Department of Nursing and Physiotherapy, University of the Balearic Islands, The Balearic Islands, Palma de Mallorca, Spain.
Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma de Mallorca, Spain; Research Institute of Health Sciences (IUNICS-IdISBa), University of the Balearic Islands, Palma de Mallorca, Spain.
PM R. 2018 Jan;10(1):28-35. doi: 10.1016/j.pmrj.2017.05.003. Epub 2017 Jun 8.
BACKGROUND: There is controversy regarding the best technique for applying Kinesio Taping (KT), and the theory supporting that skin convolutions may explain its efficacy has recently been challenged. OBJECTIVE: To compare the immediate and short-term effectiveness of KT tightness on mechanosensitivity and spinal mobility in nonspecific low back pain (LBP), and to observe the influence of gender in the outcome measures. DESIGN: Double-blind, randomized, controlled trial. SETTING: University-based clinical research center. PARTICIPANTS: A total of 75 individuals with a mean age of 33 years (±7.4 years), 60% female and 40% male, with nonspecific LBP were recruited and randomly assigned to 1 of the following study groups: standard KT tension (n = 26), increased KT tension (n = 25), and no KT tension (n = 24). INTERVENTIONS: All participants received a two I-strip taping over the paravertebral muscles for 24 hours. Paper-off tension (15%-25% of the available stretch) was used in the standard KT group, which was increased to 40% in the increased KT tension group. The rest of participants received a taping procedure with no KT tension. Measurements were taken at baseline, immediately after the taping, 24 hours after the taping, and after KT removal. MAIN OUTCOME MEASURES: The primary outcome included pressure pain thresholds over the erector spinae and gluteus medius muscles. The secondary outcome was lumbar mobility (assessed with a digital inclinometer, and back-saver sit-and-reach, finger-to-floor, and sit-and-reach tests). RESULTS: In the between-groups analysis of the mean score changes after baseline assessment, no significant differences were found for any of the outcome measures (P > .05) except the left back-saver sit-and-reach test (P = .03). A statistically significant interaction group × gender × time was observed only for mechanosensitivity values (P = .02 for the gluteus and P = .01 for the erector spinae). CONCLUSION: KT tightness does not seem to influence pain sensitivity and lumbar mobility in chronic LBP in either the immediate or short term. LEVEL OF EVIDENCE: II.
背景：对于肌内效贴布（Kinesio Taping，KT）的最佳应用技术存在争议，最近有人对支持皮肤褶皱可能解释其疗效的理论提出质疑。
目的：比较 KT 贴扎的紧度对非特异性下腰痛（nonspecific low back pain，LBP）患者的机械感觉敏感性和脊柱活动度的即刻和短期疗效，并观察其对性别结果测量的影响。
设计：双盲、随机、对照试验。
地点：大学临床研究中心。
参与者：共招募了 75 名平均年龄为 33 岁（±7.4 岁）、60%为女性和 40%为男性的非特异性 LBP 患者，并将其随机分为以下 3 个研究组之一：标准 KT 张力组（n=26）、增加 KT 张力组（n=25）和无 KT 张力组（n=24）。
干预：所有参与者均接受双侧椎旁肌肉的两贴 I 形贴布治疗，持续 24 小时。标准 KT 组使用纸离型张力（可用拉伸的 15%-25%），增加 KT 张力组使用 40%的张力。其余参与者接受无 KT 张力的贴扎治疗。在基线、贴扎后即刻、贴扎后 24 小时和 KT 去除后进行测量。
主要结局测量指标：主要结局包括竖脊肌和臀中肌的压痛阈值。次要结局为腰椎活动度（使用数字测斜仪和背伸位坐立前伸试验、手指触地试验、坐立位体前屈试验进行评估）。
结果：在组间分析中，除左侧背伸位坐立前伸试验（P=.03）外，基线评估后任何结局测量指标的平均评分变化均无显著差异（P＞.05）。仅在机械感觉敏感性值上观察到组间×性别×时间的统计学显著交互作用（臀中肌 P=.02，竖脊肌 P=.01）。
结论：在慢性 LBP 中，KT 贴扎的紧度在即刻或短期似乎均不会影响疼痛敏感性和腰椎活动度。
证据等级：II 级。
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