Effects of Kinesio Taping Method on Pulmonary Function, Respiratory Muscle Strength and Functional Capacity in Patients with Chronic Heart Failure
By American Journal of Respiratory and Critical Care Medicine | 20 May 2018
Type:Randomised
Sample Size:33
Outcome:Positive
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Rationale

Kinesio Taping (KT) is a relatively new but widely used therapeutic approach applied for enhancing muscle activity and circulation. The objective of the study was to investigate the effect of KT on pulmonary function, respiratory muscle strength and functional capacity in patients with chronic heart failure (CHF).

Methods

33 CHF patients (25 men, 8 female) with New York Heart Association functional class II-III and between the ages 45-89 (mean age: 64±9.2) were included in the study. Forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV1/FVC, peak expiratory flow (PEF), forced expiratory flow at 25-75% of FVC (FEF25-75) values were measured with a lung spirometry. Maximal inspiratory and expiratory pressures (MIP and MEP) were recorded by using a portable mouth pressure meter as a measure of the respiratory muscle strength. Functional capacity was determined with six-minute walk test. All the assessments were performed at baseline and four weeks after treatment. Patients were divided into KT group (n=18) and control group (n=15). The KT group received KT facilitation technique for musculus diapragmaticus (ventral and dorsal parts) and for musculus onliquus internus-externus abdominis (bilateral) to improve inspiratory and forced expiratory muscle activity, respectively. KT was applied twice a week during a 4-week period. For statistical analysis; student's t-test, Mann-Whitney U and Chi-Squared tests were used.

Results

Changes between baseline and post-treatment evaluations in both groups were given in Table 1. We found that all the outcome variables improved except FEV1/FVC in KT group. Between-group analysis showed that FEV1 (p=0.0002), %FEV1 (p=0.0004), %FEV25-75 (p=0.04), PEF (p=0.02), %PEF(p=0.03), MIP(p<0.0001), MEP (p<0.0001) and six-minute walk distance (6MWD) (p=0.0002) improved significantly after KT application. No significant changes were detected in other parameters between groups.

Conclusion

The results indicate that KT methods used for respiratory muscles are effective on improving pulmonary function, respiratory muscle strength and functional capacity of CHF patients.

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