Does kinesio taping have an effect on kinetics and kinematics after lower limb musculoskeletal injuries? Systematic review and meta-analysis

The systematic review aimed to investigate the effects of kinesio taping on the lower extremity kinetics and kinematics after a musculoskeletal disorder. Randomized controlled studies reported kinetic or kinematic outcomes (such as joint moment force or angular displacement) in the lower extremity with musculoskeletal disorders were included. A systematic literature search of Web of Science, Scopus, PubMed, EBSCO, and PEDro databases was performed up to 28 February 2021. Meta-analysis was performed, when possible, by using mean difference (MD) and standard mean difference (SMD). Ten randomized controlled trials met the inclusion criteria. The results of a meta-analysis based on included studies show that the use of kinesio taping has similar effects on the kinetics of the lower extremities with musculoskeletal disorders or the control group. These effects do not change between 0 and 24 h, 1 and 15 days, and 15 and 30 days (SMD = 0.01, 95% CI −0.30 to 0.31, <i>p</i> = 0.21). This study provides insufficient evidence to prove the effect of kinesio taping on lower extremity kinetics and kinematics on patients with musculoskeletal disorders in shorter and longer terms. Methodologically well-designed studies are needed to show the effectiveness of kinesio tape on lower extremity kinetics and kinematics after a musculoskeletal disorder in short and longer terms.IMPLICATIONS FOR REHABILITATIONThe present evidence does not support the effects of Kinesio tape on lower extremity kinetics in patients with a musculoskeletal pathologyMore evidenced based studies are still needed to show the effects of kinesio taping on lower extremity kinetics in patients with a musculoskeletal pathologyThis meta-analysis demonstrated that kinesio taping had no effect for up to 30 days within the scope of the results obtained from the studies, except for the immediate effect of the application. The present evidence does not support the effects of Kinesio tape on lower extremity kinetics in patients with a musculoskeletal pathology More evidenced based studies are still needed to show the effects of kinesio taping on lower extremity kinetics in patients with a musculoskeletal pathology This meta-analysis demonstrated that kinesio taping had no effect for up to 30 days within the scope of the results obtained from the studies, except for the immediate effect of the application.

本系统综述旨在探讨肌内效贴（kinesio taping）对肌肉骨骼疾病患者下肢动力学与运动学的影响。本研究纳入所有报告了肌肉骨骼疾病患者下肢动力学或运动学结局（如关节力矩、作用力或角位移）的随机对照研究。
我们于2021年2月28日前对Web of Science、Scopus、PubMed、EBSCO及PEDro数据库开展了系统文献检索。若条件允许，采用均数差（mean difference, MD）及标准均数差（standard mean difference, SMD）进行元分析。
最终共有10项随机对照试验符合纳入标准。基于纳入研究的元分析结果显示，肌内效贴应用对肌肉骨骼疾病患者下肢动力学的影响与对照组无显著差异。上述效应在0~24小时、1~15天及15~30天三个时间区间内均无显著变化（SMD=0.01，95%置信区间−0.30~0.31，p=0.21）。
本研究证据不足以证明肌内效贴在短期及长期内对肌肉骨骼疾病患者下肢动力学与运动学的改善效果，未来仍需开展方法学设计严谨的研究，以明确肌内效贴对肌肉骨骼疾病后下肢动力学与运动学的短期及长期效应。

### 康复应用启示
现有证据不支持肌内效贴对肌肉骨骼疾病患者下肢动力学的改善作用。
仍需更多高质量循证研究，以明确肌内效贴对肌肉骨骼疾病患者下肢动力学的影响。
本次元分析结果显示，除贴扎即刻效应外，肌内效贴在30天内对下肢动力学无显著影响。
现有证据不支持肌内效贴对肌肉骨骼疾病患者下肢动力学的改善作用。
仍需更多高质量循证研究，以明确肌内效贴对肌肉骨骼疾病患者下肢动力学的影响。
本次元分析结果显示，除贴扎即刻效应外，肌内效贴在30天内对下肢动力学无显著影响。