Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia.
PLoS One. 2020 Sep 29;15(9):e0239505. doi: 10.1371/journal.pone.0239505. eCollection 2020.
Evidence suggests that the application of Kinesio Tape (KT) on patients with chronic non-specific low back pain (CNLBP) is inconclusive. Dynamic tape (DT) is a relatively new treatment technique, which is increasingly being used as an adjunctive method to treat musculoskeletal problems. To our knowledge, no study has investigated the application of DT in individuals with CNLBP. To compare the immediate and short-term effects of DT versus KT and no tape among patients with CNLBP on pain, endurance, disability, mobility, and kinesiophobia. Forty-five patients with CNLBP were randomly assigned to 1 of 3 groups. Outcomes were measured at baseline, immediately, and on the third day post-application of tapes. The primary outcomes of pain, endurance, and disability were measured through the visual analog scale (VAS), Biering-Sorensen test, and Oswestry disability index (ODI), respectively. Secondary outcome measures of mobility and kinesiophobia were measured using the modified-modified Schober test and the Tampa Scale of Kinesiophobia, respectively. No significant immediate and short-term differences were found between DT and KT in pain, disability, mobility, and kinesiophobia. Improved back extensor endurance was observed for the DT group than KT (p = 0.023) and control group (p = 0.006). The application of DT may result in improvements only in back extensor endurance among individuals with CNLBP. This finding suggests that DT controls the processes that lead to back muscle fatigue.
有证据表明,运动贴布(Kinesio Tape,KT)在慢性非特异性下腰痛(Chronic Non-Specific Low Back Pain,CNLBP)患者中的应用效果尚无定论。动态贴布(Dynamic Tape,DT)是一种相对较新的治疗技术,作为一种辅助治疗肌肉骨骼问题的方法,其应用越来越广泛。据我们所知,目前还没有研究探讨 DT 在 CNLBP 患者中的应用。本研究旨在比较 DT 与 KT 和无贴布在 CNLBP 患者中的即时和短期疗效,评估其对疼痛、耐力、残疾、活动能力和运动恐惧的影响。45 名 CNLBP 患者被随机分配至 3 组。在基线、即时和贴布应用后第 3 天测量结局。主要结局指标为疼痛、耐力和残疾,分别采用视觉模拟评分(VAS)、Biering-Sorensen 测试和 Oswestry 残疾指数(Oswestry Disability Index,ODI)进行评估。次要结局指标为活动能力和运动恐惧,采用改良改良 Schober 测试和 Tampa 运动恐惧量表进行评估。DT 和 KT 在即时和短期疼痛、残疾、活动能力和运动恐惧方面均无显著差异。与 KT 和对照组相比,DT 组的腰背伸肌耐力得到了改善(p = 0.023 和 p = 0.006)。DT 的应用可能仅能改善 CNLBP 患者的腰背伸肌耐力。这一发现表明,DT 控制了导致背部肌肉疲劳的过程。