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肌内效贴布治疗急性非特异性下腰痛的效果:一项随机对照临床试验

The effect of Kinesio taping application for acute non-specific low back pain: a randomized controlled clinical trial.

作者信息

Kelle Bayram, Güzel Rengin, Sakallı Hakan

机构信息

Department of Physical Medicine and Rehabilitation, Cukurova University, Adana, Turkey

Department of Physical Medicine and Rehabilitation, Cukurova University, Adana, Turkey.

出版信息

Clin Rehabil. 2016 Oct;30(10):997-1003. doi: 10.1177/0269215515603218. Epub 2015 Aug 27.

Abstract

OBJECTIVE

To investigate the effect of Kinesio taping application in acute non-specific low back pain.

DESIGN

A randomized controlled clinical trial.

SETTING

Physical Medicine and Rehabilitation Clinic.

PARTICIPANTS

A total of 109 patients with acute low back pain were randomized into either Kinesio taping (n = 54) or control (n = 55) groups.

INTERVENTION

The intervention group was treated with information and reassurance plus Kinesio taping, while the control group received merely information and reassurance. All participants were allowed to use as-needed doses of paracetamol. Kinesio tape was applied to the most painful area of the low back for a total of 12 days.

MAIN OUTCOME MEASURES

Worst pain and disability were assessed at baseline, after the 12-day intervention, and at four weeks follow-up. During the first 12 days, participants filled in a pain diary consisting of a numeric rating scale and recorded the number of paracetamol tablets consumed daily. Disability was assessed with the Oswestry Disability Index.

RESULTS

After 12 days of intervention, pain intensity and the Oswestry Disability Index improved significantly in both groups; the improvements were significantly superior in the Kinesio taping group (p = 0.003, p = 0.011). The Kinesio taping group reached pain control earlier (sixth day vs. 12th day) and consumed less paracetamol. At the fourth week, although pain intensity was significantly more reduced in the Kinesio taping group (p = 0.015), there were no differences with regard to disability.

CONCLUSIONS

Kinesio taping provided significant improvements in pain and disability; thus, it can be used as a complementary method in acute non-specific low back pain.

摘要

目的

探讨肌内效贴布应用于急性非特异性下腰痛的效果。

设计

一项随机对照临床试验。

地点

物理医学与康复诊所。

参与者

总共109例急性下腰痛患者被随机分为肌内效贴布组(n = 54)或对照组(n = 55)。

干预措施

干预组接受信息告知与安慰加肌内效贴布治疗,而对照组仅接受信息告知与安慰。所有参与者可按需使用对乙酰氨基酚。肌内效贴布贴于下腰部最疼痛部位,共贴12天。

主要观察指标

在基线、12天干预后及四周随访时评估最严重疼痛和功能障碍情况。在最初12天内,参与者填写包含数字评分量表的疼痛日记,并记录每日服用对乙酰氨基酚片的数量。使用Oswestry功能障碍指数评估功能障碍情况。

结果

干预12天后,两组的疼痛强度和Oswestry功能障碍指数均显著改善;肌内效贴布组的改善更为显著(p = 0.003,p = 0.011)。肌内效贴布组疼痛控制更早(第6天对比第12天)且对乙酰氨基酚用量更少。在第4周时,尽管肌内效贴布组的疼痛强度显著降低更多(p = 0.015),但在功能障碍方面无差异。

结论

肌内效贴布在疼痛和功能障碍方面有显著改善;因此,可作为急性非特异性下腰痛的一种辅助治疗方法。

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