Safety and tolerability of kinesiotaping as add-on treatment of pressure injuries.

IF 1.5 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2025-05-02 DOI:10.12968/jowc.2023.0125

Paola Paglierani, Debora Donatini, Elisa Maietti, Paola Rucci, Carlotte Kiekens, Stefano Negrini, Rita Capirossi

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引用次数: 0

Abstract

Objective: The aim of this study was to evaluate the safety and tolerability of kinesiotaping (KT) as an adjunctive treatment of medium-to-severe sacral or heel pressure injuries (PIs) in patients with spinal cord injury (SCI), and to explore the effects of tape application in promoting the healing process.

Method: This pilot study was conducted in a tertiary specialised rehabilitation hospital in Italy. Patients with SCI within three months of an acute traumatic or non-traumatic event; any neurological level; complete or incomplete lesion; stage 3 or 4, sacral and/or heel PI for ≥1 month were included in the study. We used the Bates-Jensen Wound Assessment Tool (BWAT) to assess PI characteristics. PIs were treated with standard of care (SoC) for 12 weeks and KT was added after four weeks of SoC treatment for a four-week period, after which treatment reverted to SoC treatment.

Results: A total of 20 patients (mean age 54 years, 75% male) with a total of 24 PIs were enrolled between September 2017 and March 2020. The PIs included: 12 sacral; 12 heel, nine stage 3; and 15 stage 4. Mean baseline BWAT score was 37.5±6.7. No adverse effects were recorded. BWAT score declined significantly (p<0.01) over 12 weeks, on average 5.3 points at four weeks, 8.9 points at eight weeks and 3.7 points at 12 weeks.

Conclusion: This pilot study provides preliminary evidence of the safety and tolerability of KT. Studies have claimed that the restoration of microcirculation positively affects the healing of PIs. The findings of this study appear to demonstrate that the KT technique exploits this principle, stimulating both lymphatic and venous microcirculation. Further studies are needed to test the efficacy and effectiveness of KT on PIs versus SoC.

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运动绑扎作为压迫性损伤附加治疗的安全性和耐受性。

目的：本研究旨在评价运动带（KT）作为脊髓损伤（SCI）患者中重度骶骨或足跟压伤（pi）辅助治疗的安全性和耐受性，并探讨运动带在促进愈合过程中的作用。方法：本试点研究在意大利的一家三级专科康复医院进行。急性创伤性或非创伤性事件发生后三个月内的脊髓损伤患者；任何神经学水平；完全的或不完全的损伤；研究包括3期或4期，骶骨和/或脚跟PI≥1个月。我们使用Bates-Jensen伤口评估工具（BWAT）评估PI特征。PIs采用标准护理（SoC）治疗12周，在SoC治疗4周后添加KT，持续4周，之后治疗恢复为SoC治疗。结果：在2017年9月至2020年3月期间，共有20例患者（平均年龄54岁，男性75%）和24例pi被纳入研究。pi包括：12个骶骨；12跟，9段3；15阶段4。平均基线BWAT评分为37.5±6.7。无不良反应记录。结论：本初步研究为KT的安全性和耐受性提供了初步证据。研究表明，微循环的恢复对pi的愈合有积极的影响。这项研究的结果似乎表明，KT技术利用这一原理，刺激淋巴和静脉微循环。需要进一步的研究来测试KT对PIs和SoC的疗效和有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.