J Sport Rehabil. 2019 Jul 1;28(5):402-412. doi: 10.1123/jsr.2017-0086. Epub 2018 Dec 12.
Kinesio taping® (KT) is a therapeutic modality frequently used in the clinical practice for the treatment of various musculoskeletal disorders. It is often applied in patients with chronic low back pain to decrease pain and improve functional capacity. However, it is not known, whether thoracolumbar fascia KT technique can decrease back pain, restore normal activity of paraspinal muscles, and improve functional capacity in patients with lumbar disk herniation (LDH). To evaluate the impact of 7-day new KT stabilizing application on lumbar paraspinal muscles function, pain perception, and disability in patients with LDH. A randomized controlled trial. Human Performance Laboratory. A number of 38 patients with LDH were randomized into KT (n = 19) and placebo taping (n = 19) groups. Both groups received the same "x" type application running over the back along fibers of superficial lamina of the posterior layer of thoracolumbar fascia. The primary outcome measures were flexion-relaxation and extension-relaxation ratios calculated from electromyographic activity of lumbar multifidus and longissimus thoracic muscles. Pain intensity rating (Quadruple Visual Analogue Scale), pressure pain thresholds of the lower back, Roland-Morris Disability Questionnaire score, back extension force, and flexion range of motion (ROM) were among secondary outcomes. KT application did not affect the lumbar multifidus and longissimus thoracic muscles flexion-relaxation and extension-relaxation ratios, lower back pressure pain thresholds, back flexion ROM, and back extension force (no group × time interaction [GTI]). KT and placebo taping comparably decreased disability level (time effect: 1,36 = 22.817, < .001; GTI: 1,36 = 0.189, = .67), average pain (time effect: 1,36 =39.648, < .001; GTI: 1,36 = 2.553, = .12), and the worst pain (time effect: 1,36 = 36.039, < .001; GTI: 1,36 = 0.003, = .96) intensity. Seven-day KT does not normalize lumbar paraspinal muscle function and is not superior to placebo in reducing disability and pain intensity in patients with LDH.
肌内效贴布疗法（KT）是一种常用于治疗各种肌肉骨骼疾病的治疗方法。它常用于慢性腰痛患者，以减轻疼痛并提高功能能力。然而，尚不清楚胸腰椎筋膜 KT 技术是否可以减轻腰痛、恢复腰背肌的正常活动能力并改善腰椎间盘突出症（LDH）患者的功能能力。本研究旨在评估 7 天新型 KT 稳定贴扎对 LDH 患者腰椎旁肌功能、疼痛感知和残疾的影响。这是一项随机对照试验。在人体机能实验室中进行。共招募了 38 名 LDH 患者，随机分为 KT 组（n=19）和安慰剂贴扎组（n=19）。两组均接受相同的“x”型贴扎，沿胸腰椎筋膜后层浅层纤维贴扎背部。主要结局指标为腰椎多裂肌和胸最长肌肌电图活动的屈伸比和伸展比。次要结局指标包括疼痛强度评分（ quadruple visual analogue scale）、下腰痛压痛阈值、 Roland-Morris 残疾问卷评分、腰背伸力和屈伸活动范围（ROM）。KT 应用并未影响腰椎多裂肌和胸最长肌的屈伸比、下腰痛压痛阈值、腰背屈伸 ROM 和腰背伸力（无组×时间交互[GTI]）。KT 和安慰剂贴扎均可降低残疾水平（时间效应：1,36=22.817， < .001；GTI：1,36=0.189， = .67）、平均疼痛（时间效应：1,36=39.648， < .001；GTI：1,36=2.553， = .12）和最痛强度（时间效应：1,36=36.039， < .001；GTI：1,36=0.003， = .96）。7 天 KT 不能使腰椎旁肌功能正常化，并且在减轻 LDH 患者的残疾和疼痛强度方面并不优于安慰剂。
