评估一种联合手法治疗的贴扎方法治疗非特异性慢性下腰痛 - 一项随机对照试验。
Assessment of a taping method combined with manual therapy as a treatment of non-specific chronic low back pain - a randomized controlled trial.
机构信息
Department for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Medical Center - University of Freiburg, Hauptstr. 8, 79104, Freiburg, Germany.
Institute for Frontier Areas of Psychology and Mental Health, Freiburg, Germany.
出版信息
BMC Musculoskelet Disord. 2021 May 4;22(1):410. doi: 10.1186/s12891-021-04236-2.
BACKGROUND
Chronic low back pain is the most frequent medical problem and the condition with the most years lived with disability in Western countries. The objective of this study was to assess a new treatment, Medi-Taping, which aims at reducing complaints by treating pelvic obliquity with a combination of manual treatment of trigger points and kinesio taping in a pragmatic RCT with pilot character.
METHODS
One hundred ten patients were randomized at two study centers either to Medi-Taping or to a standard treatment consisting of patient education and physiotherapy as control. Treatment duration was 3 weeks. Measures were taken at baseline, end of treatment and at follow-up after 2 months. Main outcome criteria were low back pain measured with VAS, the Chronic Pain Grade Scale (CPGS) and the Oswestry Low Back Pain Disability Questionnaire (ODQ).
RESULTS
Patients of both groups benefited from the treatment by medium to large effect sizes. All effects were pointing towards the intended direction. While Medi-Taping showed slightly better improvement rates, there were no significant differences for the primary endpoints between groups at the end of treatment (VAS: mean difference in change 0.38, 95-CI [- 0.45; 1.21] p = 0.10; ODQ 2.35 [- 0.77; 5.48] p = 0.14; CPGS - 0.19 [- 0.46; 0.08] p = 0.64) and at follow-up. Health-related quality of life was significantly higher (p = .004) in patients receiving Medi-Taping compared to controls.
CONCLUSIONS
Medi-Taping, a purported way of correcting pelvic obliquity and chronic tension resulting from it, is a treatment modality similar in effectiveness to complex physiotherapy and patient education.
TRIAL REGISTRATION
This trial was registered retrospectively on July 24th, 2019 as Number DRKS00017051 in the German Register of Clinical Trials (Deutsches Register Klinischer Studien). URL of trial registry record: https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00017051 .
背景
慢性下腰痛是最常见的医学问题，也是西方国家致残时间最长的疾病。本研究的目的是评估一种新的治疗方法，即 Medi-Taping，该方法旨在通过结合触发点的手法治疗和运动贴扎治疗来治疗骨盆倾斜，这是一项具有初步研究特征的实用随机对照试验。
方法
110 名患者在两个研究中心被随机分为 Medi-Taping 组或标准治疗组（包括患者教育和物理治疗）。治疗持续 3 周。在基线、治疗结束和 2 个月后的随访时进行测量。主要的结局指标是用视觉模拟评分法（VAS）、慢性疼痛分级量表（CPGS）和 Oswestry 下腰痛残疾问卷（ODQ）来测量下腰痛。
结果
两组患者均从治疗中获益，效果从中等到较大。所有的效果都指向预期的方向。虽然 Medi-Taping 显示出稍好的改善率，但在治疗结束时（VAS：变化的平均差异为 0.38，95%置信区间[-0.45；1.21]，p=0.10；ODQ 为 2.35，[-0.77；5.48]，p=0.14；CPGS 为-0.19，[-0.46；0.08]，p=0.64）和随访时，两组之间的主要终点没有显著差异。接受 Medi-Taping 的患者的健康相关生活质量显著更高（p=0.004）。
结论
Medi-Taping 是一种纠正骨盆倾斜和由此产生的慢性张力的方法，其疗效与复杂的物理治疗和患者教育相似。
试验注册
本试验于 2019 年 7 月 24 日作为德国临床试验注册中心（Deutsches Register Klinischer Studien）的 DRKS00017051 号试验进行了回顾性注册。试验注册网址：https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00017051。
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