Institute of Sports Medicine and Health, Chengdu Sport University, 2 Tiyuan Road, Wuhou District, Chengdu, 610041, Sichuan, China.
Department of Gynecology and Obstetrics, Chengdu First People's Hospital, Chengdu, 610095, Sichuan, China.
BMC Pregnancy Childbirth. 2021 Oct 25;21(1):712. doi: 10.1186/s12884-021-04197-3.
Low back pain during pregnancy affects the normal daily activities of pregnant women to a certain extent. Current studies have shown that Kinesio Taping (KT) may be a treatment for low back pain during pregnancy, but there is still a lack of key evidence. The purpose of this study is to evaluate the efficacy and safety of KT in the treatment of low back pain during pregnancy.
PubMed, Web of Science, The Cochrane Library, Scopus, Embase, Wanfang Data, CNKI, and VIP databases were searched to collect randomized controlled trials (RCTs) of the efficacy of KT intervention on low back pain in women during pregnancy. The retrieval time limit is from the establishment of the database to April 2021. Two researchers independently screened the literature, extracted the data, and evaluated the risk of bias in the included studies. Meta-analysis was performed using RevMan5.3 software.
A total of 7 RCTs were included, including 444 patients. Meta-analysis results showed that: Compared with the control group, KT intervention could significantly improve low back pain and dysfunction, VAS score (- 1.62, 95%CI - 2.08 to - 1.16, P < 0.00001, I = 77%), RMDQ score (- 1.00, 95%CI - 1.54 to - 0.46, P = 0.0003, I = 80%); The results of the meta-analysis of the subgroup showed that compared with the control group, the KT intervention was less than or equal to 1 week, and the waist pain and dysfunction were improved, with statistically significant differences. The difference in the improvement of low back pain was statistically significant after KT intervention for more than 1 week, but there was no statistically significant difference in RMDQ score (- 1.25, 95%CI - 2.66 to 0.15, P = 0.08, I =77%). Compared with the control group, KT intervention improved low back pain in the second and third trimesters, and the difference was statistically significant.
KT has a positive effect on the improvement of low back pain during pregnancy, KT intervention can significantly improve pregnant women's low back pain and dysfunction problems, improve the quality of life. It is suggested that future research should focus on the prevention and treatment of low back pain during pregnancy to provide more research data for improving women's health.
孕期腰背痛在一定程度上影响孕妇的正常日常活动。目前的研究表明，运动贴扎疗法（Kinesio Taping，KT）可能是一种治疗孕期腰背痛的方法，但仍缺乏关键证据。本研究旨在评估 KT 治疗孕期腰背痛的疗效和安全性。
检索 PubMed、Web of Science、The Cochrane Library、Scopus、Embase、万方数据、中国知网和维普数据库，收集 KT 干预治疗孕妇腰背痛的疗效随机对照试验（RCT）。检索时间限定为数据库建立至 2021 年 4 月。两名研究者独立筛选文献、提取数据并评价纳入研究的偏倚风险。采用 RevMan5.3 软件进行 Meta 分析。
共纳入 7 项 RCT，包含 444 例患者。Meta 分析结果显示：与对照组相比，KT 干预能显著改善腰背痛和功能障碍，视觉模拟评分（-1.62，95%CI-2.08 至-1.16，P<0.00001，I²=77%）、Roland-Morris 功能障碍问卷评分（-1.00，95%CI-1.54 至-0.46，P=0.0003，I²=80%）；亚组分析结果显示，KT 干预小于或等于 1 周与对照组相比，腰背痛和功能障碍改善，差异有统计学意义；KT 干预大于 1 周时，改善腰背痛的差异有统计学意义，但 Roland-Morris 功能障碍问卷评分差异无统计学意义（-1.25，95%CI-2.66 至 0.15，P=0.08，I²=77%）。KT 干预可改善孕中期和孕晚期腰背痛，差异有统计学意义。
KT 对改善孕期腰背痛有积极作用，KT 干预能显著改善孕妇腰背痛和功能障碍问题，提高生活质量。建议未来的研究应关注孕期腰背痛的防治，为改善女性健康提供更多的研究数据。
