The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지

The Effects of Taping on Metacarpophalangeal Disorders of the Thumb

모지의 수근중수관절 손상에 대한 테이핑 효과

  • Lee, Moon-Hwan (Department of Physical Therapy, International University of Korea) ;
  • Kim, Eung-Chang (Department of Physical Therapy, Graduate School of Public Health, Eulji University) ;
  • Lee, Soo-Yeon (Department of Rehabilitation Science, Major in Physical Therapy, Daegu University) ;
  • Park, Rae-Joon (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 이문환 (한국국제대학교 물리치료학과) ;
  • 김응창 (을지대학교 보건대학원 물리치료학과) ;
  • 이수연 (대구대학교 대학원 재활과학과 물리치료) ;
  • 박래준 (대구대학교 재활과학대학 물리치료학과)
  • Received : 2009.11.11
  • Accepted : 2010.01.25
  • Published : 2010.02.25
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study investigated the effect of taping therapy on metacarpophalangeal (MCP) disorders of the thumb. Methods: Twenty eight patients were enrolled in this study. They were randomly assigned to experimental (n=16) or a control group (n=12). The experimental and control groups received Ultrasound (Gymna Pulson 200) operating at a frequency of 3MHz and an intensity of $1.0W/cm^2$ with a 100% duty cycle for 10 minutes. The experimental group received, additionally, taping using Kinesiotape on the injured thumb. The following parameters were measured:pain during rest and flexion of the thumb, tenderness, range of motion (ROM), pinch and spherical grip power pre- and post-treatment. This study was carried out 3 days per week throughout the 2-week treatment. Results: There were significant improvements in pain during rest and flexion of the thumb, tenderness, ROM, pinch and spherical grip power between pre- and post-treatment times in both groups (p<0.05). However, there was a significant difference in all parameters between the experimental and control groups (p<0.05). Finally, the satisfaction level after intervention was significantly higher in the experimental group than in the control group (p<0.05). Conclusion: Taping is effective for treating pain and dysfunction in patients with thumb disorders.

Keywords

References

  1. Jackson M, McQueen MM. Gamekeeper's thumb: a quantitative evaluation of acute surgical repair. Injury. 1994;25(1):21-3. https://doi.org/10.1016/0020-1383(94)90179-1
  2. Fairhurst M, Hansen L. Treatment of "Gamekeeper's thumb" by reconstruction of the ulnar collateral ligament. J Hand Surg Br. 2002;27(6):542-5. https://doi.org/10.1054/jhsb.2002.0838
  3. Davies MB, Wright JED, Edwards MSD. True skier's thumb in childhood. Injury. 2002;33(2):186-7. https://doi.org/10.1016/S0020-1383(01)00074-2
  4. Hart RG, Kleinert HE, Lyons K. A modified thumb spica splint for thumb injuries in the ED. Am J Emerg Med. 2005;23(6):777-81. https://doi.org/10.1016/j.ajem.2005.03.004
  5. Sawant N, Kulikov Y, Giddins GE. Outcome following conservative treatment of metacarpophalangeal collateral ligament avulsion fractures of the finger. J Hand Surg Eur Vol. 2007;32(1):102-4. https://doi.org/10.1016/j.jhsb.2006.06.010
  6. Sollerman C, Abrahamsson SO, Lundborg G et al. Functional splinting versus plaster cast for ruptures of the ulnar collateral ligament of the thumb. A prospective randomized study of 63 cases. Acta Orthop Scand. 1991;62(6):524-6. https://doi.org/10.3109/17453679108994487
  7. Arranz Lopez J, Alzaga F, Molina J. Acute ulnar collateral ligament injuries of the thumb metacarpophalangeal joint: an anatomical and clinical study. Acta Orthop Bleg. 1998;64(4):378-84.
  8. Hastings H 2nd, Carroll C 4th. Treatment of closed articular fractures of the metacarpophalangeal and proximal interphalangeal joints. Hand Clin. 1988;4(3):503-27.
  9. Henry M. Fractures and dislocation of the hand. In: Bucholz RW, Heckman JD, eds, Rockwood and Green's Fractures in Adults, Philadelphia, Lippincott Williams & Wilkins, 2001:701.
  10. Kagel EM, Rayan GM. Thumb digital neuropathy caused by splinting. J Okla State Med Assoc. 2000;93(9):435-6.
  11. Lee MH, Park RJ. The effects of ultra sound and taping treatment on the pain and grip strength in lateral epicondylitis. J Kor Soc Phys Ther. 2004;16(1):124-39.
  12. Park YS, Kim HJ. Effects of a taping method on pain and ROM of the knee joint in the elderly. J Korean Acad Nurs. 2005;35(2):372-31.
  13. Cowan SM, Bennell KL Hodges PW. Therapeutic patellar taping changes the timing of vasti muscle activation in people with patellofemoral pain syndrome. Clin J Sport Med. 2002;12(6):339-47. https://doi.org/10.1097/00042752-200211000-00004
  14. Herrington L. The effect of patellar taping on quadriceps peak torque and perceived pain: a preliminary study. Physical Therapy in Sport. 2001;2(1):23-8. https://doi.org/10.1054/ptsp.2000.0034
  15. Son GS, Lee MH, Lee CR et al. The effects of kenesio taping on the pain and functional improvement in patients with degenerative arthritis. Korean Journal of Sport Biomechanics. 2008;18(1):45-52. https://doi.org/10.5103/KJSB.2008.18.1.045
  16. Ju SB, Lee WJ. The effects of kinesio taping and exercise therapy program on Lumbar extension muscle strength, visual analogue scale in operation patients of Lumbar disk herniation. The Korean Journal of Physical Education. 2006;45(3):537-46.
  17. Lee MH, Ma SY, Lee HHE et al. Effects of kinesio taping therapy in patients with stenosing tenosynovitis. J Kor Soc Phys Ther. 2007;19(1):1-9. https://doi.org/10.1589/jpts.19.1
  18. Cooney WP 3rd, Lucca MJ, Chao EY et al. The kinesiology of the thumb trapeziometacarpal joint. J Bone Joint Surg Am. 1981;63(9):1371-81.