Use of kinesiology tape for pain relief in the treatment of temporomandibular disorders: a systematic review with meta-analysis

Emérito, Tatyana Meneses; Silva, Júlia Ana Soares; Furlan, Renata Maria Moreira Moraes

doi:10.1590/2317-6431-2022-2631

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Literature Review • Audiol., Commun. Res. 27 • 2022 • https://doi.org/10.1590/2317-6431-2022-2631 linkcopy

Use of kinesiology tape for pain relief in the treatment of temporomandibular disorders: a systematic review with meta-analysis

Authorship SCIMAGO INSTITUTIONS RANKINGS

Purpose To verify the effects on pain relief by applying kinesiology tape on the masticatory muscles, in comparison with other interventions, in people with temporomandibular disorders.

Research strategy Search in LILACS, IBECS, CINAHL, Scopus, Web of Science, Cochrane, EMBASE, and MEDLINE. The research question, based on the PICOT components, was: “Does kinesiology tape applied on to masticatory muscles relieve the pain in people with temporomandibular disorders?”.

Selection criteria The included articles were clinical trials using kinesiology tape on masticatory muscles in people with temporomandibular disorders, published in Portuguese, English, or Spanish. Articles whose authors had not adopted this application method and pain intensity as an outcome were excluded. Eligibility was assessed by reading their titles, abstracts, and full texts. The following information was extracted: year of publication, the country where the study was conducted, age and clinical condition of the sample, treatment, and pain assessment results. The meta-analysis, using the inverse variance method, considered the mean value indicated in the visual analog scale as the intervention effect measure.

Results Initially, 344 references were retrieved, of which three were selected. Significantly better pain relief results were identified after 1 week of using the tape, in comparison with the other conservative approaches analyzed.

Conclusion Considering the included articles, the kinesiology tape had significant results with greater pain relief in the first week. However, small number of studies and their biases limit the findings.

Keywords:
Athletic tape; Masticatory muscles; Temporomandibular joint disorders; Facial pain; Speech, Language and Hearing Sciences

Databases	Search strategy
VHL	(“Athletic Tape” OR “Kinesio Tape” OR “Kinesio Tapes” OR Kinesiotape OR “Orthotic Tape” OR “Knesio taping” OR “Compression bandages” OR “Adhesive elastic bandages”) [Palavras] and (“Temporomandibular Joint” OR “Temporomandibular Joint Disorders” OR “Temporomandibular Joint Dysfunction Syndrome” OR “Myofascial Pain Syndromes” OR “Temporomandibular Joint Disc” OR “Masticatory Muscles”) [Palavras]
PubMed	(“Athletic Tape” OR “Kinesio Tape” OR “Kinesio Tapes” OR Kinesiotape OR “Orthotic Tape” OR “Knesio taping” OR “Compression bandages” OR “Adhesive elastic bandages”) AND (“Temporomandibular Joint” OR “Temporomandibular Joint Disorders” OR “Temporomandibular Joint Dysfunction Syndrome” OR “Myofascial Pain Syndromes” OR “Temporomandibular Joint Disc” OR “Masticatory Muscles”)
CINAHL	(“Athletic Tape” OR “Kinesio Tape” OR “Kinesio Tapes” OR Kinesiotape OR “Orthotic Tape” OR “Knesio taping” OR “Compression bandages” OR “Adhesive elastic bandages”) AND (“Temporomandibular Joint” OR “Temporomandibular Joint Disorders” OR “Temporomandibular Joint Dysfunction Syndrome” OR “Myofascial Pain Syndromes” OR “Temporomandibular Joint Disc” OR “Masticatory Muscles”)
Web of Science	ALL=((“Athletic Tape” OR “Kinesio Tape” OR “Kinesio Tapes” OR Kinesiotape OR “Orthotic Tape” OR “Knesio taping” OR “Compression bandages” OR “Adhesive elastic bandages”) AND (“Temporomandibular Joint” OR “Temporomandibular Joint Disorders” OR “Temporomandibular Joint Dysfunction Syndrome” OR “Myofascial Pain Syndromes” OR “Temporomandibular Joint Disc” OR “Masticatory Muscles”))
Scopus	(ALL(“Athletic Tape”) OR ALL (“Kinesio Tape”) OR ALL (“Kinesio Tapes”) OR ALL (Kinesiotape) OR ALL (“Orthotic Tape”) OR ALL (“Knesio taping”) OR ALL (“Compression bandages”) OR ALL (“Adhesive elastic bandages”)) AND (ALL (“Temporomandibular Joint”) OR ALL (“Temporomandibular Joint Disorders”) OR ALL (“Temporomandibular Joint Dysfunction Syndrome”) OR ALL (“Myofascial Pain Syndromes”) OR ALL (“Temporomandibular Joint Disc”) OR ALL (“Masticatory Muscles”))
EMBASE	(“Athletic Tape” OR “Kinesio Tape” OR Kinesiotape OR “Compression bandage”) AND (“Temporomandibular Joint” OR “Temporomandibular Joint Disorders” OR “Myofascial Pain” OR “Temporomandibular Joint Disc” OR “Masticatory Muscle”)
Cochrane	(“Athletic Tape” OR “Kinesio Tape” OR “Kinesio Tapes” OR Kinesiotape OR “Orthotic Tape” OR “Knesio taping” OR “Compression bandages” OR “Adhesive elastic bandages”) AND (“Temporomandibular Joint” OR “Temporomandibular Joint Disorders” OR “Temporomandibular Joint Dysfunction Syndrome” OR “Myofascial Pain Syndromes” OR “Temporomandibular Joint Disc” OR “Masticatory Muscles”)

Author (year of publication) Country	Sample (age, clinical condition, and treatment received)	Study comparison approach	Number of applications and duration of the treatment	Place of application and technique employed	Pain measured with a visual analog scale	Conclusion
Benlidayi et al. (2016) Turkey⁽¹⁶⁾	- 33 individuals with TMD (myofascial pain, arthralgia, and/or disk displacement with reduction). - SG: 17 individuals (mean age: 31.6 years) received the tape, counseling, and mandibular exercises. - CG: 16 individuals (mean age: 31.1 years) received counseling and mandibular exercises.	To compare the effects of counseling and mandibular exercises, either alone or in combination, with the tape on reported pain relief and functional limitation.	- One replacement per week. - Duration: 3 consecutive days per tape. - 6-week treatment.	On the skin over the masseter muscle, bilaterally, “Y” technique, with the fixed point on the TMJ, one movable point toward the nose, and the other toward the chin, both with up to 15% tension.	SG Before: 3.4±3.4 After 1 week: 1.4±1.7 After 6 weeks: 0.4±0.9 CG Before: 2.5±3.2 After 1 week: 1.8±2.5 After 6 weeks: 1.6±2.7	- In the SG, pain to palpation improved significantly in the masseter, temporal, and TMJ in the 1^st week and 6^th weeks, in comparison with the baseline value. The same did not occur with the CG.
Lietz-Kijak et al. (2018) Poland⁽¹⁷⁾	- 60 individuals (18 to 35 years old) with painful functional disorders of myofascial origin in the masticatory muscles. - SG: 30 individuals received the tape. - CG: 30 individuals were submitted to trigger point inactivation with compressions.	To compare the effects of the tape with that of trigger point inactivation with compressions on pain relief in people with TMD.	- One tape application. - Duration: 5 consecutive days.	On the skin over the masseter, bilaterally, “I” technique, no tension, with a fixed point on the TMJ, and movable points on the cheek toward the nose and chin.	SG Before: 6.5±1.7 After: 3.1±1.35 CG Before: 6.3±1.4 After: 4.2±1.4	- Both treatments significantly relieved the pain. - The tape provided greater pain relief than trigger point inactivation.
Keskinruzgar et al. (2019) Turkey⁽¹⁸⁾	- 34 individuals with nocturnal bruxism and myofascial pain. - SG: 16 individuals treated with the tape (mean age: 27.4 years). - CG: 18 individuals treated with an occlusal splint (mean age: 26.1 years).	To compare the effects of the tape with that of the occlusal splint on pain relief and amplitude of mouth opening in people with sleep bruxism and myofascial pain.	- Daily applications over 5 weeks, totaling 35 applications. - Placed in the of the day and removed by the morning, for 35 days.	On the skin over the masseter, with the “Y” technique, with 40% tension, from the origin to muscle insertion.	SG Before: 7.3±2.4 After 1 week: 3.9±2.7 After 4 weeks: 2.9±2.5 CG Before: 5.9±3.0 After 1 week: 4.6±2.6 After 4 weeks: 2.9±2.5	- Both treatments relieved the pain after 1 and 4 weeks, in comparison with the baseline value.

Question	Benlidayi et al.⁽¹⁶⁾	Lietz-Kijak et al.⁽¹⁷⁾	Keskinruzgar et al.⁽¹⁸⁾
1	Yes	Yes	Yes
2	Yes	No	No
3	Yes	Yes	Yes
4	No	No	No
5	No	Yes	No
6	No	No	No
7	Yes	Yes	Yes
8	Yes	Yes	Yes
9	Yes	Yes	Yes
10	Yes	Yes	Yes
11	Yes	No	Yes
12	Yes	Yes	Yes
13	Yes	Yes	Yes
Total	10	9	9
% of “Yes” answers	77%	69%	69%

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E-mail: revista@audiologiabrasil.org.br

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[1] Subtitle: TMD = temporomandibular disorder; TMJ = temporomandibular joint; SG = study group; CG = comparison group