title: Lower-leg Kinesio tape reduces rate of loading in participants with medial tibial stress syndrome.
abstract: BACKGROUND
  Medial tibial stress syndrome (MTSS) is an overuse injury occurring among the physically active. Linked to increased strain on the medial tendons of the ankle, studies emphasize controlling medial foot loading in the management of this condition. Kinesio taping (KT) has gained popularity for treating musculoskeletal pathologies; however, its effect on MTSS remains uninvestigated. This study aimed to determine if healthy participants and patients with current or previous history of MTSS differ in the rate of loading, and if KT affects plantar pressures in these participants.
  
  
  METHODS
  Twenty healthy participants and 20 participants with current or previous history of MTSS were recruited and walked across a plantar pressure mat prior to KT application, immediately after application, and after 24-h of continued use. Time-to-peak force was measured in 6 foot areas and compared across groups and conditions.
  
  
  RESULTS
  ANOVA revealed a significant interaction between group, condition, and foot area (F = 1.990, p = 0.033). MTSS participants presented with lower medial midfoot time-to-peak force before tape application (95%CI: 0.014-0.160%, p = 0.021) that significantly increased following tape application (p < 0.05).
  
  
  CONCLUSIONS
  These results suggest that KT decreases the rate of medial loading in MTSS patients. Future research might assess mechanisms by which this effect is achieved.
authors.affiliation: Emory University, Atlanta, GA, USA. Electronic address: mcgriebert@gmail.com.
authors.forename: Maggie C
authors.initials: MC
authors.lastname: Griebert
authors.affiliation: Department of Health, Leisure, & Exercise Science, Appalachian State University, Boone, NC, USA. Electronic address: needlear@appstate.edu.
authors.forename: Alan R
authors.initials: AR
authors.lastname: Needle
authors.affiliation: Department of Civil & Environmental Engineering, University of Delaware, Newark, DE, USA. Electronic address: righman@udel.edu.
authors.forename: Jennifer
authors.initials: J
authors.lastname: McConnell
authors.affiliation: Department of Kinesiology & Applied Physiology, University of Delaware, Newark, DE, USA. Electronic address: kaminski@udel.edu.
authors.forename: Thomas W
authors.initials: TW
authors.lastname: Kaminski
mesh_terms: D016512:Ankle Injuries / Q000150:complications / Q000517:prevention & control*; D000843:Ankle Joint / Q000503:physiopathology*; D055052:Athletic Tape; D004867:Equipment Design; D006801:Humans; D058923:Medial Tibial Stress Syndrome / Q000209:etiology / Q000534:rehabilitation*; D018482:Muscle, Skeletal / Q000503:physiopathology*; D016059:Range of Motion, Articular / Q000502:physiology*; D016138:Walking / Q000502:physiology*
keywords: Foot biomechanics; Injury prevention; Plantar pressure