Highlights

• Dynamic Tape significantly reduces hip adduction moment and displacement of motion during walking.

• Dynamic Tape significantly reduces internal rotation and pelvic obliquity displacement during walking.

• Dynamic Tape may provide a small mechanical benefit to women with GTPS.

• Dynamic Tape provides a statistically significant reduction in pain.

Authors: NA Robinson 1, W Spratford 2, M Welvaert 3, J Gaida 4, AM Fearon 5

Posted doi: 10.1016/j.gaitpost.2019.02.031. Epub March 18, 2019

Date March 2019

Objectives: To investigate whether sports tape can create mechanical changes and pain relief in people suffering from greater trochanter pain syndrome (GTPS), who often have adduction moment, adduction angle, and elevated pelvic obliquity, which could exacerbate the underlying condition possibly due to an increase. in compression loads on the gluteal tendons. This study investigated whether Dynamic Tape® could effectively manage these movements and mitigate pain.

Methods: Fifty women diagnosed with GTPS underwent examination using three-dimensional gait analysis, performing three tests: baseline (no tape), active taping technique (applied in a more shortened position to increase the stretch and therefore the potential resistance and recoil of the tape) and passive/sham tape technique (applied in a more elongated position, thus reducing the possible mechanical effect). The active and passive trials were randomized with a 20-minute washout period between them. Kinematic and kinetic data were examined for differences using mixed-model linear regressions for each recording condition. Pain assessments were performed before and immediately after the walking tests.

Results: Hip adduction moment experienced a significant reduction in the first peak and the second peak with the active technique, but the first peak only with the sham with a notable difference between the groups (p <0.001). Similarly, adduction angle was reduced at the first peak with active taping (p < 0.001) and sham (p = 0.026), although active taping demonstrated a more substantial effect (p = 0.004). In the middle position, active taping resulted in a reduction (p = 0.003), with a significant difference between groups (p = 0.002). Internal rotation was decreased at both the first (p < 0.001) and second peak (p < 0.001), as well as in the middle position, but only with active taping (p < 0.001). Pelvic obliquity decreased at the first peak (p = 0.019), at midstance (p < 0.001), and at the second peak (p < 0.001) with active treadmill, showing a notable difference between groups at midstance (p = 0.03). ). Furthermore, both active and sham taping led to a clinically significant reduction in pain. 

Conclusion and comments: Dynamic Tape showed mechanical impact and significant pain relief in women diagnosed with GTPS. The tape was applied to the same areas of the body in both trials, so similar skin contact and appearance (expectation) were obtained, which may help eliminate variables often found in tape studies and indicate that the results were largely due to the mechanical forces introduced. However, it is not possible to say conclusively to what extent placebo and somatosensory factors were or were not involved.

The immediate changes in pain may have been the result of a reduction in stimulation of peripherally sensitized structures due to a decrease in compression (due to the change in position) and a decrease in tensile load due to the force generated by the tape, particularly in active dressing. condition. Clinically, the goal would probably be to maintain a reduction in load over a more sustained period of time (several days) to have a greater impact on sensitization and pain, but also on the underlying tendinopathic processes. exhibited both mechanical impact and significant pain relief in women diagnosed with GTPS. However, the influence of the placebo effect or somatosensory information on these results remains uncertain.

LINK TO THE CLINICAL STUDY (SCIENCE DIRECT)

🎥 VIDEO: "Impact of the dynamic treadmill on the biomechanics of gait among women with greater trochanter pain syndrome"

Dive into our latest study, a blinded, randomized, controlled, crossover trial examining its influence on women with greater trochanteric pain syndrome. Explore the findings and discover information about this innovative treatment approach.

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