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比较在慢性下腰痛治疗中使用与不使用肌内效贴布的脊柱推拿疗法。

Comparing spinal manipulation with and without Kinesio Taping in the treatment of chronic low back pain.

作者信息

Kamali Fahimeh, Sinaei Ehsan, Taherkhani Elham

机构信息

Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran; Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Bodyw Mov Ther. 2018 Apr;22(2):540-545. doi: 10.1016/j.jbmt.2017.07.008. Epub 2017 Jul 26.

Abstract

OBJECTIVES

Chronic non-specific low back pain (CNLBP) is a prevalent problem among athletes that can cause long-lasting disability and time lost from sporting activities. Thus far, a variety of methods have been suggested to address this problem, including spinal manipulation (SM) and Kinesio Tape (KT). The aim of this study was to investigate whether adding KT to SM can provide any extra effect in athletes with CNLBP or not.

METHOD

Forty-two athletes (21males, 21females) with CNLBP were randomized into two groups of SM (n = 21) and SM plus KT (n = 21). Pain intensity, functional disability level and trunk flexor-extensor muscles endurance were assessed by Numerical Rating Scale (NRS), Oswestry pain and disability index (ODI), McQuade test, and unsupported trunk holding test, respectively. The tests were done before and immediately, one day, one week, and one month after the interventions and compared between the two groups.

RESULTS

After treatments, pain intensity and disability level decreased and endurance of trunk flexor-extensor muscles increased significantly in both groups. Repeated measures analysis, however, showed that there was no significant difference between the groups in any of the evaluations.

CONCLUSIONS

The findings of the present study showed that adding KT to SM does not appear to have a significant extra effect on pain, disability and muscle endurance in athletes with CNLBP. However, more studies are needed to examine the therapeutic effects of KT in treating these patients. CLINICAL TRIAL REGISTRY NUMBER (IRCT.IR): IRCT2016020624149N5.

摘要

目的

慢性非特异性下腰痛(CNLBP)在运动员中是一个普遍存在的问题,可导致长期残疾并使运动员无法参加体育活动。到目前为止,已经提出了多种方法来解决这个问题,包括脊柱推拿(SM)和肌内效贴布(KT)。本研究的目的是调查在SM基础上增加KT是否能对患有CNLBP的运动员产生额外效果。

方法

42名患有CNLBP的运动员(21名男性,21名女性)被随机分为两组,一组接受SM治疗(n = 21),另一组接受SM加KT治疗(n = 21)。分别通过数字评分量表(NRS)、奥斯威斯瑞疼痛和功能障碍指数(ODI)、麦奎德测试和无支撑躯干保持测试来评估疼痛强度、功能障碍水平和躯干屈伸肌耐力。在干预前以及干预后即刻、1天、1周和1个月进行测试,并在两组之间进行比较。

结果

治疗后,两组的疼痛强度和功能障碍水平均降低,躯干屈伸肌耐力显著提高。然而,重复测量分析表明,两组在任何一项评估中均无显著差异。

结论

本研究结果表明,在SM基础上增加KT似乎对患有CNLBP 的运动员的疼痛、功能障碍和肌肉耐力没有显著的额外效果。然而,需要更多的研究来检验KT在治疗这些患者中的疗效。临床试验注册号(IRCT.IR):IRCT2016020624149N5。

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