Azadinia Fatemeh, Kingma Idsart, Mazaheri Masood
School of Rehabilitation Sciences, Rehabilitation Research Center, Iran University of Medical Sciences, Tehran, Iran.
Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands.
Disabil Rehabil. 2023 Mar;45(5):753-771. doi: 10.1080/09638288.2022.2043464. Epub 2022 Mar 8.
To review the effects of external lumbar supports on various aspects of sensorimotor function including joint position sense (JPS), postural control, anticipatory postural adjustments (APAs), and compensatory postural adjustments (CPAs).
A systematic literature search was performed in PubMed, EMBASE, Scopus, Ovid, Cochrane library, and Web of Science. Two reviewers selected studies which assessed the effect of lumbosacral orthosis or kinesio-tape on JPS, postural control or APAs/CPAs in subjects with and without low back pain (LBP). The methodological quality of included studies was assessed using a modified version of Downs and Black's checklist.
Findings demonstrated moderate effects of lumbosacral orthosis on specific aspects of sensorimotor control including JPS and to a lesser extent standing stability. These domains were not or minimally affected by application of kinesio-tape. Both orthosis and kinesio-tape had negligible effects on APAs and CPAs.
The positive effects of lumbar orthosis on JPS or postural control were mostly observed in conditions where sources of proprioceptive feedback are impaired (such as LBP) or absent (standing with eyes closed on an unstable surface). However, evidence does not prove significant positive effects for the application of kinesio-tape to improve sensorimotor control.IMPLICATIONS FOR REHABILITATIONWearing lumbar orthosis leads to an improvement in joint position sense.Postural stability seems to be affected to some extent by utilizing lumbar orthosis.Clinicians can administer orthosis to improve sensorimotor adaptation, especially in conditions with poor proprioception.Kinesio-tape had negligible effects on all domains of sensorimotor control.Improvement of sensorimotor function as a result of application of kinesio-tape is questionable.
回顾外部腰部支撑对感觉运动功能各个方面的影响，包括关节位置觉（JPS）、姿势控制、预期姿势调整（APA）和代偿性姿势调整（CPA）。
在PubMed、EMBASE、Scopus、Ovid、Cochrane图书馆和Web of Science中进行了系统的文献检索。两名评审员选择了评估腰骶矫形器或肌内效贴对有和没有腰痛（LBP）的受试者的JPS、姿势控制或APA/CPA影响的研究。使用Downs和Black清单的修改版评估纳入研究的方法学质量。
研究结果表明，腰骶矫形器对感觉运动控制的特定方面有中等程度的影响，包括JPS，对站立稳定性的影响较小。这些方面未受或仅轻微受肌内效贴应用的影响。矫形器和肌内效贴对APA和CPA的影响均可忽略不计。
腰部矫形器对JPS或姿势控制的积极影响主要在本体感觉反馈来源受损（如LBP）或缺失（在不稳定表面闭眼站立）的情况下观察到。然而，证据并不证明肌内效贴应用于改善感觉运动控制有显著的积极效果。
对康复的启示
佩戴腰部矫形器可改善关节位置觉。
使用腰部矫形器似乎在一定程度上影响姿势稳定性。
临床医生可使用矫形器改善感觉运动适应，尤其是在本体感觉较差的情况下。
肌内效贴对感觉运动控制的所有方面影响均可忽略不计。
应用肌内效贴改善感觉运动功能的效果值得怀疑。
