39(7):515-21.
40. Shamsoddini A, Hollisaz MT. Effects of taping on pain,
grip strength and wrist extension force in patients
with tennis elbow. Trauma Mon. 2013; 18(2):71-4.
41. Shamsoddini A, Hollisaz MT, Hafezi R, Amanellahi A.
Immediate effects of counterforce forearm brace on
grip strength and wrist extension force in patients
with lateral epicondylosis. Hong Kong J Occup Ther.
2010; 20(1):8-12.
42. Roberts S, Ramklass S, Joubert R. Kinesio Taping® of
the metacarpophalangeal joints and its effect on pain
and hand function in individuals with rheumatoid
arthritis. S Afr J Physiother. 2016; 72(1):314.
43. Ž􀆽 ebrauskaitė V. Kineziologinio teipavimo poveikis
pacientų, sergančių reumatoidiniu artritu, rankos
funkcijai. Kaunas, Lithuania: Lithuanian University
of Health Sciences; 2014.
44. Rogers MW, Wilder FV. Exercise and hand osteoarthritis
symptomatology: a controlled crossover trial. J Hand
Ther. 2009; 22(1):10-7.
45. Kouhzad Mohammadi H, Khademi Kalantari K,
Naeimi SS, Pouretezad M, Shokri E, Tafazoli M, et al.
Immediate and delayed effects of forearm Kinesio
Taping on grip strength. Iran Red Crescent Med J.
2014; 16(8):e19797.
46. Szczegielniak J, Łuniewski J, Bogacz K, Sliwiński Z.
The use of kinesiology taping method in patients
with rheumatoid hand--pilot study. Ortop Traumatol
Rehabil. 2012; 14(1):23-30.
47. Lefler C, Armstrong WJ. Exercise in the treatment
of osteoarthritis in the hands of the elderly. Clin
Kinesiol. 2004; 58(2):13-8.
48. Stamm TA, Machold KP, Smolen JS, Fischer S, Redlich
K, Graninger W, et al. Joint protection and home hand
exercises improve hand function in patients with
hand osteoarthritis: a randomized controlled trial.
Arthritis Care Res. 2002; 47(1):44-9.