Centre of Health Sciences, University of North Paraná, Jacarezinho, Paraná, Brazil; Graduate Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
Graduate Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
Arch Phys Med Rehabil. 2021 Jul;102(7):1352-1360.e3. doi: 10.1016/j.apmr.2021.03.007. Epub 2021 Apr 2.
This study investigated the effects of star-shape Kinesio taping (KT) compared with both sham KT and minimal intervention (MI) on pain intensity and postural control.
Randomized controlled trial.
Outpatient physical therapy.
A total of 120 people with chronic low back pain (CLBP) aged 18-60 years (N=120).
Star-shape KT, sham KT (no tension), and MI (educational booklet for self-management counseling).
The primary outcome measures were pain intensity and center of pressure (COP) mean sway speed, and disability score (Oswestry Disability Index) was a secondary outcome. The outcomes were obtained immediately after initial KT application, on the seventh day of intervention and at the 1-month follow-up. Linear mixed-model analyses using Bonferroni post hoc analyses were applied to investigate between-group differences. The model included treatment, time, and treatment×time interaction as fixed effects.
Pain intensity was significantly lower for the star-shape KT group than for the MI group (mean difference [MD], -1.35; 95% confidence interval [CI], -2.63 to -0.07) immediately after the intervention and on the seventh day of intervention (MD, -1.32; 95% CI, -2.56 to -0.07). No difference in pain intensity between star-shape KT vs sham-KT groups was observed. In addition, no significant between-group differences were observed for the COP mean sway speed and disability score at any of the follow-up times.
Our results showed no meaningful effect of star-shape KT intervention on pain intensity and postural control in people with CLBP compared with MI or sham KT. The observed reduction of 1.3 units between star-shape KT and MI groups was statistically different, but it could not be considered clinically relevant. The results of this trial suggest that benefits from KT are more likely attributable to contextual factors rather than specific taping parameters.
本研究旨在探讨星状贴扎（KT）与假贴扎和最小干预（MI）相比，对疼痛强度和姿势控制的影响。
随机对照试验。
门诊物理治疗。
共 120 名年龄在 18-60 岁的慢性下背痛（CLBP）患者（N=120）。
星状 KT、假 KT（无张力）和 MI（自我管理咨询教育手册）。
主要结局测量指标为疼痛强度和中心压力（COP）平均摆动速度，次要结局测量指标为 Oswestry 残疾指数（ODI）评分。这些结果是在初始 KT 应用后、干预第 7 天和 1 个月随访时获得的。采用 Bonferroni 事后分析的线性混合模型分析来研究组间差异。该模型包括治疗、时间和治疗×时间交互作为固定效应。
干预后即刻和第 7 天，与 MI 组相比，星状 KT 组的疼痛强度明显降低（平均差异[MD]，-1.35；95%置信区间[CI]，-2.63 至-0.07）。星状 KT 与 sham-KT 组之间的疼痛强度无差异。此外，在任何随访时间点，COP 平均摆动速度和残疾评分均无组间差异。
与 MI 或 sham-KT 相比，我们的结果显示星状 KT 干预对 CLBP 患者的疼痛强度和姿势控制没有明显影响。与星状 KT 和 MI 组相比，观察到的 1.3 个单位的减少在统计学上是不同的，但不能认为具有临床意义。该试验结果表明，KT 的益处更可能归因于环境因素，而不是特定的贴扎参数。
