Short-term Effects of Kinesio Taping® on Electromyographic Characteristics of Paraspinal Muscles, Pain and Disability in Patients with Lumbar Disc Herniation
By Journal of Sport Rehabilitation | 06 February 2018
Type:Randomized Controlled trial
Sample Size:38
Outcome:Negative
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Context

Kinesio taping® (KT) is a therapeutic modality frequently used in the clinical practice for the treatment of various musculoskeletal disorders. It is often applied in patients with chronic low back pain (CLBP) to decrease pain and improve functional capacity. However, it is not known, whether thoracolumbar fascia Kinesio Taping® (KT) technique can decrease back pain, restore normal activity of paraspinal muscles and improve functional capacity in patients with lumbar disc herniation (LDH).

Objective

To evaluate the impact of 7-day new KT stabilizing application on lumbar paraspinal muscles function, pain perception and disability in patients with LDH.

Design

A randomized controlled trial.

Setting

Human Performance Laboratory.

Patients

38 patients with LDH were randomized into KT (n=19) and placebo taping (PT, n=19) groups.

Interventions

Both groups received the same "x" type application running over the back along fibres of superficial lamina of posterior layer of thoracolumbar fascia.

Main Outcome Measures

The primary outcome measures were flexion-relaxation (FRR) and extension-relaxation (ERR) ratios calculated from electromyographic activity of lumbar multifidus and longissimus thoracic muscles. Pain intensity rating (Quadruple Visual Analogue Scale), pressure pain thresholds (PPTs) of lower back, Roland-Morris Disability Questionnaire score, back extension force and flexion ROM were among secondary outcomes.

Results

KT application did not affect the lumbar multifidus and longissimus thoracic muscles FRR and ERR, lower back PPTs, back flexion ROM and back extension force (no time x group interaction). KT and PT comparably decreased disability level (time effect, TE: F(1,36)=22.817, p=0.000; group*time interaction, GTI: F(1,36)=0.189, p=0.667), average pain (TE: F(1,36)=39.648, p=0.000; GTI: F(1,36)=2.553, p=0.119) and the worst pain (TE: F(1,36)=36.039, p=0.000; GTI: F(1,36)=0.003, p=0.956) intensity.

Conclusion

Seven-day KT does not normalize lumbar paraspinal muscle function and is not superior to placebo in reducing disability and pain intensity in patients with LDH.

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