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Effect of taping on spinal pain and disability

VANTI C; BERTOZZI L; GARDENGHI I; TURONI F; GUCCIONE AA; PILLASTRINI P
PHYS THER , 2015, vol. 95, n° 4, p. 493-506
Doc n°: 173051
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.2522/ptj.20130619
Descripteurs : CA6 - PATHOLOGIE - RACHIS, AD8 - DOULEUR, KA71 - CONTENTIONS, STRAPPING, K-TAPING

Taping is a widely used therapeutic tool for the treatment of
musculoskeletal disorders, nevertheless its effectiveness is still uncertain.
The purpose of this study was to conduct a current review of randomized
controlled trials (RCTs) concerning the effects of elastic and nonelastic taping
on spinal pain and disability.
DATA SOURCES: MEDLINE, CINAHL, EMBASE, PEDro,
Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, ISI Web of
Knowledge, and SPORTDiscus databases were searched.
STUDY SELECTION: All
published RCTs on symptomatic adults with a diagnosis of specific or nonspecific
spinal pain, myofascial pain syndrome, or whiplash-associated disorders (WAD)
were considered. DATA EXTRACTION: Two reviewers independently selected the
studies and extracted the results. The quality of individual studies was assessed
using the PEDro scale, and the evidence was assessed using GRADE criteria.
DATA SYNTHESIS: Eight RCTs were included. Meta-analysis of 4 RCTs on low back pain
demonstrated that elastic taping does not significantly reduce pain or disability
immediately posttreatment, with a standardized mean difference of -0.31 (95%
confidence interval=-0.64, 0.02) and -0.23 (95% confidence interval=-0.49, 0.03),
respectively. Results from single trials indicated that both elastic and
nonelastic taping are not better than placebo or no treatment on spinal
disability. Positive results were found only for elastic taping and only for
short-term pain reduction in WAD or specific neck pain. Generally, the effect
sizes were very small or not clinically relevant, and all results were supported
by low-quality evidence. LIMITATIONS: The paucity of studies does not permit us
to draw any final conclusions. CONCLUSION: Although different types of taping
were investigated, the results of this systematic review did not show any firm support for their effectiveness.
CI - (c) 2015 American Physical Therapy Association.

Langue : ANGLAIS

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