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Immediate and Short-Term Effects of Kinesio Taping Tightness in Mechanical Low Back Pain

There is controversy regarding the best technique for applying
Kinesio Taping (KT), and the theory supporting that skin convolutions may explain
its efficacy has recently been challenged. OBJECTIVE: To compare the immediate
and short-term effectiveness of KT tightness on mechanosensitivity and spinal
mobility in nonspecific low back pain (LBP), and to observe the influence of
gender in the outcome measures. DESIGN: Double-blind, randomized, controlled
trial. SETTING: University-based clinical research center. PARTICIPANTS: A total
of 75 individuals with a mean age of 33 years (+/-7.4 years), 60% female and 40%
male, with nonspecific LBP were recruited and randomly assigned to 1 of the
following study groups: standard KT tension (n = 26), increased KT tension (n =
25), and no KT tension (n = 24). INTERVENTIONS:
All participants received a two
I-strip taping over the paravertebral muscles for 24 hours. Paper-off tension
(15%-25% of the available stretch) was used in the standard KT group, which was
increased to 40% in the increased KT tension group. The rest of participants
received a taping procedure with no KT tension. Measurements were taken at
baseline, immediately after the taping, 24 hours after the taping, and after KT
removal. MAIN OUTCOME MEASURES: The primary outcome included pressure pain
thresholds over the erector spinae and gluteus medius muscles. The secondary
outcome was lumbar mobility (assessed with a digital inclinometer, and back-saver
sit-and-reach, finger-to-floor, and sit-and-reach tests). RESULTS: In the
between-groups analysis of the mean score changes after baseline assessment, no
significant differences were found for any of the outcome measures (P > .05)
except the left back-saver sit-and-reach test (P = .03).
A statistically
significant interaction group x gender x time was observed only for
mechanosensitivity values (P = .02 for the gluteus and P = .01 for the erector spinae). CONCLUSION: KT tightness does not seem to influence pain sensitivity and
lumbar mobility in chronic LBP in either the immediate or short term. LEVEL OF EVIDENCE: II.
CI - Copyright (c) 2018 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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