Departamento de Fisioterapia, Universidade Paulista, São Paulo, SP, Brazil.
Departamento de Fisioterapia, UNIP, Jundiaí, SP, Brazil.
Braz J Phys Ther. 2015 Nov-Dec;19(6):482-90. doi: 10.1590/bjpt-rbf.2014.0128. Epub 2015 Oct 9.
Kinesio Taping® has been widely used in clinical practice. However, it is unknown whether this type of tape is more effective than placebo taping in patients with chronic lower back pain.
To compare the effectiveness of Kinesio Taping® in patients with chronic non-specific low back pain against a placebo tape and a control group.
This is a 3-arm, randomized controlled trial with a blinded assessor. Sixty patients with chronic non-specific low back pain were randomized into one of the three groups: Kinesio Taping® group (n=20), Micropore® (placebo) group (n=20) and control group (n=20). Patients allocated to both the Kinesio Taping® group and the placebo group used the different types of tape for a period of 48 hours. The control group did not receive any intervention. The outcomes measured were pain intensity (measured by an 11-point numerical rating scale) and disability (measured by the 24-item Roland Morris Disability Questionnaire). A blinded assessor measured the outcomes at baseline, 48 hours and 7 days after randomization.
After 48 hours, there was a statistically significant difference between the Kinesio Taping® group versus the control group (mean between-group difference = -3.1 points, 95% CI=-5.2 to -1.1, p=0.003), but no difference when compared to the placebo group (mean between-group difference= 1.9 points, 95% CI=-0.2 to 3.9, p=0.08). For the other outcomes no differences were observed.
The Kinesio Taping® is not better than placebo (Micropore®) in patients with chronic low back pain.
运动贴布疗法(Kinesio Taping®)在临床实践中得到了广泛应用。然而,目前尚不清楚在慢性下腰痛患者中,这种类型的贴布是否比安慰剂贴布更有效。
比较 Kinesio Taping®在慢性非特异性下腰痛患者中的疗效,与安慰剂贴布和空白对照组进行比较。
这是一项三臂、随机对照试验,采用盲法评估。将 60 名慢性非特异性下腰痛患者随机分为三组:Kinesio Taping®组(n=20)、微孔(安慰剂)贴布组(n=20)和空白对照组(n=20)。Kinesio Taping®组和安慰剂组的患者均使用不同类型的贴布 48 小时。空白对照组不接受任何干预。测量的结局指标为疼痛强度(采用 11 点数字评分量表测量)和残疾程度(采用 24 项 Roland Morris 残疾问卷测量)。盲法评估员在基线、随机分组后 48 小时和 7 天测量结局。
48 小时后,Kinesio Taping®组与空白对照组之间存在统计学显著差异(组间平均差异=-3.1 分,95%置信区间=-5.2 至-1.1,p=0.003),但与安慰剂组之间无差异(组间平均差异=1.9 分,95%置信区间=-0.2 至 3.9,p=0.08)。对于其他结局指标,未观察到差异。
Kinesio Taping®在慢性下腰痛患者中并不优于安慰剂(微孔贴布)。