Tsoi Wai Fung 11013389 - Hong Kong Baptist...

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1 COMPARING THE KINESIOLOGY TAPE EFFECT ON LOWER LIMBS MUSCLE ENDURANCE OF MALE BASKETBALL PLAYER IN HONG KONG BY TSOI WAI FUNG 11013389 AN HONOURS PROJECT SUBMITTED IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE DEGREE OF BACHELOR OF ARTS IN PHYSICAL EDUCATION AND RECREATION MANAGEMENT (HONOURS) HONG KONG BAPTIST UNIVERSITY APRIL 2014

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COMPARING THE KINESIOLOGY TAPE EFFECT ON LOWER LIMBS MUSCLE

ENDURANCE OF MALE BASKETBALL PLAYER IN HONG KONG

BY

TSOI WAI FUNG

11013389

AN HONOURS PROJECT SUBMITTED IN PARTIAL FULFILMENT OF

THE REQUIREMENTS FOR THE DEGREE OF

BACHELOR OF ARTS

IN

PHYSICAL EDUCATION AND RECREATION MANAGEMENT (HONOURS)

HONG KONG BAPTIST UNIVERSITY

APRIL 2014

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HONG KONG BAPTIST UNIVERSITY

25th April, 2014

We hereby recommend that the Honours Project by Mr Tsoi

Wai Fung entitled “COMPARING THE KINESIOLOGY TAPE EFFECT ON

LOWER LIMBS MUSCLE ENDURANCE OF MALE BASKETBALL PLAYER IN HONG

KONG” be accepted in partial fulfillment of the requirements

for the Bachelor of Arts Honours Degree in Physical Education

And Recreation Management.

___________________ ___________________

Dr. Tom Tong Prof. Lau Wing Chung

Chief Adviser Second Reader

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DECLARATION

I hereby declare that this Honours Project “COMPARING THE

KINESIOLOGY TAPE EFFECT ON LOWER LIMBS MUSCLE ENDURANCE OF

MALE BASKETBALL PLAYER IN HONG KONG” represents my own work

and had not been previously submitted to this or institution

for a degree, diploma or other qualification. Citations from

the other authors were listed in the references.

________________________

Tsoi Wai Fung

25th April, 2014

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ACKNOWLEDGEMENTS

I would like to take this opportunity to express my sincere

gratitude to my chief advisor, Dr. Tom Tong, for his valuable

advices and professional suggestions and guidance in whole

project period. Besides, I would also like to thank my second

reader, Dr. Patrick Lau, for reviewing my project. In addition,

I would like to give grateful thanks to the staff Dr. Stephen

Hui Research Centre for Physical Education and Wellness for

their profession advices in using the measuring tools. Finally,

I would like to thank all of the participants in this study,

for their kind cooperation and understanding.

Tsoi Wai Fung

Department of Physical Education

Hong Kong Baptist University

25th April, 2014

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ABSTRACT

KINESIOLOGY TAPE was more and more popular currently and

it functions might help people have better sport performance

and status. The purpose of this study was to examine the

difference in lower limbs muscle endurance of male basketball

players with and without KT application in Hong Kong. Fifteen

male basketball players (n=15) from the Hong Kong Baptist

University who aged between 18 and 25 participated in the study.

The maximal repeated vertical jump test was used to examine

the vertical jump height and decrease rate of participants

with and without KT tape. There was significant difference

in decrease rate in vertical jump height of male basketball

players with (7.320) and without (14.513) KT tape application

(P = 0.000 < 0.05). The findings of this study suggested that

KT tape have a certain extent of effect in muscle endurance

of basketball players during maximal repeated vertical jump

performance.

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TABLE OF CONTENTS

CHAPTER 1 Page

1. INTRODUCATION.......................................11

Background of Study................................11

Purpose of the Study...............................13

Significance of the Study..........................14

2. REVIEW OF LITERATURE................................15

Vertical jump in basketball..........................15

Countermovement jump.................................17

Effectiveness of Kinesio tape........................18

Electromyography.....................................21

Warm up exercise.....................................21

Energy system........................................22

Muscle endurance and fatigue.........................22

Muscle difference between basketball.................23

player and normal individual

Summary..............................................24

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CHAPTER 2

METHODS............................................25

Participants.......................................25

Research Design....................................26

Definitions of terms...............................26

Operational Definition of Terms....................27

Testing Procedure..................................28

Limitations........................................32

Delimitations......................................32

Assumptions........................................33

Methods of Analysis................................34

CHAPTER 3

Data Analysis......................................35

Results............................................35

Discussion.........................................39

CONCLUSIONS........................................43

CHAPRER 4

Summary of Results................................44

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Conclusion..................... ...................44

Recommendation of Further Study....................45

References ............................................46

Appendix...............................................50

A: Consent Form of Repeated Vertical Jump Test.........50

B: Par-Q Form .........................................53

C: Data Record Form....................................54

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LIST OF TABLES

TABLE PAGE

1. Physical characteristics of the subjects (N=15) ....35

2. The mean of first and last jump heights.............38

with and without KT tape(N=15)

3. The decrease rate of subjects’ performance..........38

in the test 1 and test 2 (N=15)

4. Paired t-test in vertical jump test with............39

and without KT tape (n=15)

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LIST OF FIGURES

FIGURE PAGE

1. Countermovement vertical jump.......................29

2. Kinesio Taping applied on quadriceps muscle…........31

3. Mean decline in maximal repeated vertical...........37

jump performance with and without KT tape

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CHAPTER 2

INTRODUCTION

Background

Vertical jump height was an important and valuable

indication of muscular power, which was a valuable factor in

lots of sports performance and for assessing the mobility and

functional capacity of injured or aged people. In most

situations, before leaving the ground, vertical jumping was

carried out by the rapid and powerful extension of the hip,

knee, and ankle joints (Chen-Yu Huang, 2011).

Basketball players always jump on the court during training

and matches. Some people believe that jumping ability can be

the key element of basketball and which can help basketball

players perform better. In order to improve performance in

basketball, numerous studies have attempted to improve the

vertical jump ability and lots of methods such as plyometric

training applied for improving the lower limbs muscle. For

example, maximum vertical jump has been used in the assessment

of movement performance and many authors have interpreted the

recorded jump height as an index of muscle power (Harman,

Rosenstein, Frykman, Rosenstein, & Kraemer, 1991; Markovic,

Dizdar, Jukic, & Cardinale, 2004; Sipila¨ et al., 2004). Most

of them can improve the maximal lower body muscle strength,

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but the jump height would be gradually decreased when people

get tired during the game.

Hence, Jakeman (2010) believed lots of gears were found

to enhance performance and prevent injury, such as compassion

garments and so on, Kinesiology tape was one of the useful

treatment and performance enhancement tools. Kinesiology tape

(KT) was widely used by athletes nowadays, and even untrained

people were using during leisure activities. Although people

did not really understand the effectiveness of KT, they may

be affected by media and try to use it as an external material

to prevent the injuries and improve some physical

performances.

It was found that the taping methods were developed by Dr.

Kase (1980). There were lots of taping methods for different

muscle and single “I” strips was the most common shape. Besides,

other shapes were modified afterward such as an “X”, “Y” or

other specialized shapes. The direction and intensity of

stretch put on the tape during application were also developed

constantly by Dr.Kase. Actually, there were a hundreds of

methods to apply Kinesio Tape. Besides, it was found that they

has a lot of effects such as stimulated the neuromuscular

system, reduced pain and inflammation, enhanced performance,

prevented injury and promoting good circulation and healing.

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The effect in vertical jump of KT applied on normal person

has been discussed in past related studies by Chen-Yu Huang,

Tsung-Hsun Hsieh, Szu-Ching Lu and Fong-Chin Su (2011), but

not applied on athletes. The results showed that the vertical

ground reaction force increased when Kinesio tape was applied

even when the height of jump remained about constant.

However, the major users of KT were athletes such as runner,

basketball player and volleyball player actually. Hence, I

wanted to verify if the effects were also applicable on

athletes. Since basketball players have strong lower limbs

with well training, they would be a good sample group.

Purpose of Study

There were large amount of literature investigating the

KT to facilitate muscle performance especially recovery of

muscle and injuries prevention, but it seems only limited

studies has exactly applied into the use of basketball.

Therefore, the purpose of this study was to examine the

difference in lower limbs muscle endurance of basketball

players with and without KT application. The result obtained

could provide the coaches and players with more information

about the effectiveness of KT tape and it could help them

improve player’s performance.

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Significance of study

Sean Williams, Chris Whatman, Patria A. Hume and Kelly

Sheerin (2012) believed Kinesio tape (KT) was one of the most

commonly used elastic tapes in sport injury prevention,

rehabilitation of injured athletes and sports performance

enhancement, but there was not much specific information

discussing the benefits with regard to muscle activity when

applying KT tape during a vertical jump. KT was frequently

considered for use on athletes. For professional basketball

players, muscle endurance was an important part of training.

They have to spend extremely much energy in every match, so

they need something to improve muscle endurance or recovery

capability. If KT would be found to be effective for athletes

or untrained people, it would be more and more people can gain

its benefits and they can use it to improve their performance

in sports activities such as running, playing volleyball as

well as soccer. Based on the information obtained in this study,

the coaches, basketball player, and practitioners would gain

more insights in understanding the actual effectiveness of

KT.

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Research Hypothesis

1. There would be difference in quadriceps endurance during

the repeated vertical jump performance between basketball

players with and without Kinesio taping.

CHAPTER 2

REVIEW OF LITERATURE

Lots of articles pointed out that Kinesio tape has been

used to prevent injury during exercise and sometime for

enhancing the sport performance such as jumping. Vertical jump

ability was one of the important elements for being successful

in different sports, especially for those always include

jumping, such as volleyball and basketball. In this study,

the objective of literature review was to present previous

studies which related to the issues about KT. This review of

literature was divided into sections: 1. Vertical jump in

basketball, 2. Countermovement jump, 3. Effectiveness of

Kinesio tape, 4. Electromyography, 5.Warm up exercise, 6.

Energy system 7. Muscle endurance and fatigue 8. Muscle

difference between basketball player and normal individual,

and 9.Summary.

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Vertical jump in basketball

Basketball was a very complicated sport and it involves

lots of skills. According to Fossile, Eugenio et al (2011),

basketball is a kind of open-skill team sport, which strongly

depended on the players' capability. Speed, jumping ability,

and coordination of lower and upper limb were all important

skills in basketball. In addition, basketball players were

required to use appropriated shooting, dribbling, and

rebounding technique under pressure to achieve successful

performances. According to Miura, Ken; Yamamoto, Masayoshi

(2010), improving jumping abilities could obviously enhance

people’s competitive performance in basketball. Also, in

basketball, players always jump for example during shooting,

rebounding, as well as blocking. It can basically explain how

important jumping ability was in basketball games or

competitions as this was the essential movement in the sport.

Therefore, various studies have been focused on the

development of vertical jump performance. Although lots of

training methods, such as heavy-resistance training,

explosive type resistance training, electro stimulation

training and vibration training, have been effectively used

for improving vertical jump performance, most coaches and

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researchers seem to suggest that plyometric training (PT) was

a good method to improve vertical jump ability and leg muscle

power (Goran Markovic,2007). Plyometric training refers to

performance of stretch-shortening cycle (SSC) movements that

involve a high intensity eccentric contraction immediately

after a rapid and powerful concentric contraction (Malisoux

L, Francaux M, Nielens H, et al. ,2006).

Countermovement jump

Without doubts, vertical jump was the key element in

basketball. There were some various types of vertical jump

such as countermovement jump and squat jump and basketball

player always use those jumps actually. In the past study,

Maarten F. Bobbert, Karin G. M. Gerritsen, Maria C. A. Litjens,

and Arthur J. Van Soest (1996) found that the result of

countermovement jump was higher than squat jump comparatively

since people produce more power during performing the

countermovement jump.

According to VanPutte, C., Regan, J., & Russo, A (2010),

Vertical jump was a fast and powerful movement and which

involved lots of muscle and body joints. At the beginning of

countermovement vertical jump and before push off movement

begins, people did the hip extension to raise the body. Then

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knee extension was appeared and quadriceps was the main

muscles in above actions. Afterward, ankle plantar flexion

was the last movement before jumping up and the muscles

involved were always gastrocnemius and soleus. In

countermovement jump, shoulder flexion or arms swing were very

important to make the jumping as high as possible. Vertical

jump was almost whole body muscle movement.

Vertical Ground Reaction Force

There was an equal and opposite reaction between each

person in every action according to Newton’s 3rd Law of Motion.

People contacted with the ground all the time every day and

there was an interaction between body and ground. For example,

a person standing on the ground and there was a contact force

between them. The force usually equaled to the person’s weight.

Therefore, when people tried to make a vertical jump, the equal

force was appeared by the person.

Use of Kinesio tape

Dr. Kase found and developed the taping methods since 1980.

There were hundreds of taping methods for different muscle

and single “I” strips was the most common shape. Besides, other

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shapes were modified afterward such as an “X”, “Y” or other

specialized shapes. The direction and amount of stretch placed

on the tape during application were also developed constantly

by Dr.Kase. Kim Su-Hyung (2005) indicated I-shaped and

Y-shaped sacrospinalis muscle taping was applied to people

with back problem to determine numerically effects in muscle

strength and gravity during flexion and extension of the

trunk.

Effectiveness of Kinesio tape

In other to improve human’s sport performance, scientists

study numerous methods and develop lots of external gear or

wearing for this purpose. The use of compressive clothing was

becoming increasingly widespread, and lots of people will wear

compressive garments during exercise. Previous studies have

shown improved performance and recovery after EIMD (John R.

Jakeman, 2010). Apart from compressive gears, functional

taping was also a popular trend in lots of sports such as

basketball, running and volleyball, even in leisure activity

such as jogging. Kinesio tape (KT) was a kind of colorful

elastic tape for people who want to prevent sport injury and

improve sport performance. Postural amendment, feelings of

comfort, decreased inflammation and pain, and the

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normalization of joint range of motion were probably the

effectiveness of KT tape that many researchers have pointed

out before (Chen-Yu Huang, 2011).

Actually, some people believe that there was a

psychological effect when they were using KT tape as it gives

an effective force through minimal contact with the skin and

they will feel protective.

Besides, prevention and treatment of injuries were main

functions of KT tape. As we know, increasing the volume of

blood flow was one of the elements in the healing process,

so Kenzo Kase, D.C., and Tatsuyuki Hashimoto (1997) tried to

find out whether KT tape has this effect. Finally, Kenzo Kase,

D.C., and Tatsuyuki Hashimoto (1997) found that there was

effective changing in the volume of the peripheral blood flow

when people with physical disorders applying Kinesio Tape,

but not health people. Also, Yuan-Yuan Lee, Hsiao-Yun Chang,

Yun-Chi Chang, and Juo-Ming Chen (2012) pointed out that KT

tape could help improve the muscle contraction and blood

circulation since KT tape used the elasticity to produce the

skin folds.

On the other hand, non-elastic tapes were one of the popular

sport tapes. They provide a strong adhesion force leading to

support the body joints and muscles, but they also make the

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restriction of body movement or cause skin discomfort. Lots

of studies show that non-elastic tapes can only prevent sport

injuries, but not improving performance even affect the range

of motion of joints.

Electromyography

Theoretically, both nerves and muscles can be operated

electrically. Robert M (2010) believes nerves conduct

electrical impulses from one point to another and those

electrical impulses can be measured and recorded logically.

Besides, Goodridge, A. E. (1988) pointed out that the main function

of EMG was to stimulate the muscles and nerves with small bursts

of electricity to see the nerves and muscles respond in a normal

way or not. Since KT tape can gives an effective force through

minimal contact with the skin, it will stimulate the muscles

and nerves. EMG was a great way to see how difference of muscles

after using KT tape.

Warm up exercise

Warm up was always highly recommended before people doing

any exercise and it can divide into static and dynamic warm

up. The main reason of warm up was to do some gentle physical

exercises to make muscle warm and prepare the body for high

intensity actions such as running, playing basketball, soccer

and so on.

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Static stretching was a traditional warm up method. In

the past, it was the preferred warm-up before activity, and

still many people used to a large extent nowadays. According

to Jon Ransom (2011), the goals of static stretching were to

increase the length of soft tissue and the flexibility of a

group of specific muscle. A recent study in the Journal of

Strength and Conditioning Research showed that a dynamic warm

up improved eccentric quadriceps strength and hamstring

flexibility, whereas a static warm up did not.

Recently, dynamic warm-ups were more preferred in lots of

sport such as basketball, soccer. Actually, people stretch

the muscle with dynamic motion. Jon Ransom (2011) believed

that dynamic warm-ups can increase muscular flexibility and

potentially reduce the injury rate by decreasing reflexive

muscle contractions.

Energy system

Powers SK & Howley ET (2007) pointed that anaerobic

exercises mainly relied on ATP-PC energy system. Basically,

ATP-PC energy system provided immediate energy which can only

for a very short duration exercise around 10 to 15 seconds

before it fatigues through the breakdown of these stored high

energy phosphates. Matthews (1981) indicated that "energy

pathways": ATP-CP and LA, LA-02, and 02 were the main energy

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system provided in our body during doing different physical

activities. Exercise could be mainly divided into aerobic and

anaerobic. Vertical jump exercise was a shape anaerobic

exercise and this maximum repeated vertical jump test was also

a kind of anaerobic exercises.

Muscle endurance and fatigue

Basketball required a sustained effort exerted over a

period of time. Therefore, muscle endurance was an important

element in physical performance. There were lots of ways to

make muscle fatigue, for example intermittent contractions

and sustained contractions such as wingate test. Ciara White,

Kimberley Dixon, Dinesh Samuel and Maria Stokes (2013) pointed

that intermittent contractions cause slower loss of force than

sustained contractions. Besides, an ability to maintain

sufficient levels of endurance relying on physiological

factors such as fiber type composition and structure, muscle

blood flow and strength of the muscle group.

Muscle difference between basketball player and normal

individual

Competitive basketball player may gain a specific and

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intensive training effect as the result of long term exercise

such as footwork and interval practices on the field. This

study aimed to compare the vertical jump with and without KT

tape in competitive swimmers and untrained persons. Demura,

Shinichi (2010) believed that the exercise training effect

was related with the training method such as training region,

muscle contraction property, and work load. Therefore,

basketball training required lots of muscle tension and muscle

contraction. Muscle strengths, muscle mass and body weight

were increased by those training. Muscle fibers between

athlete and untrained persons were also different. I wonder

the stimulation in trained subject was limited as their muscle

and nerves were well trained to work together. Therefore,

athlete and untrained people will be tested and compared.

Summary

KT became more and more popular and it was frequently

considered for use on athletes for training or competition

and even untrained persons. Besides, lots of studies indicated

that KT tape was effective in preventing sport injury and

improving performance. In basketball, vertical jump ability

was key important and people wanted to improve it all the time

and maintaining the muscle endurance in basketball game was

also essential target. Since KT tape might stimulate people‘s

muscle, it may have different result in vertical jump

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performance after applying KT tape. Therefore, KT tape was

considered to widely use in basketball player as well as other

exercise.

CHAPTER 3

METHODS

The aim of this study was to investigate the Kinesiology

tape effect on vertical jump to basketball player. This

chapter illustrated the methodology used in the study. The

sections of this chapter included: (a) participants, (b)

research design, (c) definition of terms, (d) procedures, (e)

delimitations, (g) assumptions, and (h) methods of analysis.

Participants

Fifteen Hong Kong Chinese male basketball players

volunteered for this study. Their ages ranged from 18 to 25

years. They were recruited from HKBU physical education &

recreation management. Each participant was asked to complete

a physical activity readiness questionnaire and a written

informed consent form prior to data collection. The

participants were all physically active individuals with no

history of having chronic diseases. They had no injuries at

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the time of data collection. All participants were regular

basketball players with more than three years experiences in

this sport.

Research Design

This study aimed at identifying the difference in lower

limbs muscle endurance during the repeated vertical jump

performance between basketball players with and without KT

tape application.

This study investigated the difference of deceacsement in

vertical jump performance after using KT tape on the

quadriceps.

Definitions of terms

1. Kinesiology tape

Kinesio tape (KT) refers to a kind of elastic tape invented

by Dr. Kase (Kase, Wallis, & Kase, 2003). Dr. Kase suggested

the possible beneficial effects when the tapes were applied,

included the following (1) improve the contraction ability

of the muscle; (2) use the elasticity to create skin folds

resulting in increased the space underneath the skin to

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improve circulation of blood and lymph; (3) to activate

neurological suppression in order to reduce pain and increase

joint range of motion; and (4) adjust malalignment of muscle,

myofascia and joint (Kase et al., 2003; Fu, Wong, Pei, Wu,

Chou, & Lin, 2008; Chang, Chou, Lin, Lin, & Wang, 2010).

2. Vertical jump

Vertical jump was a fast and powerful movement and this

movement involved lots of muscle and body joints. At the

beginning of countermovement vertical jump and before push

off movement begins, people did the hip extension to raise

the body. Then knee extension was appeared and ankle plantar

flexion was the last movement before jumping up. Shoulder

flexion or arms swing were very important to make the jumping

as high as possible. Vertical jump was almost whole body muscle

movement.

Operational Definition of Terms

1. Basketball player

Basketball player refers to the regular basketball players

with more than three years experiences in this sport in Hong

Kong. In this study, it also refers to the member of HKBU

basketball team in the academic year 2013-2014, who has been

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participating in regular training.

Testing Procedure

Data collection of this study was conducted since March

2014. All tests were conducted by the same test administrator

and at the same place in the laboratory of Dr. Stephen Hui

Research Centre for the Physical Recreation and Wellness of

Hong Kong Baptist University. Before the start of the test,

participants had to sign the consent form (Appendix A) and

PAR-Q form (Appendix B) that proved the subjects health status

allowed her to do the test. Then, they had to sign up the consent

form voluntarily that showed they have fully understood the

aim and the procedure of the test.

Participants were asked to remove their shoes to measure

body height with arm length. Participants were asked to stand

straight and put their hands up and measure the height by

stadiometer. The maximum vertical jump test was used to

measure the jump height of players. Purvi K. Changela, Sarla

Bhatt (2012) had also indicated how to measure the jump height

in this test. A Vertec vertical jump device was used to

determine jump height of subject with and without KT tape in

this study. The participant was asked to stand side onto the

vertec, keep both feet remaining on the ground, and reach up

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as high as possible with one hand (M1). Then the appropriated

height of vertical jump measurement device was adjusted based

on participant’s height. The player from a static position

jumped as high as possible and hit the vertec (M2) like Figure

1. The researcher measured and recorded the distance between

M1 and M2.

Figure 1. Countermovement vertical jump.

In this study, elastic tape A (Kinesio Tex KTX- 050, Tokyo,

Japan) was applied to the participants.

Before the warm up section, the test administrator

demonstrated and instructed the correct vertical jump

movement to participants. Practice trial was given to each

participant and each participant was allowed to practice

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several times.

The test was competed within around 10 mintunes including

warm up. Before doing exercise, warm up was always suggested

to execute for heating the muscle for safety problem and also

improving the sport performance. Warm-up activity was

prepared for athletes to move towards more vigorous activity.

Instead of using static stretching during warm-ups, dynamic

movements were also recommended during warm-up. It helped

elevate body temperature, maximize ranges of motion, and

excite motor units and kinesthetic awareness (J Shimon, ID

Boise – 2009). Therefore, participant needed to wear the heart

rate monitor and do the 5mintues running warm-up on treadmill

with 80% of maximum heart rate.

Afterward, participant was requested to finish the 5

minutes vertical jump test immediately. Each participant was

instructed to perform the vertical jump with the standing

flat-fosoted and using a countermovement with arm swing.

Afterward, they jumped off the ground with both feet and

reaching as high as possible by their hand lastly (Meyer, et

al., 2006). Each participant performed maximum vertical jumps

every 5 seconds without KT tape. Standardized verbal commands

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from the researcher ensured participants were contracting at

the appropriate times. There were 60 trials in vertical jump

test. First trial and every 1 minute trial results were

recorded in the record sheet (Appendix C).

After the whole set of trail without (with) KT tape,

participants got the full rest. All participants were required

to repeat the completed procedure next time with (without)

KT tape. KT tape applied like Figure 2.

Fig. 2. Kinesio Taping applied on quadriceps muscle.

After two tests, all data were collected and analyzed for this

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study.

Limitations:

The following were the limitations that must be considered

when analyzing the results of the study.

1. The participants’ physical lifestyle and status might

affect the results of the study.

2. The motivation of the subjects in performing the maximum

vertical jump test, especially in the last two minute. It

might affect the results of the study.

3. The results of this study cannot be generally applied to

the population at large.

4. The placebo effect did not be eliminated.

Delimitations:

The delimitations of the study were listed as follows:

1. The participants were delimited to 15 male basketball

players (n =15) aged from 18 to 25 years in this study. (N

= 15). All participants would select from HKBU physical

education & recreation management, who have been

participating in regular training.

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2. The period of data collection was delimited to March 2014.

3. The vertical jump test with KT tape and without tape was

tested on two separate days within a week.

4. Warm up procedures were often recommended to promote

performance and prevent injury.

5. The whole measurement was carried out in the laboratory of

Dr. Stephen Hui Research Centre for the Physical Recreation

and Wellness of Hong Kong Baptist University.

6. A half of participant completed the test without KT tape

at first trial, and a half of them completed the test with

KT tape at first trial.

Assumptions

The assumptions of this study were as follows:

1. The participants understood the instructions of the maximal

vertical jump test.

2. The participants performed their best in the maximal

vertical jump test.

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Methods of Analysis

The following hypothesis was examined:

1. There would be better quadriceps endurance during the

repeated vertical jump performance between basketball

players with and without Kinesio taping.

All data was entered into the Statistical Package for Social

Science (SPSS, SPSS INC., Chicago, IL, USA) file for data

analysis. The levels of significance were set at .05. The

descriptive statistics of each variable such as mean, variance,

standard deviation, participants’ age, body height, arm

length, and performance in the maximal vertical jump test were

calculated. In order to verify the difference of vertical jump

performance with and without KT tape on basketball player,

Paired t Test was applied. The paired t-test was used to compare

the values of means of vertical jump height decrease rate form

participates with and without KT tape. The difference between

the means of the score was to indicate that if basketball

players applying KT tape could improve vertical jump

performance was significant.

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CHAPTER 4

DATA ANALYSIS

Results

15 male Physical Education & Recreation Management

basketball players between 18 to 25 years old were invited

to participate in this study. The purpose of this study was

to examine the difference in lower limbs muscle endurance

during the repeated vertical jump performance between

basketball players with and without KT application. All

subjects engaged in 5 minutes maximum repeated vertical jump

test with and without KT tape. According to the results, the

researcher also tried to find out and compare the decrease

of jump height between two conditions. All results for

statistical significance were standardized at an alpha level

of P < 0.05, and all results were expressed in form of range,

mean and ±SD while n=15.

Descriptive statistic of the physical characteristic of

all participants was shown in the table 1:

Table 1. Physical characteristics of the subjects (N=15)

Subject Minimum Maximum Mean Std. Deviation

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Subject 15 1 15 8.00 4.472

Birth-year 15 1990 1995 1992.87 1.598

Height 15 169.0 188.0 178.000 6.0119

Weight 15 62.0 90.0 71.067 7.2945

In these 15 university male basketball players, the avenge

age of them were 22 years old, the avenge height were 178 cm,

and the avenge weight were 71 kg.

Participants performed total 60 repetitions throughout

the vertical jump test and first trial and every 1 minute trial

results were recorded. The trend of decline of jump height

were shown in Figure 3:

Figure 3. Mean decline in maximal repeated vertical jump

performance with and without KT tape

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The peak height values were obtained from each of the 60

maximal repetitions. The knee extensor declined during the

maximal repeated vertical jump performance and the mean value

without KT tape of the last repetition 55.153 cm was

significantly lower than the mean of the first repetition

64.427 cm. Besides, the mean value with KT tape of the last

repetition 61.740 cm was significantly lower than the mean of

the first repetition 67.027 cm. The jump heights of both

repetitions were shown in table 2:

Table 2. The mean of first and last jump heights with and without

KT tape(N=15)

Mean of

jump

height Subject

Std.

Deviation

Std. Error

Mean

First

repetition

with

tape

67.027 15 5.1267 1.3237

without

tape

64.427 15 5.1267 1.3237

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Last

repetition

with

tape

61.740 15 4.2325 1.0928

without

tape

55.153 15 4.0359 1.0421

A paired t-test examined the differences in mean values

of the first and last repetition. The descriptive statistics

of the subjects’ performance in the vertical jump Test without

KT tape (Test 1) and the vertical jump with KT tape (Test 2)

were shown in table 3:

Table 3. The decrease rate of subjects’ performance in the

test 1 and test 2 (N=15)

Mean of the

vertical

jump height

decrease

rate Subject

Std.

Deviation

Std. Error

Mean

Pair 1 Test1(dec

rease%)

14.513 15 2.9169 .7531

Test2(dec

rease%)

7.320 15 2.7644 .7138

Test1: vertical jump test without KT tape

Test2: vertical jump test with KT tape

The individual result of subjects in the vertical jump test

without KT tape (Test 1) and the vertical jump test with KT

tape (Test 2) was computed. The result of paired t-test was

shown as the following Table:

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Table 4. Paired t-test in vertical jump test with and without

KT tape (n=15)

t df

Sig.

(2-tailed)

7.844 14 .000

From the result, t(14) = 7.844 > 2.145 ( critical value )

As a result, P = 0.000 < 0.05, the null hypothesis that

“There would be difference in quadriceps endurance during the

vertical jump test between basketball players with and without

Kinesio taping” was rejected. There was significant

difference in the without tape (7.320) and with tape (14.513).

In average, the subjects have an average higher vertical

jump performance after applying KT tape. The mean in table

2 was the decrease rate of vertical jump height of subjects.

The table showed that the mean of result without tape was 14.513

and the result with tape was 7.320. There was the difference

between two conditions. When subjects applied KT tape during

the test, their jump height decrease rate was lower.

Discussion

The purpose of this study was to examine the difference in

lower limbs muscle endurance of male basketball players with

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and without KT application during the repeated vertical jump

performance in Hong Kong. In the following discussion part,

three parts would be divided: (1) the difference between the

performances of vertical jump test without KT tape with KT

tape, (2) factors affected the result of both vertical jump

test, and (3) the time setting of vertical jump test.

(1) The difference between the performances of repeated

vertical jump test without KT tape with KT tape

The purpose of this study was to examine the difference in

lower limbs muscle endurance of male basketball players with

and without KT application in Hong Kong. Actually, there were

lots of studies proved that KT tape has some effect on people

such as postural amendment, feelings of comfort, decreased

inflammation and pain, and the normalization of joint range

of motion. At the result, when participants applied KT tape

during the vertical jump, there was really a difference

comparing with no taping. All participants got the better

performance with KT tape.

Chen-Yu Huang, Tsung-Hsun Hsieh, Szu-Ching Lu and Fong-Chin

Su (2011) have discussed the vertical jump performance with

and without KT tape in the past and they found out no

significant positive effects with KT tape. However, there was

a positive effect with KT tape in this study. The key difference

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between these studies was the purpose. This study focused on

the endurance of lower limb muscle. Participants were asked

to finish the high intensive vertical jump test and they all

got fatigue during the test. It indicated that KT tape might

not show the effects immediately in a very short period.

(2) Factors affected the result of both repeated vertical jump

performance

Psychological factors

Ciara White, Kimberley Dixon, Dinesh Samuel and Maria

Stokes (2013) believed that since the maximal effort was

required during the maximal repeated vertical jump tests,

participant motivation was very important. Therefore, verbal

instructions were standardized to encourage the participants

to use maximal force performance.

In order to measure the difference between the result with

and without KT tape, participants have to apply the KT tape

to complete the vertical jump test. As they were physical

education students, they have some related knowledge of KT

tape already. Therefore, in their mind, they may have the idea

that KT tape might provide a positive effect for their

performance.

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Most of them might be influenced by psychological effect.

Since researcher tried to find out the effect of KT tape, but

not compare different brand of tape, it was difficult to

eliminate the placebo effect in this study. Daniel E. Moerman

(2002) pointed out that the definition of placebo effect was

“an epithet given to any medicine adapted more to please than

benefit the patient”. Therefore, researcher has to blind the

participants and test the real effect of KT tape. In the study,

it lacked the placebo group, so it might affect the result.

Daily variance

As this vertical jump test was a high intensity test,

participants were required to have good physical state to

complete it. The daily activities might affect the

participants’ condition and status. As all subjects were

physical education students, they have to attend skill courses

and personal training every day. Therefore, they might not

able to perform their best because of tiredness or injuries.

The test result would be affected.

(3) The time setting of vertical jump test

Powers SK & Howley ET (2007) indicated people did anaerobic

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exercises relying on ATP-PC energy system and this maximum

vertical jump test was a kind of anaerobic exercises.

Basically, ATP-PC energy system provided immediate energy

which can only for a very short duration exercise around 10

to 15 seconds before it fatigues through the breakdown of these

stored high energy phosphates. Based on this physiological

characteristic, the time setting of the vertical jump test

was set as 5 seconds rest between each jump since participant

might recover rapidly if there was more resting time. The

purpose of this study was to examine the difference in lower

limbs muscle endurance of male basketball players with and

without KT application in Hong Kong. All participants were

required to perform the best effort and the jump height might

drop gradually throughout the 5 minutes test. The jump height

decrease percentage of both with and without KT tape was

compared. At the result, high intensity exercise with only

5 seconds rest can successfully make decrease to the jump

height.

Chapter 5

SUMMARY AND CONCLUSIONS

Summary of Results

The present study attempted to examine the difference in

lower limbs muscle endurance of male basketball players with

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and without KT application in Hong Kong. In this study, a total

of 15 male Physical Education & Recreation Management

basketball players between 18 to 25 years old were invited

to participate. All of them perform the vertical jump test

with KT tape and without KT tape in Dr. Stephen Hui Research

Centre for the Physical Recreation and Wellness of Hong Kong

Baptist University. The data of result was collected from

March to April 2014. The jump height and test results data

were analyzed by Statistical Package of Social Science (SPSS).

Paired t-test (t) was used, and the 0.05 level of significance

was used for all statistical tests.

The results of this study were summarized as follows:

1. There was significant difference in decrease rate in

vertical jump height of male basketball players with (7.320)

and without (14.513) KT application (P = 0.000 < 0.05, n=15).

Conclusion

Findings of this study indicated that there was significant

positive effect in quadriceps endurance during the repeated

vertical jump performance after applying Kinesio tape. It was

concluded that the jump height decrease rate was lower after

applying Kinesio tape.

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Recommendation of Further Study

1. The participant of this study was all male basketball

players. The results of this study might not be able to

illustrate the female’s performance. Therefore, it was

recommended to use both male and female participants. Apart

from basketball player, in order to find out the effects

of KT tape to every signal person, different kinds of sport

players should be include in the study.

2. Because of the time limit, only basketball player involved

in this study. However, there might be physical diffidence

such as muscle mass and muscle fiber between basketball

player and untrained person. Therefore, this study could

be replicated using both basketball player and untrained

person to improve representativeness of the study.

3. There was no placebo group in this study, so the real effects

of KT tape was not able to be clearly and completely reflexed.

Therefore, placebo group should be included in the study

to find out the effects of KT tape deeply.

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Appendix A

HONG KONG BAPTIST UNIVERSITY

INFORMED CONSENT STATEMENT

Title

Comparing the Kinesiology tape effect on quadriceps endurance between basketball player

and untrained persons in Hong Kong

You are invited to participate in a laboratory study. The purpose of the study is to examine the

difference in vertical jump performance of basketball players with and without KT

application.

INFORMATIO

Subjects

Fifteen 18-25 years Hong Kong Chinese male basketball players from HKBU Physical

Education & Recreation Management will be invited to participate in this study.

Purpose and Explanation of the Test

The purpose of this study is to examine the difference in quadriceps endurance during the

manipulated situation between basketball players with and without KT application. The result

could provide the coaches and players with more information about the effectiveness of KT

tape and it could help them improve player’s performance.

Procedure of the test

In order to manipulate the situation as basketball game, the test last 10 mintunes since there is

10 mintunes in each period of real game. Each participant will be instructed to perform the

vertical jump with the standing flat-footed and using a countermovement with arm swing.

Afterward, they will jump off the ground with both feet and reaching as high as possible by

their hand lastly (Meyer, et al., 2006). Each participant will perform maximum vertical jumps

every 20 seconds without KT tape and all vertical jump score will be recorded.

After the whole set of trail without KT tape, participants need the full rest. They will be

applied the KT tape and perform the exact test next time. After two tests, all data will be

collected and analyze for this study.

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RISKS

Risks / Discomforts

Normal human physiological responses including high ventilatory demand induced-sensation

of breathlessness, locomotor and ventilatory muscle fatigue, soreness and dull pain will be

elicited during the exercise tests when subjects approach exhaustion. The sensation of

breathlessness will release immediately after termination of the exercise while the muscle

soreness may remain for few hours after the exercise.

Measures to minimize the Risks / Discomforts

You will be instructed to do a standard warm-up exercise before each exercise testing in order

to minimize the hard feeling elicited from the acute change from rest to vigorous physical

activity level. During exercise, you will be closely supervised throughout the testing period

and

_____________

Subject’s initials

There is always a valid communication between you and the test administrator. After the

termination of the exercise test, you will be instructed to continue exercise at light intensity

immediately after the exercise test for avoiding the blood pooling in locomotor muscles.

When the heart-rate reduces to 100 – 120 beats.min-1

, you will be instructed to doing

cool-down exercise including muscle stretching for increasing the recovery from muscle

fatigue.

BENEFITS

Through the exercise tests, you will understand your vertical jump ability and also the exact

effect of KT tape. Moreover, basketball players will consolidate their knowledge of use of

KT tape and apply on their own or on their students to improve performance.

CONFIDENTIALITY

All the testing records of each subject will be filed with subject’s name as the file name. All

the files will be kept in the Centre and classified as confidential. The results of the tests of

all subjects will be reported in aggregate terms and individual responses will not be described

unless it is necessary. The subjects’ personal recorded and all the files’ name will be erased

after the completion of the study and the testing results of each subject therefore cannot be

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identified.

CONTACT

Any questions about the test procedures and the results of your test are encouraged. If you

have any questions or concerns, please ask the test administrator Tsoi Wai Fung (Tel:

98804293) to explain further.

PARTICIPATION

Your participation in this study is voluntary; you may decline to participate without penalty.

If you decide to participate, you may withdraw from the study at any time without penalty and

without loss of benefits to which you are otherwise entitled. If you withdraw from the study

before data collection is completed your data will be returned to you or destroyed.

CONSENT

I have read and understand the above information. I have received a copy of this form. I

agree to participate in this study.

Subject's signature_______________________________ Date _______________________

Investigator's signature____________________________ Date _______________________

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Appendix B

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Appendix C

Record Sheet

Participant student ID: __________

Test Date: (yy) (mm) (dd)

Background information

Name:_______________

Date of Birth: (yy) (mm) (dd)

80% HR:

Speed:

Intensity:

Height: ____________cm

Weight: ____________kg

Arm Length: ________cm

Record of Scores

*start from 23cm *13mm differences between each piece

Without KT tape

Time 00:05 01:00 02:00 03:00 04:00 05:00

VJH

*VJH = Vertical Jump Height

With KT tape

Time 00:05 01:00 02:00 03:00 04:00 05:00

VJH

*VJH = Vertical Jump Height