KinesioTaping after botulinum toxin type A for cervical dystonia in adult patients

Abstract Introduction Studies explored physiotherapeutic approaches in cervical dystonia (CD) patients with or without botulinum toxin (BoNT) injections, however the results are varying. There are no clinical trials investigating the effects of kinesiology taping in CD patients. The objective of thi...

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Main Authors: Małgorzata Dec‐Ćwiek, Karolina Porębska, Katarzyna Sawczyńska, Marcin Kubala, Magdalena Witkowska, Kinga Zmijewska, Jakub Antczak, Joanna Pera
Format: Article
Language:English
Published: Wiley 2022-04-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.2541
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author Małgorzata Dec‐Ćwiek
Karolina Porębska
Katarzyna Sawczyńska
Marcin Kubala
Magdalena Witkowska
Kinga Zmijewska
Jakub Antczak
Joanna Pera
author_facet Małgorzata Dec‐Ćwiek
Karolina Porębska
Katarzyna Sawczyńska
Marcin Kubala
Magdalena Witkowska
Kinga Zmijewska
Jakub Antczak
Joanna Pera
author_sort Małgorzata Dec‐Ćwiek
collection DOAJ
description Abstract Introduction Studies explored physiotherapeutic approaches in cervical dystonia (CD) patients with or without botulinum toxin (BoNT) injections, however the results are varying. There are no clinical trials investigating the effects of kinesiology taping in CD patients. The objective of this study is to investigate the efficacy of kinesiology taping as an adjunct to the BoNT injections in patients with CD. Methods Twenty‐five patients were enrolled to the study. Patients were randomly assigned to the experimental 1 (BoNT + KinesioTaping), experimental 2 (BoNT + ShamTaping) or control (BoNT) treatment. After 12 weeks they were moved to the next experimental group and finally every patient received all 3 proposed treatment options. The severity of CD was quantified with the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) including Torticollis severity, Disability, and Pain scales. Quality of life was evaluated using Craniocervical dystonia questionnaire (CDQ4). Results In all treatment groups, there was a significant improvement in dystonia symptoms measured with TWSTRS (total score) after BoNT injection regardless of the allocation to the experimental treatment (p < .05). ANOVA analysis revealed no differences in any of the TWSTRS variables after the intervention. Quality of life was significantly improved after application of taping (p < .05, p = .03). Conclusions Application of KinesioTaping after BoNT injection provided no additional effect on the severity of dystonia, although the quality of life was improved in patients with CD. Further research investigating the effect of KinesioTaping prior to BoNT injection is required.
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spelling doaj.art-5d07acbd13b2440781be55afc92b77862023-08-25T04:42:42ZengWileyBrain and Behavior2162-32792022-04-01124n/an/a10.1002/brb3.2541KinesioTaping after botulinum toxin type A for cervical dystonia in adult patientsMałgorzata Dec‐Ćwiek0Karolina Porębska1Katarzyna Sawczyńska2Marcin Kubala3Magdalena Witkowska4Kinga Zmijewska5Jakub Antczak6Joanna Pera7Department of Neurology Medical College Jagiellonian University Krakow PolandDepartment of Neurology Medical College Jagiellonian University Krakow PolandDepartment of Neurology Medical College Jagiellonian University Krakow PolandFaculty of Medicine and Health Sciences Andrzej Frycz Modrzewski Krakow University Krakow PolandDepartment of Neurology Medical College Jagiellonian University Krakow PolandFaculty of Medicine and Health Sciences Andrzej Frycz Modrzewski Krakow University Krakow PolandDepartment of Neurology Medical College Jagiellonian University Krakow PolandDepartment of Neurology Medical College Jagiellonian University Krakow PolandAbstract Introduction Studies explored physiotherapeutic approaches in cervical dystonia (CD) patients with or without botulinum toxin (BoNT) injections, however the results are varying. There are no clinical trials investigating the effects of kinesiology taping in CD patients. The objective of this study is to investigate the efficacy of kinesiology taping as an adjunct to the BoNT injections in patients with CD. Methods Twenty‐five patients were enrolled to the study. Patients were randomly assigned to the experimental 1 (BoNT + KinesioTaping), experimental 2 (BoNT + ShamTaping) or control (BoNT) treatment. After 12 weeks they were moved to the next experimental group and finally every patient received all 3 proposed treatment options. The severity of CD was quantified with the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) including Torticollis severity, Disability, and Pain scales. Quality of life was evaluated using Craniocervical dystonia questionnaire (CDQ4). Results In all treatment groups, there was a significant improvement in dystonia symptoms measured with TWSTRS (total score) after BoNT injection regardless of the allocation to the experimental treatment (p < .05). ANOVA analysis revealed no differences in any of the TWSTRS variables after the intervention. Quality of life was significantly improved after application of taping (p < .05, p = .03). Conclusions Application of KinesioTaping after BoNT injection provided no additional effect on the severity of dystonia, although the quality of life was improved in patients with CD. Further research investigating the effect of KinesioTaping prior to BoNT injection is required.https://doi.org/10.1002/brb3.2541botulinum injectionbotulinum toxincervical dystoniakinesiotapingneurorehabilitation
spellingShingle Małgorzata Dec‐Ćwiek
Karolina Porębska
Katarzyna Sawczyńska
Marcin Kubala
Magdalena Witkowska
Kinga Zmijewska
Jakub Antczak
Joanna Pera
KinesioTaping after botulinum toxin type A for cervical dystonia in adult patients
Brain and Behavior
botulinum injection
botulinum toxin
cervical dystonia
kinesiotaping
neurorehabilitation
title KinesioTaping after botulinum toxin type A for cervical dystonia in adult patients
title_full KinesioTaping after botulinum toxin type A for cervical dystonia in adult patients
title_fullStr KinesioTaping after botulinum toxin type A for cervical dystonia in adult patients
title_full_unstemmed KinesioTaping after botulinum toxin type A for cervical dystonia in adult patients
title_short KinesioTaping after botulinum toxin type A for cervical dystonia in adult patients
title_sort kinesiotaping after botulinum toxin type a for cervical dystonia in adult patients
topic botulinum injection
botulinum toxin
cervical dystonia
kinesiotaping
neurorehabilitation
url https://doi.org/10.1002/brb3.2541
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