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This study aims to investigate the effects of Kinesio Taping (KT) on hand function in patients with Zone V-VI Extensor Digitorum Communis (EDC) tendon injuries following primary repair. Extensor tendon injuries in this region often lead to complications such as adhesion formation, reduced range of motion, extensor lag, and impaired hand function, despite standard rehabilitation approaches. Therefore, additional interventions that may enhance tendon gliding and neuromuscular control are of clinical interest.
In this double-blind randomized controlled trial, patients will be assigned to either a KT group or a sham taping control group. Both groups will receive a standardized postoperative rehabilitation program, while the intervention group will additionally receive KT applications between postoperative weeks 6 and 12. Outcome measures, including range of motion, grip and pinch strength, and functional hand performance, will be assessed at 12 and 24 weeks.
The study seeks to determine whether KT provides additional benefits beyond conventional rehabilitation in improving functional recovery after extensor tendon injuries, addressing an important gap in the current literature.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients in the kinesio taping group | Experimental | Patients in the kinesio taping group will receive KT application starting at postoperative week 6, after complete discontinuation of splint immobilization. During application, the functional correction technique will be used from the insertion to the origin of the Extensor Digitorum Communis (EDC) muscle, with approximately 25-50% tension applied to the tape. KT applications will be performed twice weekly between postoperative weeks 6 and 12, using three tapes in each session. New tapes will be applied in each session and replaced no later than 3 days after the previous application. Before each taping session, the application area will be properly cleaned. Additionally, patients and their caregivers will be thoroughly informed about hygiene of the application area and proper tape removal. The button-hole technique and I-strip technique will be used. |
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| Patients in the control group | Sham Comparator | Patients in the control group will receive sham taping. The application will begin at postoperative week 6 after complete discontinuation of splint immobilization. In the sham application, all steps of the KT procedure (cutting, placement, and application process) will be mimicked; however, no therapeutic tension will be applied to the tapes. Sham taping will be applied twice weekly between postoperative weeks 6 and 12, using three tapes per session. New tapes will be applied in each session and replaced no later than 3 days after the previous application. Before each application, the taping area will be properly cleaned. Patients and their caregivers will also be thoroughly informed about hygiene and proper tape removal. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Kinesio Taping | Other | Button-Hole Technique (Affected finger(s)) I-Strip Technique (Support for all metacarpal bones) Supportive Tape Application |
|
| Measure | Description | Time Frame |
|---|---|---|
| Finger ROM Measurement | With the wrist in a neutral position, active flexion and extension movements of the metacarpophalangeal (MCP), proximal interphalangeal (PIP), and distal interphalangeal (DIP) joints will be measured using a metal finger goniometer. | Post operative at 12 and 24 weeks |
| Assessment of Gross Grip and Pinch Strength | Gross grip strength will be measured using a hand dynamometer, and pinch strength will be measured in four different positions (tip, pulp, lateral, and three-point pinch) using a pinch meter (Jamar® Hydraulic Dynamometer-Pinchmeter, Serial No: 1420513), according to the standard measurement protocol of the American Society of Hand Therapists. | Post operative at 12 and 24 weeks |
| Michigan Hand Outcomes Questionnaire | The MHQ was developed to measure health status in patients with hand deformities and assesses how well patients perform their usual activities. Each question is scored on a 5-point Likert scale. The total score is calculated by summing all domain scores and dividing by six. Higher scores indicate better outcomes. The questionnaire will be administered by the researchers through face-to-face interviews using a question-and-answer format | Post operative at 12 and 24 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| HANDE USTA OZDEMIR, PhD | Contact | +902582964279 | husta@pau.edu.tr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pamukkale University | Denizli | Kınıklı | 20070 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41392499 | Background | Kodak MIH, Ozudogru A, Basat HC, Tuncay F. Early Effects of Kinesio Taping on Clinical Outcomes in Patients With Arthroscopic Rotator Cuff Repair: A Double-Blind, Randomized Controlled Trial. Sports Health. 2025 Dec 14:19417381251397956. doi: 10.1177/19417381251397956. Online ahead of print. | |
| 38969599 | Background |
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Research data can be shared upon a reasonable request.
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| ID | Term |
|---|---|
| C536960 | Hapnes Boman Skeie syndrome |
| D013708 | Tendon Injuries |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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| Sham Kinesio Taping | Other | Sham Button-Hole Technique (Affected finger(s)) Sham I-Strip Technique (Support for all metacarpal bones) Sham Supportive Tape Application |
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| Horoz L, Cigdem-Karacay B, Cakmak MF. Effect of Kinesio taping on edema and wrist functions in patients with distal radius fracture followed conservatively with a cast: A randomized controlled single-blinded study. J Hand Ther. 2024 Jul-Sep;37(3):479-488. doi: 10.1016/j.jht.2024.05.003. Epub 2024 Jul 5. |