Kinesio Taping reduces pain and improves disability in low back pain patients (2019)

Brito Macedo L de, Richards J, Tezoni Borges D, Alencar Melo S, Simões Brasileiroa J

Literatuur type: RCT

Publicatie jaar: 2019

Objective

To investigate the effects of Kinesio Taping® (KT) on chronic non-specific low back pain (LBP)

Design

Randomised controlled trial with intention-to-treat analysis

Setting

University laboratory

Participants

One hundred and eight women with chronic non-specific LBP underwent an evaluation pre, 3 and 10 days after intervention

Interventions

After randomisation, participants were assigned to four groups: KT with tension group (KTT) applied KT® with tension in the region of the erector spinae muscles; KT no tension group (KTNT) applied KT® with no tension in the same region; Micropore group (MP) applied Micropore® tape on the erector spinae muscles; and control group (CG) did not receive any intervention

Main outcome measures

The primary outcome was pain sensation, measured by numerical pain rating scale. Secondary outcomes were: disability (Roland Morris Disability questionnaire), trunk range of motion (inclinometry), strength (dynamometry) and electromyographic amplitude (electromyography)

Results

Improved pain relief was observed for KTT group (mean difference 2.0; 95% CI 0.5 to 3.4; P = 0.003) and KTNT group [mean difference (MD) 1.9; 95% CI 0.5 to 3.4; P = 0.004] compared with CG at 3 days after application of the tape. For disability, there was a difference between CG and KTT group at 3 days (MD 3.5; 95% CI 0.8 to 6.1; P = 0.004) and 10 days (MD 32; 95% CI 0.4 to 6.0; P = 0.016). For all the other variables, there were no differences between groups

Conclusion

KT with or without tension reduces pain 3 days after its application. Additionally, when applied with tension, it improves disability after 3 and 10 days in patients with LBP

Beoordeling:  5/5 sterren

Aandachtspunten:      

  • Deze studie laat een significant effect zien op de pijnscore na applicatie van elastische tape, met of zonder rek, bij dames in de leeftijdsgroep 18-50 jaar met LBP.
  • KTNT groep: tape “zonder rek aangelegd” bij NEUTRALE positie van de onderrug. Dus bij elke beweging van de onderrug richting flexie komt er spanning op de tape te staan. Hier is dus GEEN sprake van een placebo tape! (zoals ook niet vermeld door de auteurs).
  • KTT groep heeft ook na 10 dagen een significant resultaat tav functie.
  • Na drie dagen is de tape bij alle proefpersonen verwijdert. Wordt het resultaat beter na applicatie van de tape >3 dagen (langere stimulus)? Lichaam heeft misschien een langere hersteltijd nodig voor a-specifieke LBP!?

 

Referenties: Physiotherapy, March 2019 Vol 105, Issue 1, Pages 65–75