Article

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