Title: Comparison of Kinesio Taping & Crepe Bandaging In Patients with Post-Operative Pedal Edema: A Randomized Clinical Trial
Authors: Prashant Naik, Pushkar Topkar, Satyashree Verneka
DOI: http://dx.doi.org/10.18535/jmscr/v4i6.53
Abstract
Background and Objectives: Lymphedema is caused due to the accumulation of interstitial fluid in the tissue spaces due to the inefficiency of the lymphatic system. Kinesiotaping helps in draining of the lymphatic fluid by gently lifting up the skin and allowing the fluid to drain easily into the lymph nodes. Crepe bandaging also helps the draining of lymphatic fluid by creating compressive forces along the limb which helps the fluid to drain in the lymph nodes. The aim of this study is to compare the effectiveness of kinesiotaping and crepe bandaging in patients with post-operative pedal edema.
Materials and Methods: 40 participants with post-operative pedal edema were selected and were allotted in two groups, Group A and Group B each consisting of 20 participants. Group A was given kinesiotaping and Group B was given crepe bandaging and conventional treatment was given to both groups.
Results: The study demonstrated differences in the outcome measure pre and post treatment. Both Group A and Group B showed reduction in pedal edema on both right and left side (p==0.001) which was statistically significant. Comparatively there was a higher reduction in Group A (p=0.001).
Conclusion: From the present study we can conclude that both kinesiotaping and crepe bandaging give immediate effect by reducing post-operative edema. But kinesio taping is more effective than crepe bandaging in reducing pedal edema in post-operative patients. Hence kinesiotape can be used along with the conventional treatment to relieve edema.
Keywords: kinesiotaping, crepe bandaging, lymphedema, pedal edema, ankle circumference.
References
1. Edem - Wikipedia, the free encyclopedia [Internet]. [cited 2015 Oct 11]. Available from: https://en.wikipedia.org/wiki/Edem
2. Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques. F.A. Davis; 2007. ISBN 978-0-8036-3897-6 page no 834-838 .
3. Szczesny G, Olszewski WL. The Pathomechanism of Posttraumatic Edema of the Lower Limbs: II???Changes in the Lymphatic System: The Journal of Trauma: Injury, Infection, and Critical Care. 2003 Aug;55(2):350–4.
4. Lipińska A, Śliwiński Z, Kiebzak W, Senderek T, Kirenko J. The influence of Kinesiotaping applications on lymphoedema of an upper limb in woman after mastectomy. Fizjo Pol. 2007;7(3):258–69.
5. Tsai H-J, Hung H-C, Yang J-L, Huang C-S, Tsauo J-Y. Could Kinesio tape replace the bandage in decongestive lymphatic therapy for breast-cancer-related lymphedema? A pilot study. Support Care Cancer. 2009 Feb 8;17(11):1353–60.
6. Chou Y-H, Li S-H, Liao S-F, Tang H-W. Case Report: Manual Lymphatic Drainage and Kinesio Taping in the Secondary Malignant Breast Cancer-Related Lymphedema in an Arm With Arteriovenous (A-V) Fistula for Hemodialysis. American Journal of Hospice and Palliative Medicine. 2013 Aug 1;30(5):503–6
7. Stockheimer KR. Kinesio taping and lymphoedema. Advance Healing. 2006;3:22–3
8. Thomas S. Compression bandaging in the treatment of venous leg ulcers. World Wide Wounds. First publication. 1997.
9. Kazmi SSH, Stranden E, Kroese AJ, Slagsvold C-E, Diep LM, Stromsoe K, et al. Edema in the Lower Limb of Patients Operated on for Proximal Femoral Fractures: The Journal of Trauma: Injury, Infection, and Critical Care. 2007 Mar;62(3):701–7.
10. Cash JE. Cash’s Textbook of Chest, Heart, and Vascular Disorders for Physiotherapists. Lippincott; 1979.ISBN 978-0-397-58250-1 662 p- 683p.
11. Kang S-A, Chon M-Y. Comparative Effectiveness of Taping Therapy Versus Compression Stocking on Edema, Pain, and Fatigue in the Lower Extremities of Hospital Nurses. Indian Journal of Science and Technology. 2015;8(S8):15–21.
12. Alizadeh-Ghavidel A, Ramezannejad P, Mirmesdagh Y, Sadeghpour-Tabaei A. Prevention of Edema After Coronary Artery Bypass Graft Surgery by Compression Stockings. Research in Cardiovascular Medicine. 2014 May;3(2).
13. Bowering KC. Use of Layered Compression Bandages in Diabetic Patients: Experience in Patients with Lower Leg Ulceration, Peripheral Edema, and Features of Venous and Arterial Disease. Advances in Skin & Wound Care. 1998 May 1;11(3):129-35.
14. Martins J de C, Aguiar SS, Fabro EAN, Costa RM, Lemos TV, Sá VGG de, et al. Safety and tolerability of Kinesio® Taping in patients with arm lymphedema: medical device clinical study. Support Care Cancer. 2015 Aug 14;1–6.
15. HASSAN MA, ISMAIL SM. Kinesio Tape Versus Compression Garment on Post Mastectomy Lymphedema.
16. Key mr. Can coban 2 compression system in combination with kinesio taping make a difference in oedema reduction.