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IRCT20200112046099N1 IRCT 2020-06-04 Tehran University of Medical Sciences The immediate effect of kinesio taping of quadriceps muscle on position sense of knee joint following full squat in patients with multiple sclerosis The immediate effect of kinesio taping of quadriceps muscle on position sense of knee joint following full squat in patients with multiple sclerosis 2020-04-04 anticipated 12 Complete https://irct.ir/trial/45059 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A Relapsing-remitting multiple sclerosis. Intervention group: MS group with relapsing remitting MS, Control group: Healthy people. Both groups will receive a similar intervention in a treatment session that includes measuring the position sense of knee joint in four stages: a) before fatigue, b) after fatigue, when we ask the participant to stand near the edge of the bed and do a rhythmic squat with a steady metronome, and when he feels he has reached level 13 of the BORG (somewhat hard) questionnaire, the protocol will stop.c) 30-40% traction of kinesiotape on the three heads of the quadriceps muscle is attached. And d) Taping and fatigue is combined with the use of a limitator. At each step, we take a picture with a 16-megapixel Canon digital camera that it's validity and reliability have been established.. No - There is not a plan to make this available Justification or reason for not sharing IPD is there is no more information
public Saina Aliabadi
Rehabilitation school, In the corner of Safi Ali Shah street, Piche Shemiran, Enghelab street, Tehran
Tehran Iran (Islamic Republic of) 1148965111 +98 21 7753 3939 s_aliabadi@razi.tums.ac.ir Tehran University of Medical Sciences scientific Ghola Reza Olyaei
Rehabilitation school, At the corner of Safi Ali Shah Street, Piche Shemiran, Enghelab Street, Tehran
TEHRAN Iran (Islamic Republic of) 1148965111 +98 21 7753 3939 olyaeigh@sina.tums.ac.ir Tehran University of Medical Sciences Iran (Islamic Republic of) Recurrent-relapsing MS patients Disability level by Expanded Disability Status Scale ≤ 6 (EDSS) Age between 20-35 years Able to write and read Muscle strength should be three or more in quadriceps and hamstrings muscles No history of anemia No depression according to Patient Health Questionnaire-9 (PHQ-9). No history of Diabetes No history of hypothyroidism No illnesses that increase fatigue, such as myasthenia gravis Not having disruptive spasticity in doing exercises No history of surgery or fracture No history of drug use in the past 6 months No history of cardiopulmonary diseases Complaints of fatigue that cause Disturbance in daily activities (should distinguish between extreme daytime sleepiness and fatigue). 20 years 35 years Both Inadequate data recording Decreasing one's motivation (not wanting to continue cooperation and intentionally declare score 13 in the fatigue questionnaire) Patient Unables to learn the process G35 Multiple sclerosis Rehabilitation Intervention group: MS group with relapsing remitting MS, Control group: Healthy people. Both groups will receive a similar intervention in a treatment session that includes measuring the position sense of knee joint in four stages: a) before fatigue, b) after fatigue, when we ask the participant to stand near the edge of the bed and do a rhythmic squat with a steady metronome, and when he feels he has reached level 13 of the BORG (somewhat hard) questionnaire, the protocol will stop.c) 30-40% traction of kinesiotape on the three heads of the quadriceps muscle is attached. And d) Taping and fatigue is combined with the use of a limitator. At each step, we take a picture with a 16-megapixel Canon digital camera that it's validity and reliability have been established. 1. Fatigue following rhythmic full squats, which is an independent variable , and based on the patient's self-expression is assessed using the BORG questionnaire, which has a range of 0-20, and when a person reaches a somewhat hard level, which is equivalent to 13 the full squat operation will not continue. 2. Kinesiotape, which is an independent nominal variable. 3. Multiple sclerosis, which is an independent nominal variable, relapsing remitting type of MS, which has been referred to us by a neurologist. Timepoint: At first, the participant's knee joint was measured with the help of a goniometer, and then he was asked to perform a full rhythmic squat until the moment, according to the BORG questionnaire at level 13, which is actually somewhat hard. The participant's knee position was then re-measured to assess changes in position sense error following rhythmic full squats. In the next step, the kinesiotape was first applied to three of the four heads of quadriceps muscle, and then the patient's knee condition was measured again to asses position sense errors following therapeutic intervention (taping). In the final stage, the person performed a rhythmic full squat protocol on the muscle and the kinesiotape applied on muscle to check for changes in position sense errors following fatigue associated with taping. Method of measurement: Kinesiological tape to examine its therapeutic effect in compense participant's fatigue and its effect on position sense and using a standard goniometer to assess the patient's position sense (reconstruction from 90 degrees to 45 degrees of knee flexion). Position sense (including absolute, variable, and constant errors in angle reconstruction) that is a continuous dependent variable and is measured by the variance of the reconstructed angle. it measures with software and Goniameter and camera. Timepoint: Before and after performing the full squat protocol, after attaching the kinesiotape on the quadriceps muscle, and finally after performing the full squat protocol while the tape is attached to the muscle. Method of measurement: To test the position sense, a 16-megapixel Canon camera with a camera lens distance from the patient (80 cm) and a camera height from the ground (70 cm) was first placed. using markers on land marks was then performed on standard areas (greater trochanter of femur, lateral condyle offemur, head of the fibula, and lateral malleolus of the dominant limb). The patient then sat on the edge of the bed with his eyes closed so that his knees were at 90 degrees of flexion and the opposite leg was fixed on an adjustable, motionless stand. With a standard goniometer, the fixed arm of goniameter was placed on the thigh and the movable arm of goniameter was placed on the leg (fibula), the desired angle (about 45 degrees) was determined for the patient, so that the person should test this angle without a manual contact. It was kept for 5 seconds and then the patient was asked to return to the starting position (90 degree angle). The patient was then asked to raise his legs from 90 to 45 degrees with his eyes closed, and whenever he felt that his knee had been raised from 90 to 45 degrees, he would use a laser to flash on the front wall. The moment the laser light was seen, the reconstructed image was immediately photographed. The reconstruction was performed four times with a 5-second break between each repetition. Images were analyzed by the software in Excel environment and changes in the absolute, variable and constant errors of position sense were calculated. Tehran University of Medical Sciences Approved 2019-05-07 National Committee on Ethics in Biomedical Research Tehran university of Medical Sciences Floor 13, Block A, Headquarters of the Ministry Health and Medical Education, Simaye Iran street, Between south Falamak and Zarafshan, Qods town, Tehran TEHRAN Tehran Iran (Islamic Republic of)