肌内效贴布贴扎减少腰痛患者的疼痛和改善残疾：一项随机对照试验。

Kinesio Taping reduces pain and improves disability in low back pain patients: a randomised controlled trial.

机构信息

Physiotherapy Department, Federal University of Rio Grande do Norte, Natal, Brazil.

Allied Health Research Unit, University of Central Lancashire, Preston, United Kingdom.

出版信息

Physiotherapy. 2019 Mar;105(1):65-75. doi: 10.1016/j.physio.2018.07.005. Epub 2018 Jul 26.

DOI:10.1016/j.physio.2018.07.005

PMID:30348455

Abstract

OBJECTIVE

To investigate the effects of Kinesio Taping (KT) on chronic non-specific low back pain (LBP).

DESIGN

Randomised controlled trial with intention-to-treat analysis.

SETTING

University laboratory.

PARTICIPANTS

One hundred and eight women with chronic non-specific LBP underwent an evaluation pre, 3 and 10 days after intervention.

INTERVENTIONS

After randomisation, participants were assigned to four groups: KT with tension group (KTT) applied KT with tension in the region of the erector spinae muscles; KT no tension group (KTNT) applied KT with no tension in the same region; Micropore group (MP) applied Micropore tape on the erector spinae muscles; and control group (CG) did not receive any intervention.

MAIN OUTCOME MEASURES

The primary outcome was pain sensation, measured by numerical pain rating scale. Secondary outcomes were: disability (Roland Morris Disability questionnaire), trunk range of motion (inclinometry), strength (dynamometry) and electromyographic amplitude (electromyography).

RESULTS

Improved pain relief was observed for KTT group (mean difference 2.0; 95% CI 0.5 to 3.4; P=0.003) and KTNT group [mean difference (MD) 1.9; 95% CI 0.5 to 3.4; P=0.004] compared with CG at 3days after application of the tape. For disability, there was a difference between CG and KTT group at 3days (MD 3.5; 95% CI 0.8 to 6.1; P=0.004) and 10days (MD 32; 95% CI 0.4 to 6.0; P=0.016). For all the other variables, there were no differences between groups.

CONCLUSION

KT with or without tension reduces pain 3days after its application. Additionally, when applied with tension, it improves disability after 3 and 10days in patients with LBP.

TRIAL REGISTRATION

NCT02550457 (clinicaltrials.gov).

摘要

目的

研究运动贴扎（Kinesio Taping，KT）对慢性非特异性下腰痛（low back pain，LBP）的影响。

设计

意向治疗分析的随机对照试验。

设置

大学实验室。

参与者

108 名患有慢性非特异性 LBP 的女性患者在干预前、干预后 3 天和 10 天进行评估。

干预

随机分组后，参与者被分为 4 组：KT 加张力组（KT with tension group，KTT），在竖脊肌区域施加 KT 并施加张力；KT 无张力组（KT without tension group，KTNT），在同一区域施加 KT 但不施加张力；微孔贴扎组（Micropore group，MP），在竖脊肌上贴微孔贴扎；对照组（control group，CG）不接受任何干预。

主要观察指标

主要结局指标是疼痛感觉，采用数字疼痛评分量表测量。次要结局指标是：残疾（Roland Morris 残疾问卷）、躯干活动范围（测斜仪）、力量（测力仪）和肌电图幅度（肌电图）。

结果

KTT 组和 KTNT 组在贴扎后 3 天的疼痛缓解效果优于 CG 组（KTT 组平均差值 2.0；95%置信区间 0.5 至 3.4；P=0.003；KTNT 组平均差值 1.9；95%置信区间 0.5 至 3.4；P=0.004）。在残疾方面，CG 组与 KTT 组在贴扎后 3 天（MD 3.5；95%置信区间 0.8 至 6.1；P=0.004）和 10 天（MD 32；95%置信区间 0.4 至 6.0；P=0.016）时存在差异。对于所有其他变量，组间没有差异。