Nelson Nicole L
Clinical and Applied Movement Sciences, Brooks College of Health, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224-2673, USA.
J Bodyw Mov Ther. 2016 Jul;20(3):672-81. doi: 10.1016/j.jbmt.2016.04.018. Epub 2016 Apr 27.
Chronic low back pain (CLBP) is a prevalent issue that engenders enormous social and economic burdens. Recently, kinesio taping (KT) has become of interest in the management of chronic pain. Accordingly, this is the first systematic review to explicitly report the effects of KT on CLBP.
The aim of this review was to summarize the results of randomized controlled trials (RCTs) investigating the effects of KT on CLBP.
A search was performed on the electronic databases PubMed, MEDLINE, SPORT Discus and Science Direct, up to June 17, 2015, using the following keywords: Kinesiology taping, kinesio taping, chronic low back pain.
In total, five studies involving 306 subjects met the inclusion criteria and corresponded to the aim of this review. The methodological quality of the included RCTs was good, with a mean score of 6.6 on the 10-point PEDro Scale. Moderate evidence suggests KT, as a sole treatment or in conjunction with another treatment, is no more effective than conventional physical therapy and exercise with respect to improving pain and disability outcomes. There is insufficient evidence suggesting that KT is superior to sham taping in improving pain and disability. Limited evidence suggests that KT is more effective than sham taping in improving range of motion (ROM) and global perceived effect (GPE) in the short term. Very limited evidence indicates that KT is more effective than conventional physical therapy in improving anticipatory postural control of the transversus abdominus muscles and improved cerebral cortex potential.
Kinesio taping is not a substitute for traditional physical therapy or exercise. Rather, KT may be most effective when used as an adjunctive therapy, perhaps by improving ROM, muscular endurance and motor control. More high quality studies that consider the multiple factors that mediate CLBP, in the short, intermediate and long term, are needed to strengthen the evidence of the effectiveness of KT on CLBP.
PROSPERO CRD42015023837.
慢性下腰痛（CLBP）是一个普遍存在的问题，会带来巨大的社会和经济负担。最近，肌内效贴布（KT）在慢性疼痛管理中受到关注。因此，这是第一项明确报告KT对CLBP影响的系统评价。
本评价的目的是总结调查KT对CLBP影响的随机对照试验（RCT）结果。
截至2015年6月17日，使用以下关键词在电子数据库PubMed、MEDLINE、SPORT Discus和Science Direct上进行检索：肌内效贴扎法、肌内效贴布、慢性下腰痛。
共有五项涉及306名受试者的研究符合纳入标准，与本评价的目的相符。纳入的RCT的方法学质量良好，在10分的PEDro量表上平均得分为6.6分。中等证据表明，KT作为单一治疗或与另一种治疗联合使用，在改善疼痛和功能障碍结局方面并不比传统物理治疗和运动更有效。没有足够的证据表明KT在改善疼痛和功能障碍方面优于假贴扎。有限的证据表明，在短期内，KT在改善运动范围（ROM）和整体感知效果（GPE）方面比假贴扎更有效。非常有限的证据表明，KT在改善腹横肌的预期姿势控制和改善大脑皮层电位方面比传统物理治疗更有效。
肌内效贴布不能替代传统物理治疗或运动。相反，KT作为辅助治疗可能最有效，也许是通过改善ROM、肌肉耐力和运动控制。需要更多高质量的研究来考虑在短期、中期和长期介导CLBP的多种因素，以加强KT对CLBP有效性的证据。
PROSPERO CRD42015023837。
