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肌内效贴布联合腰部稳定运动治疗成人机械性腰痛的疗效:一项随机、单盲临床试验。

Efficacy of kinesio tape added to lumbar stabilization exercises on adult patients with mechanical low back pain: A randomized, single-blind clinical trial.

机构信息

Basic Science Department, Faculty of Physical Therapy, Benha University, Egypt.

Department of Orthopedics and Its Surgeries, Faculty of Physical Therapy, Delta University for Science and Technology, Gamasa, Egypt; Department of Physical Therapy, Aqaba University of Technology, Aqaba, Jordan.

出版信息

J Bodyw Mov Ther. 2024 Jul;39:218-224. doi: 10.1016/j.jbmt.2024.02.022. Epub 2024 Mar 7.

DOI:10.1016/j.jbmt.2024.02.022
PMID:38876629
Abstract

BACKGROUND

Lumbar stabilization exercises (LSEs) are beneficial for chronic mechanical low back pain (CMLBP). However, further research focusing on intervention combinations is recommended. This study examined the effect of kinesio tape (KT) with LSEs on CMLBP adult patients.

METHODS

A randomized blinded clinical trial was conducted. Fifty CMLBP patients of both genders were assigned into one of two groups and received 8 weeks of treatment: group A (control): LSEs only, and group B (experimental): KT with LSEs. The primary outcome was back disability, measured by the Oswestry disability index. Secondary outcomes included pain intensity, trunk extensor endurance, and sagittal spinal alignment, as indicated by the visual analog scale, Sorensen-test, and C7-S1 sagittal vertical axis, respectively. The reported data was analyzed by a two-way MANOVA using an intention-to-treat procedure.

RESULTS

Multivariate tests indicate statistically significant effects for group (F = 4.42, p = 0.005, partial η2 = 0.148), time (F = 219.55, p < 0.001, partial η2 = 0.904), and group-by-time interaction (F = 3.21, p = 0.01, partial η2 = 0.149). Univariate comparisons between groups revealed significant reductions in the experimental group regarding disability (p = 0.029, partial η2 = 0.049) and pain (p = 0.001, partial η2 = 0.102) without a significant difference in the Sorensen test (p = 0.281) or C7-S1 SVA (p = 0.491) results. All within-group comparisons were statistically significant (p < 0.001).

CONCLUSION

The combination of KT and LSEs is an effective CMLBP treatment option. Although patients in both groups displayed significant changes in all outcomes, the combined interventions induced more significant reductions in back disability and pain intensity.

摘要

背景

腰椎稳定运动(LSE)对慢性机械性下腰痛(CMLBP)有益。然而,建议进一步研究侧重于干预组合。本研究检查了肌内效贴布(KT)与 LSE 联合治疗 CMLBP 成年患者的效果。

方法

进行了一项随机双盲临床试验。将 50 名 CMLBP 患者分为两组,接受 8 周的治疗:A 组(对照组):仅接受 LSE,B 组(实验组):KT 与 LSE 联合。主要结局是腰痛残疾,用 Oswestry 残疾指数测量。次要结局包括疼痛强度、躯干伸肌耐力和矢状脊柱排列,分别用视觉模拟量表、Sorensen 测试和 C7-S1 矢状垂直轴表示。使用意向治疗程序的两因素 MANOVA 分析报告数据。

结果

多变量测试表明组间(F=4.42,p=0.005,偏 η2=0.148)、时间(F=219.55,p<0.001,偏 η2=0.904)和组-时间交互作用(F=3.21,p=0.01,偏 η2=0.149)具有统计学意义。组间的单变量比较显示,实验组在残疾(p=0.029,偏 η2=0.049)和疼痛(p=0.001,偏 η2=0.102)方面有显著降低,而 Sorensen 测试(p=0.281)或 C7-S1 SVA(p=0.491)结果无显著差异。所有组内比较均具有统计学意义(p<0.001)。

结论

KT 和 LSE 的联合是 CMLBP 的有效治疗选择。尽管两组患者在所有结局上均显示出显著变化,但联合干预可使腰痛残疾和疼痛强度显著降低。

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