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肌内效贴布与传统物理治疗对慢性下腰痛的疗效:一项随机临床试验

The effectiveness of Kinesio taping and conventional physical therapy in the management of chronic low back pain: a randomized clinical trial.

作者信息

Pakkir Mohamed Shahul Hameed, Al Amer Hamad S, Nambi Gopal

机构信息

Department of Physical Therapy, Faculty of Applied Medical Sciences, University of Tabuk, Tabuk, Saudi Arabia.

Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Alkharj, Saudi Arabia.

出版信息

Clin Rheumatol. 2023 Jan;42(1):233-244. doi: 10.1007/s10067-022-06352-3. Epub 2022 Sep 1.

Abstract

OBJECTIVE

The objective of the study was to find out the effectiveness of Kinesio taping (KT) and conventional physical therapy (CPT) such as transcutaneous electrical nerve stimulation and supervised exercise therapy and CPT alone in chronic low back pain (CLBP) patients.

METHODS

This randomized clinical trial conducted between June 2019 and December 2020, who were randomly assigned to two groups: the experimental group (KT with CPT) and the control group (CPT only). The following outcomes were measured at baseline and at the second and sixth weeks: pain using the Numerical Pain Rating Scale, lumbar flexion range of motion (ROM) by the modified Schober's method, and functional disability using the Oswestry Disability Index. Treatment effects were investigated using separate 2 × 3 mixed-model analyses of variance (ANOVAs).

RESULTS

A total of 60 male adults with CLBP were included in this study. The experimental group showed a greater decrease in pain than the control group after 2 week of intervention (mean between-group difference 1.97 (95%CI 1.64-2.29). This was maintained during a 6-week follow-up of 2.71 (95%CI 2.54-2.87). At 2 weeks, the experimental group had a significantly greater improvement in disability, by 13.45 (95%CI 11.98-14.91). This effect was significant at the 6-week follow-up of 14.10 (95%CI 13.11-15.08). Similarly, lumbar flexion ROM was significantly better at the 2-week - 2.7 (95%CI -3.15- - 2.42) and 6-week follow-ups -3.9 (95%CI - 4.42- - 3.49).

CONCLUSION

The study concluded that Kinesio taping with conventional physical therapy reduces pain and disability and improves lumbar flexion range of motion after 2 and 6 weeks of application.

TRIAL REGISTRATION

ClinicalTrials.gov Identifier: NCT05173948. Key Points • This is the first clinical study found the short-term clinical effectiveness of Kinesio taping and conventional physical therapy in the management of chronic low back pain. • This study found a new clinical evidence that Kinesio taping and conventional physical therapy provides better short-term outcomes in chronic low back pain. • These reports helpful for the clinicians and physical therapists to prevent and treat the symptoms and consequences of chronic low back pain in an effective manner.

摘要

目的

本研究的目的是探究肌内效贴布(KT)与常规物理治疗(CPT,如经皮电神经刺激和监督下的运动疗法)以及单独使用CPT对慢性下腰痛(CLBP)患者的疗效。

方法

这项随机临床试验于2019年6月至2020年12月进行,患者被随机分为两组:实验组(KT联合CPT)和对照组(仅CPT)。在基线、第二周和第六周测量以下指标:使用数字疼痛评分量表评估疼痛程度,采用改良Schober法测量腰椎前屈活动范围(ROM),并使用Oswestry功能障碍指数评估功能障碍情况。使用单独的2×3混合模型方差分析(ANOVA)研究治疗效果。

结果

本研究共纳入60名患有CLBP的成年男性。干预2周后,实验组的疼痛减轻程度大于对照组(组间平均差异为1.97(95%CI 1.64 - 2.29))。在为期6周的随访中,这一差异保持在2.71(95%CI 2.54 - 2.87)。在2周时,实验组的功能障碍改善更为显著,改善程度为13.45(95%CI 11.98 - 14.91)。在6周随访时,这一效果依然显著,改善程度为14.10(95%CI 13.11 - 15.08)。同样,在2周随访时(差异为 - 2.7(95%CI - 3.15 - - 2.42))和6周随访时(差异为 - 3.9(95%CI - 4.42 - - 3.49)),实验组的腰椎前屈ROM明显更好。

结论

该研究得出结论,肌内效贴布联合常规物理治疗在应用2周和6周后可减轻疼痛和功能障碍,并改善腰椎前屈活动范围。

试验注册

ClinicalTrials.gov标识符:NCT05173948。要点 • 这是第一项发现肌内效贴布和常规物理治疗对慢性下腰痛管理具有短期临床疗效的临床研究。 • 本研究发现了新的临床证据,即肌内效贴布和常规物理治疗在慢性下腰痛方面能提供更好的短期疗效。 • 这些报告有助于临床医生和物理治疗师有效预防和治疗慢性下腰痛的症状及后果。

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