systematic review Kinesio taping: application and results on pain

The PubMed, SciELO, Lilacs, Scirus and Academic Google databases were consulted, using the keywords: Kinesio Taping and Kinesio Tape, either associated or not ... Brasil FisioterapiaePesquisa Submissãodemanuscritos Sobreoperiódico CorpoEditorial Instruçõesaosautores Contato Español English Brasil Español English FisioterapiaePesquisa Submissãodemanuscritos Sobreoperiódico CorpoEditorial Instruçõesaosautores Contato sumário «anterior atual seguinte» Resumo Resumo (Inglês) Resumo (Espanhol) Resumo (Português) Texto (EN) Texto (Inglês) Texto (Português) PDF DownloadPDF(Inglês) DownloadPDF(Português) Compartilhe Compartilhe E-mail Facebook Twitter Google+ LinkedIn Reddit StambleUpon CiteULike Mendeley Sumário Compartilhe E-mail Facebook Twitter Google+ LinkedIn Reddit StambleUpon CiteULike Mendeley Resumo Resumo (Inglês) Resumo (Espanhol) Resumo (Português) Texto (EN) Texto (Inglês) Texto (Português) PDF DownloadPDF(Inglês) DownloadPDF(Português) ReviewArticle•Fisioter.Pesqui.21 (01) •Jan-Mar 2014•https://doi.org/10.1590/1809-2950/553210114   copy Kinesiotaping:applicationandresultsonpain:systematicreview Kinesiotaping:Aplicaciónysusresultadossobreeldolor:unarevisiónsistemática DérrickPatrickArtioli GraduateProgramofMusculoskeletalPhysicalTherapybytheSantaCasadeMisericórdiadeSãoPaulo;CentroUniversitárioLusíada(UNILUS)-Santos(SP),BrazilGladsonRicardoFlorBertolini GraduateProgramofHealthSciencesAppliedtotheLocomotorSystembytheSchoolofMedicineofRibeirãoPretooftheUniversidadedeSãoPaulo(USP);UniversidadeEstadualdoOestedoParaná(UNIOESTE)-Cascavel(PR),BrazilAbouttheauthors Abstracts Kinesiotapingisbeingincreasinglyusedunderseveralconditions;however,itshypoalgesiceffectandmechanismofactiondonotshowscientificresults.Therefore,theaimsofthisstudyweretodescribetheprinciplesofthemethodandmainlytoanalyzetheresultsofclinicaltrialswithcontrolgroups,relatedtopainwithKinesiotaping.ThePubMed,SciELO,Lilacs,ScirusandAcademicGoogledatabaseswereconsulted,usingthekeywords:KinesioTapingandKinesioTape,eitherassociatedornottopain.TenclinicaltrialsrelatedtopainandKinesiotapingwereselected,assessedbyusingthePEDroscale,anditsresultswereanalyzed.Kinesiotapingprovidedhigher,similarorlowerpainreductionthaninothergroups(control,placeboortechnique).TheapplicationcontinuestousetheprinciplesofKenzoKase,thegatecontroltheorybeingthemostdescribedsofartojustifythehypoalgesiceffect;andtheeffectswereonlyfoundinshort-term(24hoursto1week).PainreliefprovidedbyKinesiotapingwassimilarorslightlysuperiortootherinterventions,notrepresentingareasonforittobethemaintreatmentofchoice.However,itcanbeconsideredanadjunctorcomplementarytechnique. PhysicalTherapySpecialty;PhysicalTherapyModalities;Rehabilitation ElKinesiotapingvienesiendoutilizadocadavezmásendiversascondiciones,sinembargo,suefectohipoalgésicoymecanismodeacciónnopresentanresultadocientífico.Porlotanto,losobjetivosdeesteestudiofuerondescribirlosprincipiosdelmétodoyprincipalmenteanalizarcuálesfueronlosresultadosdelosensayosclínicos,congrupocontrol,encuantoaldolorconKinesiotaping.FueroninvestigadaslasbasesdedatosPubMed,SciELO,Lilacs,ScirusyGoogleAcadémico,utilizandolaspalabrasclave:KinesiotapingyKinesioTapeasociadaonoaldolor.Fueronseleccionados10ensayosclínicosrelacionadosconeldoloryKinesiotaping.LosmismosfueronevaluadosmediantelaescalaPedroysusresultadosanalizados.Kinesiotapingproporcionóreduccióndeldolorsuperior,similaroinferioraotrosgrupos(control,placebootécnica).LaaplicaciónsigueutilizandolosprincipiosdeKenzoKase,lateoríadelascompuertaseslamásdescritahastalafechaparajustificarelefectohipoalgésicoylosefectossólofueronencontradosencortoplazo(de24horasa1semana).LareduccióndeldolorproporcionadaporKinesiotapingfuesimilaropocomásaltaqueotrasintervenciones,loquenorepresentarazónparaqueeseseaeltratamientoprincipaldeelección,yesconsideradocomounatécnicaadjuntaocomplementaria. Fisioterapia;ModalidadesdeFisioterapia;Rehabilitación OKinesiotapingvemsendoutilizadocadavezmaisemdiversascondições,porém,seuefeitohipoalgésicoemecanismodeaçãonãoapresentamresultadocientífico.Portanto,osobjetivosdesteestudoforamdescreverosprincípiosdométodoe,principalmente,analisarquaisforamosresultadosdosensaiosclínicos,comgrupocontrole,referenteàdorcomKinesiotaping.ForampesquisadasasbasesdedadosPubMed,SciELO,Lilacs,SciruseGoogleAcadêmico,comousodaspalavras-chave:KinesioTapingeKinesioTapeassociadasounãoàdor.Foramselecionados10ensaiosclínicosreferentesàdoreKinesiotaping,osmesmosforamavaliadospormeiodaescalaPEDroeseusresultadosanalisados.Kinesiotapingproporcionoureduçãodadorsuperior,semelhanteouinferioraoutrosgrupos(controle,placebooutécnica).AaplicaçãocontinuautilizandoosprincípiosdeKenzoKase,ateoriadascomportaséamaisdescritaatéomomentoparajustificaroefeitohipoalgésicoeosefeitossóforamencontradosemcurtoprazo(24horasa1semana).AreduçãodadorproporcionadaporKinesiotapingfoisemelhanteoupoucosuperioraoutrasintervenções,nãorepresentandomotivoparaqueessesejaoprincipaltratamentodeescolha,sendoconsideradatécnicaadjuntaoucomplementar. Fisioterapia;ModalidadesdeFisioterapia;Reabilitação INTRODUCTION Originallydevelopedin1973byKenzoKaseinJapan,theKinesiotaping(KT),alsoknownaselasticbandage,isarelativelynewmethodthathasbecomepopularoverthelast10years,afterthedisclosureprovidedinmajoreventssuchastheOlympicGames11.KaseK,WallisJ,KaseT.ClinicaltherapeuticapplicationsoftheKinesioTapingMethod.2ed.Tokyo:KenIkai;2003.p.19-39.2.González-IglesiasJ,Fernández-De-Las-PeñasC,ClelandJA,HuijbregtsP,DelRosarioGutiérrez-vegaM.Short-termeffectsofcervicalKinesioTapingonpainandcervicalrangeofmotioninpatientswithacutewhiplashinjury:arandomizedclinicaltrial.JOrthopSportsPhysTher.2009;39(7):515-21.3.PaoloniM,BernettiA,FratocchiG,MangoneM,ParrineloL,DelPilarCooperM,etal.KinesioTapingappliedtolumbermusclesinfluencesclinicalandelectromyographiccharacteristicsinchroniclowbackpainpatients.EurJPhysRehabilMed.2011;47(2):237-44. - 44.RibeiroMO,RahalRO,KokanjAS,BittarDP.OusodabandagemelásticaKinesionocontroledasialorréiaemcriançascomparalisiacerebral.ActaFisiatr.2009;16(4):168-72..Thetapeisfreeoflatex,withacrylicadhesivecapacity,andactivatedbybodyheat,madeofelasticpolymerstrandwrappedincottonfibers(100%).Itsfeaturesexceedthetapescommonlyusedinbandages,foritallowsquickdrying,longertimeofusageandthinnerandmoreelasticmaterial(stretching/longitudinalstretchingof55-60%inrestingpositionoroverallelasticityof120-140%),whichfacilitatesinvolvingtissuesandjointsaccurately.Accordingtoitscreator,KTprovides:(1)Correctionofmusclefunctionbystrengtheningweakmuscles;(2)cutaneousstimulationwhichfacilitatesorlimitatesmovement;(3)aidinthereductionofedemabydirectingexudatestowardsthelymphaticductandthelymphnodes;(4)correctionofjointpositioningforeasingmusclespasms;and(5)reductionofpainbyneuralpathways11.KaseK,WallisJ,KaseT.ClinicaltherapeuticapplicationsoftheKinesioTapingMethod.2ed.Tokyo:KenIkai;2003.p.19-39. , 33.PaoloniM,BernettiA,FratocchiG,MangoneM,ParrineloL,DelPilarCooperM,etal.KinesioTapingappliedtolumbermusclesinfluencesclinicalandelectromyographiccharacteristicsinchroniclowbackpainpatients.EurJPhysRehabilMed.2011;47(2):237-44. , 55.Castro-SánchezAM,Lara-PalomoIC,Matarán-PeñarrochaGA,Fernández-SánchezM,Sánches-LabracaN,Arroyo-MoralesM.KinesioTapingreducesdisabilityandpainslightlyinchronicnon-specificlowbackpain:arandomisedtrial.JPhysiother.2012;58(2):89-95.6.AkbasE,AtayAO,YükselI.Theeffectsofadditionalkinesiotapingoverexerciseinthetreatmentofpatellofemoralpainsyndrome.ActaOrthopTraumatolTurc.2011;45(5):335-41.7.ThelenMD,DauberJA,StonemanPD.TheclinicalefficacyofKinesioTapeforshoulderpain:arandomized,double-blind,clinicaltrial.JOrthopSportsPhysTher.2008;38(7):389-95.8.NambiG,ShahBT.KinesiotapingversusMulligan'smobilizationwithmovementinsub-acutelateralanklespraininsecondaryschoolHockeyplayers-comparativestudy.IntJPharmacHealthCare.2012;2(2):136-49.9.ChangHY,WangCH,ChouKY,ChengSC.CouldforearmKinesioTapingimprovestrength,forcesenseandpaininbaseballpitcherswithmedialepicondylitis?ClinJSportMed.2012;22(4):327-33. - 1010.KayaE,ZinnurogluM,TugcuI.Kinesiotapingcomparedtophysicaltherapymodalitiesforthetreatmentofshoulderimpingementsyndrome.ClinRheumatol.2011;30(2):201-7.. Withsomanypossiblebenefits,inadditiontoitsuseinclassicalorthopedicconditions1010.KayaE,ZinnurogluM,TugcuI.Kinesiotapingcomparedtophysicaltherapymodalitiesforthetreatmentofshoulderimpingementsyndrome.ClinRheumatol.2011;30(2):201-7.,applicationsinvariousdisorders-suchas,cerebrovascularaccident1111.JaraczewskaE,LongC.Kinesiotapinginstroke:improvingfunctionaluseoftheupperextremityinhemiplegia.TopSrokeRehabil.2006;13(3):31-42. , 1212.SantosJCC,GiorgettiMJS,TorelloEM,MeneghettiCHZ,OrdenesIEU.AinfluênciadaKinesioTapingnotratamentodasubluxaçãodeombronoAcidenteVascularCerebral.RevNeurocienc2010;18(3):335-40.,droolingincerebralpalsy44.RibeiroMO,RahalRO,KokanjAS,BittarDP.OusodabandagemelásticaKinesionocontroledasialorréiaemcriançascomparalisiacerebral.ActaFisiatr.2009;16(4):168-72.,multiplesclerosis1313.CortesiM,CattaneoD,JonsdottirJ.Effectofkinesiotapingonstandingbalanceinsubjectswithmultiplesclerosis:apilotstudy.NeuroRehabilitation.2011;28(4):365-72.,post-mastectomy1414.StockheimerKR.KinesioTaping&lymphoedema:appliedKinesioTapingforlymphoedema/chronicswellingofthearmand/orbreastafteramastectomyandaxillalymphnoderemoval.AdvHealing2006,22-3. , 1515.TsaiHJ,HungHC,YangJL,HuangCS,TsauoJY.CouldKinesiotapereplacethebandageindecongestivelymphatictherapyforbreast-cancer-relatedlymphedema?Apilotstudy.SupportCareCancer.2009;17(11):1353-60.,amongothers-arise.Althoughwidelyusedinpractice,themechanismofactionofKTisstillnotcompletelyunderstood,andthescientificevidencearelimitedandcontroversialinrelationtothehypoalgesiceffect33.PaoloniM,BernettiA,FratocchiG,MangoneM,ParrineloL,DelPilarCooperM,etal.KinesioTapingappliedtolumbermusclesinfluencesclinicalandelectromyographiccharacteristicsinchroniclowbackpainpatients.EurJPhysRehabilMed.2011;47(2):237-44. , 55.Castro-SánchezAM,Lara-PalomoIC,Matarán-PeñarrochaGA,Fernández-SánchezM,Sánches-LabracaN,Arroyo-MoralesM.KinesioTapingreducesdisabilityandpainslightlyinchronicnon-specificlowbackpain:arandomisedtrial.JPhysiother.2012;58(2):89-95.6.AkbasE,AtayAO,YükselI.Theeffectsofadditionalkinesiotapingoverexerciseinthetreatmentofpatellofemoralpainsyndrome.ActaOrthopTraumatolTurc.2011;45(5):335-41. - 77.ThelenMD,DauberJA,StonemanPD.TheclinicalefficacyofKinesioTapeforshoulderpain:arandomized,double-blind,clinicaltrial.JOrthopSportsPhysTher.2008;38(7):389-95. , 1010.KayaE,ZinnurogluM,TugcuI.Kinesiotapingcomparedtophysicaltherapymodalitiesforthetreatmentofshoulderimpingementsyndrome.ClinRheumatol.2011;30(2):201-7. , 1616.GarcíaLlopisL,CamposArandaM.Intervenciónfisioterápicaconvendajeneuromuscularenpacientesconcervicalgiamecánica.Unestudiopiloto.Fisioter.2012;34(5):189-95..Therefore,itisnecessarytoanalyzewhethertheuseofKT,inpain,generateshigher,lowerorsimilareffectstootherformsoftreatmenteffects,ifitisjustaplacebo,orifincapableofprovidingsignificantchangetoacontrolgroup.Theobjectiveofthisstudywastoconductasystematicreviewinordertoreporttheprinciplesofthemethodand,speciallytoanalyzewhatweretheresultsofclinicaltrialswithacontrolgroupregardingpainwiththeKT. METHODOLOGY Forthisstudy,thePubMed,SciELO,Lilacs,Scirus,GoogleScholardatabaseswereconsulted,aswellasamanualsearchinindexedscientificjournalswasdeveloped,withthefollowingkeywords:"KinesioTaping";"KinesioTape";and"Kinesiotaping";associatedornotwith"pain".Inordertobeincluded,thestudiesshouldprovideaccesstothefullassessment(availabilityofthematerialinanopenwayormagazinesregisteredintheCAPESJournal),intheformofclinicaltrialwithacontrolgroupthatevaluatedpainwiththeapplicationofKT,withoutagelimitationorlanguageofthemanuscript.TheresearcheswhichdidnotusepainasacomparisonparameterastotheuseofKT-whichusednon-elasticbandagesasawayoftreatment-ortheresearchesthatdidnotinvolvecomparativegroups,wereexcluded.ThestudieswhichfulfilledtheinclusioncriteriawereassessedbythePhysiotherapyEvidenceDatabase(PEDro)1717.VerhagenAP,deVetHC,deBieRA,KesselsAG,BoersM,BouterLM,etal.TheDelphilist:acriterialistforqualityassessmentofrandomisedclinicaltrialsforconductingsystematicreviewsdevelopedbyDelphiconsensus.JClinEpidemiol.1998;51(12):1235-41.scale,usedbytwoexperiencedprofessionalsinmusculoskeleticalphysicaltherapy,withoutaimingtoexcludedataastothescoresobtained,i.e.,justpointoutthequalityofthemethodologyofeachstudy.Inthesequence,theStatistica7softwarewasusedinordertoanalyzethedata.Figure1presentsthequantitativedataoftheconductedsearch. Figure1 Flowchartofthedatafoundinthesearchondifferentdatabases RESULTSANDDISCUSSION Beforediscussingtheindividualanalysisofeachstudy,itisnoteworthytopinpointthesimilaritiesamongthemwhenitcomestothebasicrequirementsofKT,concerningthewaysforapplication,theskinpreparation,thepositioning,thetension,thedirectionandthetimeofuse.AmongtheformsofapplicationofKT,thetapemaybecutin"Y","I","X","fan","web"(modified"fan")and"donut"shapes,whichwilldependonthesizeoftheaffectedmuscleandonthedesiredtreatment.Theseformsofapplicationareused,respectively,formuscleweakness(facilitatoryorinhibitoryeffect),painandswelling,biomechanicalcorrection,lymphaticdrainage(both"fan"and"web"),focusededemaorspecificarea(sports)11.KaseK,WallisJ,KaseT.ClinicaltherapeuticapplicationsoftheKinesioTapingMethod.2ed.Tokyo:KenIkai;2003.p.19-39.. Theskinmustbefreeoflotionsormoisturizingoilspriortoapplication.Whenremovingtheprotectivesheetoftheadhesive,minimumcontactshouldbedonesothattheadhesivecapacityispreserved,therefore,theadhesiveprotectionshouldn'tbecompletelyremoved.Inbasiccorrectivetechniques,thepositioningofthekinesiotapemustreproducethepositioningofthetherapist'shandsonthepatient.Thebaseofthetapemustbepositioned5cmbelowtheoriginorabovetheinsertion,withoutinputtinganytension,topreventdiscomfort.Afterstretchingthemuscle,thetensionedelastictapemustbepositionedontopofit.IftheKTistoostretchedout,therewillbereducingoftheeffect,therefore,itisbesttohavelessratherthanexcessivetension22.González-IglesiasJ,Fernández-De-Las-PeñasC,ClelandJA,HuijbregtsP,DelRosarioGutiérrez-vegaM.Short-termeffectsofcervicalKinesioTapingonpainandcervicalrangeofmotioninpatientswithacutewhiplashinjury:arandomizedclinicaltrial.JOrthopSportsPhysTher.2009;39(7):515-21. , 33.PaoloniM,BernettiA,FratocchiG,MangoneM,ParrineloL,DelPilarCooperM,etal.KinesioTapingappliedtolumbermusclesinfluencesclinicalandelectromyographiccharacteristicsinchroniclowbackpainpatients.EurJPhysRehabilMed.2011;47(2):237-44..Gradedbypercentage,thetractionoftheelasticbandisdescribedasoneofthekeyfactorsforsuccessfulimplementation,thatis:fulltension100%,intense75%,moderate50%,justtheremovaloftheprotectivesheetorlight15-25%,verylight0-15%,notension0%11.KaseK,WallisJ,KaseT.ClinicaltherapeuticapplicationsoftheKinesioTapingMethod.2ed.Tokyo:KenIkai;2003.p.19-39.. Thedirectiontowardswhichthetapeistobeappliedwilldependonthepurposeofthetreatment.Asabasicrule,itisplacedfromtheinsertiontowardsthemuscleorigin(15-25%)inordertoinhibitthemusclefunctioninacutesituations,causedbyoveruseormuscleoverstretching.Inthecaseofchronicallyweakenedmuscles,orwhentheincreaseofmusclecontraction/activationisdesired,KTshouldbepositionedfromtheorigintotheinsertion(25-50%)22.González-IglesiasJ,Fernández-De-Las-PeñasC,ClelandJA,HuijbregtsP,DelRosarioGutiérrez-vegaM.Short-termeffectsofcervicalKinesioTapingonpainandcervicalrangeofmotioninpatientswithacutewhiplashinjury:arandomizedclinicaltrial.JOrthopSportsPhysTher.2009;39(7):515-21. , 33.PaoloniM,BernettiA,FratocchiG,MangoneM,ParrineloL,DelPilarCooperM,etal.KinesioTapingappliedtolumbermusclesinfluencesclinicalandelectromyographiccharacteristicsinchroniclowbackpainpatients.EurJPhysRehabilMed.2011;47(2):237-44. , 55.Castro-SánchezAM,Lara-PalomoIC,Matarán-PeñarrochaGA,Fernández-SánchezM,Sánches-LabracaN,Arroyo-MoralesM.KinesioTapingreducesdisabilityandpainslightlyinchronicnon-specificlowbackpain:arandomisedtrial.JPhysiother.2012;58(2):89-95.6.AkbasE,AtayAO,YükselI.Theeffectsofadditionalkinesiotapingoverexerciseinthetreatmentofpatellofemoralpainsyndrome.ActaOrthopTraumatolTurc.2011;45(5):335-41. - 77.ThelenMD,DauberJA,StonemanPD.TheclinicalefficacyofKinesioTapeforshoulderpain:arandomized,double-blind,clinicaltrial.JOrthopSportsPhysTher.2008;38(7):389-95. , 99.ChangHY,WangCH,ChouKY,ChengSC.CouldforearmKinesioTapingimprovestrength,forcesenseandpaininbaseballpitcherswithmedialepicondylitis?ClinJSportMed.2012;22(4):327-33. , 1010.KayaE,ZinnurogluM,TugcuI.Kinesiotapingcomparedtophysicaltherapymodalitiesforthetreatmentofshoulderimpingementsyndrome.ClinRheumatol.2011;30(2):201-7. , 1616.GarcíaLlopisL,CamposArandaM.Intervenciónfisioterápicaconvendajeneuromuscularenpacientesconcervicalgiamecánica.Unestudiopiloto.Fisioter.2012;34(5):189-95. , 1818.Saavedra-HernándezM,Castro-SánchezAM,Arroyo-MoralesM,ClelandJA,Lara-PalomoIC,Fernández-de-Las-PeñasC.Short-termeffectsokkinesiotapingversuscervicalthrustmanipulationinpatientswithmechanicalneckpain:arandomizedclinicaltrial.JOrthopSportsPhysTher.2012;42(8):724-30.. Inabout10minutesthepatientwillnotnoticeitspresenceontheskin,andinabout20minutesitwillbefullyadheredtotheskin.Theapplicationshalllastfor3-5days,whenthedecreasingoftheelasticpolymerfunctionoccurs11.KaseK,WallisJ,KaseT.ClinicaltherapeuticapplicationsoftheKinesioTapingMethod.2ed.Tokyo:KenIkai;2003.p.19-39. , 55.Castro-SánchezAM,Lara-PalomoIC,Matarán-PeñarrochaGA,Fernández-SánchezM,Sánches-LabracaN,Arroyo-MoralesM.KinesioTapingreducesdisabilityandpainslightlyinchronicnon-specificlowbackpain:arandomisedtrial.JPhysiother.2012;58(2):89-95. , 1616.GarcíaLlopisL,CamposArandaM.Intervenciónfisioterápicaconvendajeneuromuscularenpacientesconcervicalgiamecánica.Unestudiopiloto.Fisioter.2012;34(5):189-95.. Applicationformsmayvary,butintheverifiedstudies,theywereallbasedontheprinciplesofKenzoKase'sbook11.KaseK,WallisJ,KaseT.ClinicaltherapeuticapplicationsoftheKinesioTapingMethod.2ed.Tokyo:KenIkai;2003.p.19-39.2.González-IglesiasJ,Fernández-De-Las-PeñasC,ClelandJA,HuijbregtsP,DelRosarioGutiérrez-vegaM.Short-termeffectsofcervicalKinesioTapingonpainandcervicalrangeofmotioninpatientswithacutewhiplashinjury:arandomizedclinicaltrial.JOrthopSportsPhysTher.2009;39(7):515-21. - 33.PaoloniM,BernettiA,FratocchiG,MangoneM,ParrineloL,DelPilarCooperM,etal.KinesioTapingappliedtolumbermusclesinfluencesclinicalandelectromyographiccharacteristicsinchroniclowbackpainpatients.EurJPhysRehabilMed.2011;47(2):237-44. , 55.Castro-SánchezAM,Lara-PalomoIC,Matarán-PeñarrochaGA,Fernández-SánchezM,Sánches-LabracaN,Arroyo-MoralesM.KinesioTapingreducesdisabilityandpainslightlyinchronicnon-specificlowbackpain:arandomisedtrial.JPhysiother.2012;58(2):89-95.6.AkbasE,AtayAO,YükselI.Theeffectsofadditionalkinesiotapingoverexerciseinthetreatmentofpatellofemoralpainsyndrome.ActaOrthopTraumatolTurc.2011;45(5):335-41. - 77.ThelenMD,DauberJA,StonemanPD.TheclinicalefficacyofKinesioTapeforshoulderpain:arandomized,double-blind,clinicaltrial.JOrthopSportsPhysTher.2008;38(7):389-95. , 99.ChangHY,WangCH,ChouKY,ChengSC.CouldforearmKinesioTapingimprovestrength,forcesenseandpaininbaseballpitcherswithmedialepicondylitis?ClinJSportMed.2012;22(4):327-33. , 1010.KayaE,ZinnurogluM,TugcuI.Kinesiotapingcomparedtophysicaltherapymodalitiesforthetreatmentofshoulderimpingementsyndrome.ClinRheumatol.2011;30(2):201-7. , 1616.GarcíaLlopisL,CamposArandaM.Intervenciónfisioterápicaconvendajeneuromuscularenpacientesconcervicalgiamecánica.Unestudiopiloto.Fisioter.2012;34(5):189-95. , 1818.Saavedra-HernándezM,Castro-SánchezAM,Arroyo-MoralesM,ClelandJA,Lara-PalomoIC,Fernández-de-Las-PeñasC.Short-termeffectsokkinesiotapingversuscervicalthrustmanipulationinpatientswithmechanicalneckpain:arandomizedclinicaltrial.JOrthopSportsPhysTher.2012;42(8):724-30.. Afterthesearchforreferences,10studiesmettheinclusioncriteria,theminimummethodologicalqualitywas5,themaximumwas9andtheaveragewas7.9±1.6points,determinedbythePEDroscale.Ingeneral,415subjectsparticipatedinstudiescomparingKTwithanothergroup(control,placeboorintervention),4presentedsuperiorresults,5similaronesand1inferiortocounterintervention(Table1). Thumbnail Table1 Clinicaltrialswithacontrolgroupandtheircharacteristics TheauthorsofthestudiesinwhichtheKTgrouphadgreaterreductioninpain,whencomparedtointervention,describedthatclinically,itmaynotberelevant,becausethealgicdecreasewasminimallybetter,andthatafterwardstheresultswouldbeequivalenttothecounterinterventionones.Moreover,thedescribedimprovementwouldonlybeashort-termone(24hoursto1week)22.González-IglesiasJ,Fernández-De-Las-PeñasC,ClelandJA,HuijbregtsP,DelRosarioGutiérrez-vegaM.Short-termeffectsofcervicalKinesioTapingonpainandcervicalrangeofmotioninpatientswithacutewhiplashinjury:arandomizedclinicaltrial.JOrthopSportsPhysTher.2009;39(7):515-21. , 33.PaoloniM,BernettiA,FratocchiG,MangoneM,ParrineloL,DelPilarCooperM,etal.KinesioTapingappliedtolumbermusclesinfluencesclinicalandelectromyographiccharacteristicsinchroniclowbackpainpatients.EurJPhysRehabilMed.2011;47(2):237-44. , 55.Castro-SánchezAM,Lara-PalomoIC,Matarán-PeñarrochaGA,Fernández-SánchezM,Sánches-LabracaN,Arroyo-MoralesM.KinesioTapingreducesdisabilityandpainslightlyinchronicnon-specificlowbackpain:arandomisedtrial.JPhysiother.2012;58(2):89-95. , 77.ThelenMD,DauberJA,StonemanPD.TheclinicalefficacyofKinesioTapeforshoulderpain:arandomized,double-blind,clinicaltrial.JOrthopSportsPhysTher.2008;38(7):389-95. , 1010.KayaE,ZinnurogluM,TugcuI.Kinesiotapingcomparedtophysicaltherapymodalitiesforthetreatmentofshoulderimpingementsyndrome.ClinRheumatol.2011;30(2):201-7..Only1ofthestudiesshowingsuperiorresultswiththeuseofKTobtainedarelativelylowscore(5),theother3ofthemevidencedhighmethodologicalquality(9)bythePEDroscale,resultinginanaverageof8±2points. Inthestudiesinwhichthebenefitsobservedweresimilartotheothergroup's,itdoesnotmeanthattherewasnodecreaseinthepatient'spainwiththeuseofKT,butthatitsapplicationwouldbeasefficientastheuseofanothertechnique,whichdoesnotjustifyusingitasthemaintreatmenttobechosen.Asanexample,onecanusethestudyofSaavedra-Hernándezetal.1818.Saavedra-HernándezM,Castro-SánchezAM,Arroyo-MoralesM,ClelandJA,Lara-PalomoIC,Fernández-de-Las-PeñasC.Short-termeffectsokkinesiotapingversuscervicalthrustmanipulationinpatientswithmechanicalneckpain:arandomizedclinicaltrial.JOrthopSportsPhysTher.2012;42(8):724-30.which,fromamongtheotherselectedones,wastheoneinvolvingthelargestnumberofparticipants,withhighmethodologyquality,accordingtothePEDroscaleandthat,whencomparingKTtocervicalmanipulation,foundequivalentdecreaseofpainafteroneweek.However,asillustratedbytheauthors,thelimitationwastheabsenceofagroupwithnointervention(control)andplacebogroups,whichwouldbringmoreconclusiveinformation.Inanotherstudy,whichcomparedKTandplacebogroupsforshoulderpain,itwasonlyduringthefirstthreedaysthattheresultsofthefirstgroupweresignificantlyhigher,butlateron,theresultsrevealedthemselvesequivalentbetweengroups77.ThelenMD,DauberJA,StonemanPD.TheclinicalefficacyofKinesioTapeforshoulderpain:arandomized,double-blind,clinicaltrial.JOrthopSportsPhysTher.2008;38(7):389-95..Unlikethelasttwostudies,asix-weekrehabilitationprogramforpatellofemoralsyndromewerecompared,onegroupwithandonewithouttheadditionofKT.Inbothofthemtherewasanalgicreduction,withnointergroupdifference66.AkbasE,AtayAO,YükselI.Theeffectsofadditionalkinesiotapingoverexerciseinthetreatmentofpatellofemoralpainsyndrome.ActaOrthopTraumatolTurc.2011;45(5):335-41..Therefore,KTcannotbeconsideredsuperiornorinferiortotheotherinterventionsusedinfiveofthestudies,whichnearlyobtainedtopmarksintheassessmentscale,reaching8.4±0.8points,onaverage. InonlyonestudytheKTwaslessefficient,inanklesprain,providingareductionofpain(55.6%),butthisbeingasmallerimprovementwhencomparedtojointmobilization(MWM)(74.9%),sincebothgroupsreceivedonlythreesessionsperweek.However,itwasoneofthestudieswhichreachedthelowestscoresonthePEDroscale(5points),representinglowerqualityinconductingthesurvey88.NambiG,ShahBT.KinesiotapingversusMulligan'smobilizationwithmovementinsub-acutelateralanklespraininsecondaryschoolHockeyplayers-comparativestudy.IntJPharmacHealthCare.2012;2(2):136-49.. MostauthorsdescribedhypothesesforthehypoalgesicmechanismattributedtotheapplicationoftheKT.Amongthese,themostcitedoneswerethefollowing.Thetensionprovidedbythetapegeneratesafferentstimuli,facilitatingtheinhibitorymechanismofpain(gatecontroltheory);thetapeprovidesasensorimotorfeedbackthatonlyallowsmovementsthatcauseminimalmechanicalirritationofthetissues,hencelesspainoccurs22.González-IglesiasJ,Fernández-De-Las-PeñasC,ClelandJA,HuijbregtsP,DelRosarioGutiérrez-vegaM.Short-termeffectsofcervicalKinesioTapingonpainandcervicalrangeofmotioninpatientswithacutewhiplashinjury:arandomizedclinicaltrial.JOrthopSportsPhysTher.2009;39(7):515-21. , 55.Castro-SánchezAM,Lara-PalomoIC,Matarán-PeñarrochaGA,Fernández-SánchezM,Sánches-LabracaN,Arroyo-MoralesM.KinesioTapingreducesdisabilityandpainslightlyinchronicnon-specificlowbackpain:arandomisedtrial.JPhysiother.2012;58(2):89-95. , 77.ThelenMD,DauberJA,StonemanPD.TheclinicalefficacyofKinesioTapeforshoulderpain:arandomized,double-blind,clinicaltrial.JOrthopSportsPhysTher.2008;38(7):389-95. , 88.NambiG,ShahBT.KinesiotapingversusMulligan'smobilizationwithmovementinsub-acutelateralanklespraininsecondaryschoolHockeyplayers-comparativestudy.IntJPharmacHealthCare.2012;2(2):136-49. , 1010.KayaE,ZinnurogluM,TugcuI.Kinesiotapingcomparedtophysicaltherapymodalitiesforthetreatmentofshoulderimpingementsyndrome.ClinRheumatol.2011;30(2):201-7. , 1818.Saavedra-HernándezM,Castro-SánchezAM,Arroyo-MoralesM,ClelandJA,Lara-PalomoIC,Fernández-de-Las-PeñasC.Short-termeffectsokkinesiotapingversuscervicalthrustmanipulationinpatientswithmechanicalneckpain:arandomizedclinicaltrial.JOrthopSportsPhysTher.2012;42(8):724-30.;anothertheorywasbasedontheconditionofmechanicalcervicalpain,inwhichtheauthorsdidnotdirectlyemphasizedamechanismforpainreduction,buttheyclaimthatthiswouldoccur,asthetechniqueprovidesincreasedrangeofjointmotion16;onlyonestudymentionedthepossibilityofimprovementoccurringbytheincreaseofcirculationintheinjuredarea99.ChangHY,WangCH,ChouKY,ChengSC.CouldforearmKinesioTapingimprovestrength,forcesenseandpaininbaseballpitcherswithmedialepicondylitis?ClinJSportMed.2012;22(4):327-33.. Themostacceptedideasofaristhegatecontroltheory,inwhichthemechanicalstimuliprovidedbytheKTwouldactthroughfast-conductingfibers(Aβ),performingsynapseswithinhibitoryinterneuronswhenreachingtheRoland'sGelatinousSubstance(posteriorhornofthespinalcord),causingtheclosureofthegateandtherefore,notallowingthepassageofnotionreceptivestimulus(CandAδfibers)1919.GoslingAP.Mecanismosdeaçãoeefeitosdafisioterapianotratamentodador.RevDor.2013;13(1):65-70..AnothereasilyelucidativethesisinpracticewouldbetheimmediateeffectthatcanbeobtainedbyapplyingtheKTacrossthemuscleorthecompromisedtendon(moderatetointensecompression),previouslyorafterphysicaltherapysession.Onecantestthishypothesis,notyetscientificallyexplained,incasesoflateralepicondylitisoftheelbow(tenniselbow),tendinopathyofthe"goosefoot"(sartorius,gracilisandsemitendinous),patella(jumper'sknee)andcalcaneus.Itisbelievedthatthiswayofusingthetapedecreasestheloadonamuscleortendonformodifyingthepointofthelever(internalmomentarm),decreasingtheappliedstrengthattheaffectedarea,andasaconsequence,decreasingthepain.Itwouldbealiteralmechanicaleffect,whichgivesinasthetapelosesitsabilitytomaintainthepressureonthearea,duetotherepeateduseofthelimb,butthat,inmostcases,providesgreaterpainreliefwhencomparedtostandardapplicationsontheseregions. AftercheckingthesestudiesontheuseofKTinvariedconditions,itmaybenotedthatafterthemuscle/jointiswrappedbytheband,thephysicaltherapistshouldbeginorpreviouslyapplysomekindofmethodorcorrectiontechniquetothecauseoftheinjury.Aselucidated,theapplicationofKTissuggestedasashorttermadditionalstrategyforthereductionofpain,suchaschroniclowbackpain,althoughitdoesnotreplacetheneedforexercising33.PaoloniM,BernettiA,FratocchiG,MangoneM,ParrineloL,DelPilarCooperM,etal.KinesioTapingappliedtolumbermusclesinfluencesclinicalandelectromyographiccharacteristicsinchroniclowbackpainpatients.EurJPhysRehabilMed.2011;47(2):237-44..Therefore,theKTtapeisdescribedasanalternativeorcomplementarytreatment,asanoptionwhenanimmediateandshort-durationeffect,byapplication,isdesired,althoughitshallnotbeusedastheonlyformoftreatment.Itissuggestedtheassociationwithothertechniquesandresources(manualtherapy,musclestrengtheningandelectrothermalandphototherapy)1010.KayaE,ZinnurogluM,TugcuI.Kinesiotapingcomparedtophysicaltherapymodalitiesforthetreatmentofshoulderimpingementsyndrome.ClinRheumatol.2011;30(2):201-7.. Uptodate,noworkhasbeendevelopedinordertoevaluatethelong-termeffectsofKT,themaximumperiodwas4-6weeks,withsimilarvalues​​obtainedbetweentheobservedgroups22.González-IglesiasJ,Fernández-De-Las-PeñasC,ClelandJA,HuijbregtsP,DelRosarioGutiérrez-vegaM.Short-termeffectsofcervicalKinesioTapingonpainandcervicalrangeofmotioninpatientswithacutewhiplashinjury:arandomizedclinicaltrial.JOrthopSportsPhysTher.2009;39(7):515-21. , 33.PaoloniM,BernettiA,FratocchiG,MangoneM,ParrineloL,DelPilarCooperM,etal.KinesioTapingappliedtolumbermusclesinfluencesclinicalandelectromyographiccharacteristicsinchroniclowbackpainpatients.EurJPhysRehabilMed.2011;47(2):237-44. , 55.Castro-SánchezAM,Lara-PalomoIC,Matarán-PeñarrochaGA,Fernández-SánchezM,Sánches-LabracaN,Arroyo-MoralesM.KinesioTapingreducesdisabilityandpainslightlyinchronicnon-specificlowbackpain:arandomisedtrial.JPhysiother.2012;58(2):89-95.6.AkbasE,AtayAO,YükselI.Theeffectsofadditionalkinesiotapingoverexerciseinthetreatmentofpatellofemoralpainsyndrome.ActaOrthopTraumatolTurc.2011;45(5):335-41. - 77.ThelenMD,DauberJA,StonemanPD.TheclinicalefficacyofKinesioTapeforshoulderpain:arandomized,double-blind,clinicaltrial.JOrthopSportsPhysTher.2008;38(7):389-95. , 1818.Saavedra-HernándezM,Castro-SánchezAM,Arroyo-MoralesM,ClelandJA,Lara-PalomoIC,Fernández-de-Las-PeñasC.Short-termeffectsokkinesiotapingversuscervicalthrustmanipulationinpatientswithmechanicalneckpain:arandomizedclinicaltrial.JOrthopSportsPhysTher.2012;42(8):724-30.. Thecombinationoflowcost,limitedriskofcomplicationsandimmediatereductioninpain(althoughsmall)makestheapplicationofKTaconsiderableplanofaction,evenifliteraturecannotaccuratelydescribeitsmechanismofaction,yet55.Castro-SánchezAM,Lara-PalomoIC,Matarán-PeñarrochaGA,Fernández-SánchezM,Sánches-LabracaN,Arroyo-MoralesM.KinesioTapingreducesdisabilityandpainslightlyinchronicnon-specificlowbackpain:arandomisedtrial.JPhysiother.2012;58(2):89-95.. CONCLUSION TheKTproduceshypoalgesiceffectssimilartothoseofotherexperimentalgroups(8.4±0.8points,PEDroscale),which,clinically,doesnotjustifyitsuseasaprimaryanalgesictechnique.Threestudiesofhighmethodologicalquality(9points,PEDroscale)suggestthatitseffectsonpainwerehigher,intheshortterm(24hoursafterapplication),anditsresultsare,mostly,describedasbeneficial,howeverthereisnoscientificevidencethattheseeffectsmaybeprolonged. REFERENCES 1KaseK,WallisJ,KaseT.ClinicaltherapeuticapplicationsoftheKinesioTapingMethod.2ed.Tokyo:KenIkai;2003.p.19-39. 2González-IglesiasJ,Fernández-De-Las-PeñasC,ClelandJA,HuijbregtsP,DelRosarioGutiérrez-vegaM.Short-termeffectsofcervicalKinesioTapingonpainandcervicalrangeofmotioninpatientswithacutewhiplashinjury:arandomizedclinicaltrial.JOrthopSportsPhysTher.2009;39(7):515-21. 3PaoloniM,BernettiA,FratocchiG,MangoneM,ParrineloL,DelPilarCooperM,etal.KinesioTapingappliedtolumbermusclesinfluencesclinicalandelectromyographiccharacteristicsinchroniclowbackpainpatients.EurJPhysRehabilMed.2011;47(2):237-44. 4RibeiroMO,RahalRO,KokanjAS,BittarDP.OusodabandagemelásticaKinesionocontroledasialorréiaemcriançascomparalisiacerebral.ActaFisiatr.2009;16(4):168-72. 5Castro-SánchezAM,Lara-PalomoIC,Matarán-PeñarrochaGA,Fernández-SánchezM,Sánches-LabracaN,Arroyo-MoralesM.KinesioTapingreducesdisabilityandpainslightlyinchronicnon-specificlowbackpain:arandomisedtrial.JPhysiother.2012;58(2):89-95. 6AkbasE,AtayAO,YükselI.Theeffectsofadditionalkinesiotapingoverexerciseinthetreatmentofpatellofemoralpainsyndrome.ActaOrthopTraumatolTurc.2011;45(5):335-41. 7ThelenMD,DauberJA,StonemanPD.TheclinicalefficacyofKinesioTapeforshoulderpain:arandomized,double-blind,clinicaltrial.JOrthopSportsPhysTher.2008;38(7):389-95. 8NambiG,ShahBT.KinesiotapingversusMulligan'smobilizationwithmovementinsub-acutelateralanklespraininsecondaryschoolHockeyplayers-comparativestudy.IntJPharmacHealthCare.2012;2(2):136-49. 9ChangHY,WangCH,ChouKY,ChengSC.CouldforearmKinesioTapingimprovestrength,forcesenseandpaininbaseballpitcherswithmedialepicondylitis?ClinJSportMed.2012;22(4):327-33. 10KayaE,ZinnurogluM,TugcuI.Kinesiotapingcomparedtophysicaltherapymodalitiesforthetreatmentofshoulderimpingementsyndrome.ClinRheumatol.2011;30(2):201-7. 11JaraczewskaE,LongC.Kinesiotapinginstroke:improvingfunctionaluseoftheupperextremityinhemiplegia.TopSrokeRehabil.2006;13(3):31-42. 12SantosJCC,GiorgettiMJS,TorelloEM,MeneghettiCHZ,OrdenesIEU.AinfluênciadaKinesioTapingnotratamentodasubluxaçãodeombronoAcidenteVascularCerebral.RevNeurocienc2010;18(3):335-40. 13CortesiM,CattaneoD,JonsdottirJ.Effectofkinesiotapingonstandingbalanceinsubjectswithmultiplesclerosis:apilotstudy.NeuroRehabilitation.2011;28(4):365-72. 14StockheimerKR.KinesioTaping&lymphoedema:appliedKinesioTapingforlymphoedema/chronicswellingofthearmand/orbreastafteramastectomyandaxillalymphnoderemoval.AdvHealing2006,22-3. 15TsaiHJ,HungHC,YangJL,HuangCS,TsauoJY.CouldKinesiotapereplacethebandageindecongestivelymphatictherapyforbreast-cancer-relatedlymphedema?Apilotstudy.SupportCareCancer.2009;17(11):1353-60. 16GarcíaLlopisL,CamposArandaM.Intervenciónfisioterápicaconvendajeneuromuscularenpacientesconcervicalgiamecánica.Unestudiopiloto.Fisioter.2012;34(5):189-95. 17VerhagenAP,deVetHC,deBieRA,KesselsAG,BoersM,BouterLM,etal.TheDelphilist:acriterialistforqualityassessmentofrandomisedclinicaltrialsforconductingsystematicreviewsdevelopedbyDelphiconsensus.JClinEpidemiol.1998;51(12):1235-41. 18Saavedra-HernándezM,Castro-SánchezAM,Arroyo-MoralesM,ClelandJA,Lara-PalomoIC,Fernández-de-Las-PeñasC.Short-termeffectsokkinesiotapingversuscervicalthrustmanipulationinpatientswithmechanicalneckpain:arandomizedclinicaltrial.JOrthopSportsPhysTher.2012;42(8):724-30. 19GoslingAP.Mecanismosdeaçãoeefeitosdafisioterapianotratamentodador.RevDor.2013;13(1):65-70. StudyconductedattheNúcleodeFisioterapiaOrtopédica,DesportivaeTerapiasAlternativas(NAFDT)ofCentroUniversitárioLusíada(UNILUS)-Santos(SP)andLaboratoryofStudyofInjuriesandPhysicalTherapyResourcesoftheUniversidadeEstadualdoOestedoParaná(UNIOESTE)-Cascavel(PR),Brazil PublicationDates PublicationinthiscollectionJan-Mar 2014 History ReceivedAug 2013 AcceptedFeb 2014 ThisisanOpenAccessarticledistributedunderthetermsoftheCreativeCommonsAttributionNon-CommercialLicense,whichpermitsunrestrictednon-commercialuse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited. ×CloseAbouttheauthors DérrickPatrickArtioliGraduateProgramofMusculoskeletalPhysicalTherapybytheSantaCasadeMisericórdiadeSãoPaulo;CentroUniversitárioLusíada(UNILUS)-Santos(SP),Brazil GladsonRicardoFlorBertoliniGraduateProgramofHealthSciencesAppliedtotheLocomotorSystembytheSchoolofMedicineofRibeirãoPretooftheUniversidadedeSãoPaulo(USP);UniversidadeEstadualdoOestedoParaná(UNIOESTE)-Cascavel(PR),Brazil Correspondenceto:GladsonRicardoFlorBertoliniRuaUniversitária,2069-JardimUniversitárioCEP:85819-110-Cascavel(PR),BrazilE-mail:[email protected] Financingsource:none Conflictofinterests:nothingtodeclare. ×CloseFigures|Tables Figures (1) Tables (1) Thumbnail Figure1 Flowchartofthedatafoundinthesearchondifferentdatabases Thumbnail Table1 Clinicaltrialswithacontrolgroupandtheircharacteristics ×Close Figure1  Flowchartofthedatafoundinthesearchondifferentdatabases ×Close Table1  Clinicaltrialswithacontrolgroupandtheircharacteristics Authors Objectives KindofStudy Counterintervention Population PEDrofinalscore Results González-Iglesiasetal. 2 Short-termeffectsonpainandROMinpatientspostcervical"whip" Randomizedclinicalessay Placebo 41patientswithpost"whip"pain 9 SuperiortoCG Saavedra-Hernándezetal. 18 CompareKTmanipulationinindividualswithmechanicalcervicalpainonpain,disabilityandROM Randomizedclinicalessay Thrust 80patientswithmechanicalcervicalpain 9 SimilartoCG GarcíaLlopiseCamposAranda16 AssesswhethertheKTimprovestheeffectivenessofthephysicaltherapytreatmentonthemechanicalcervicalpain,ROMandqualityoflife Controledclinicalessay Conventionalphysicaltherapy 10patientswithmechanicalcervicalpain 9 SuperiortoCG Kaya,ZinnuroglueTugcu10 CompareKTwithconventionalphysicaltherapyinpatientswithshoulderimpingementsyndrome,assessingthedisability Controledclinicalessay Electro-thermotherapy 55patientswithimpactsyndrome 5 SuperiortoCG Thelen,DaubereStoneman7 ComparetheKTwithsimulacrum,inyoungpeoplewithshoulderpain,onpain,disabilityandROM Randomizedclinicalessay,Doubleblind Placebo 42patientswithdiagnosisofimpactS/tendinopathyofRC 9 SimilartoCG Changetal. 9 Short-termeffectsonpain,strengthandproprioceptionofbaseballplayerswithmedialepicondylitis Casecontrolstudywithrepeatedmeasures Control;placebo 10baseballplayerswithmedialepicondylitis+17healthyvolunteers 8 Semelhanteaoplacebo Paolonietal. 3 EffectsofKTonpain,disabilityandmusclefunctioninindividualswithchroniclowbackpain PhaseI:intra-subjectassessment(pre/post) PhaseII:Controledclinicalessay KT+exercises;exercises 39patientswithchroniclowbackpain 9 Similartothe2groups Castro-Sánchezetal. 5 EffectsofKTonpain,disabilityandkinesiophobiainindividualswithchroniclowbackpain Randomizedclinicalessay Placebo 60patientswithchroniclowbackpain 9 SuperiortoCG Akbas,AtayeYüksel6 EffectsofKTinthepatellofemoralS,assessingpain,functionandflexibility Randomizedclinicalessay FM/stretchingwithoutKT 31womenwithpatellofemoralS 7 SimilartoCG NambieShah8 CompareKTtoMulliganmobilizationinsubacuteanklesprains,onpainandROM Clinicalessaywithconveniencesample MWM 30patientswithsubacuteanklesprain(inversioninankle) 5 InferiortoCG ROM :rangeofmotion CG :controlgroup KT :KinesioTape S :syndrome RC :rotatorcuff MS :muscularstrengthening MWM :Mulligan'smobilizationwithmovement ×CloseHowtocite copy UniversidadedeSãoPaulo RuaOvídioPiresdeCampos,2252°andar.,05403-010SãoPauloSP/Brasil,Tel:55112661-7703,Fax55113743-7462- SãoPaulo- SP- Brazil E-mail:[email protected] AcompanheosnúmerosdesteperiódiconoseuleitordeRSS ×Fechar VersãoparadownloaddePDF PDF Inglês Português × Fechar Artigosrelacionados Google GoogleScholar ×Close Versõesetraduçãoautomática Versãooriginaldotexto English Português Traduçãoautomática GoogleTranslator MicrosoftTranslator ×Fechar Métricas SciELOAnalytics Dimensions Altmetric Scite_ Kinesiotaping:applicationandresultsonpain:systematicreview PlumX ×Close Mensagem ×Close Mensagem