title: Inefficacy of Kinesio-Taping(®) on early postoperative pain after ACL reconstruction: Prospective comparative study.
abstract: BACKGROUND
  Kinesio-Taping(®) (K-Tape) is used in sports traumatology with the aim of reducing pain and improving blood and lymph circulation. The main objective of the present study was to assess the efficacy of K-Tape on early postoperative pain after anterior cruciate ligament (ACL) reconstruction. The study hypothesis was that K-Tape significantly decreases pain.
  
  
  METHODS
  A prospective non-randomized comparative study was conducted in 2013-2014 and included all patients who underwent primary ACL reconstruction by hamstring graft. Analgesia was standardized. Two groups, "K-Tape" and "controls", were formed according to the days on which the study physiotherapist was present. The K-Tape compression/decompression assembly was applied immediately postoperatively and maintained for 3days. Patients filled out online questionnaires. The main assessment criterion was mean postoperative pain (D0-D3) on a 0-to-10 scale. Secondary criteria were analgesia intake on the three WHO levels, awakening during the night of D0 due to pain, signs of postoperative discomfort, and patient satisfaction.
  
  
  RESULTS
  Sixty patients (30 per group) were included, 57 of whom could be assessed: 28 K-Tape, 29 controls; 44 male, 13 female; mean age, 30.9±8.9 years. At inclusion, the two groups were comparable. There was no significant difference in mean (D0-D3) knee pain intensity: 3.8±2.2 for K-Tape, and 3.9±2 for controls (P=0.93). Analysis of variance (ANOVA) found no significant intergroup difference in evolution of pain (P=0.34). There were no other significant differences on the other assessment criteria.
  
  
  CONCLUSIONS
  K-Tape showed no efficacy on early postoperative pain following ACL reconstruction.
  
  
  METHODS
  III; prospective non-randomized comparative study.
authors.affiliation: Physiotherapy office, 94210 La Varenne-Saint-Hilaire, France.
authors.forename: M
authors.initials: M
authors.lastname: Laborie
authors.affiliation: Institut de l'Appareil Locomoteur Nollet, 75017 Paris, France; Clinique du sport Paris V, 75005 Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Klouche
authors.affiliation: Institut de l'Appareil Locomoteur Nollet, 75017 Paris, France; Clinique du sport Paris V, 75005 Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Herman
authors.affiliation: Institut de l'Appareil Locomoteur Nollet, 75017 Paris, France; Clinique du sport Paris V, 75005 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Gerometta
authors.affiliation: Institut de l'Appareil Locomoteur Nollet, 75017 Paris, France; Clinique du sport Paris V, 75005 Paris, France.
authors.forename: N
authors.initials: N
authors.lastname: Lefevre
authors.affiliation: Institut de l'Appareil Locomoteur Nollet, 75017 Paris, France; Clinique du sport Paris V, 75005 Paris, France. Electronic address: yoann.bohu@orange.fr.
authors.forename: Y
authors.initials: Y
authors.lastname: Bohu
mesh_terms: D000328:Adult; D000698:Analgesia; D000700:Analgesics / Q000627:therapeutic use; D000704:Analysis of Variance; D016118:Anterior Cruciate Ligament / Q000601:surgery; D059549:Anterior Cruciate Ligament Reconstruction / Q000009:adverse effects*; D055052:Athletic Tape; D005260:Female; D006801:Humans; D007866:Leg / Q000601:surgery; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000209:etiology / Q000628:therapy*; D017060:Patient Satisfaction; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D000700:Analgesics
keywords: ACL reconstruction; Hamstring; Kinesio-Taping(®); Postoperative pain