Kinesio Taping® is not better than placebo in reducing pain and disability in patients with chronic non-specific low back pain: a randomized controlled trial

Maurício A Luz Júnior, Manoel V Sousa, Luciana A F S Neves, Aline A C Cezar, Leonardo O P Costa, Maurício A Luz Júnior, Manoel V Sousa, Luciana A F S Neves, Aline A C Cezar, Leonardo O P Costa

Abstract

Background: Kinesio Taping® has been widely used in clinical practice. However, it is unknown whether this type of tape is more effective than placebo taping in patients with chronic lower back pain.

Objective: To compare the effectiveness of Kinesio Taping® in patients with chronic non-specific low back pain against a placebo tape and a control group.

Method: This is a 3-arm, randomized controlled trial with a blinded assessor. Sixty patients with chronic non-specific low back pain were randomized into one of the three groups: Kinesio Taping® group (n=20), Micropore® (placebo) group (n=20) and control group (n=20). Patients allocated to both the Kinesio Taping® group and the placebo group used the different types of tape for a period of 48 hours. The control group did not receive any intervention. The outcomes measured were pain intensity (measured by an 11-point numerical rating scale) and disability (measured by the 24-item Roland Morris Disability Questionnaire). A blinded assessor measured the outcomes at baseline, 48 hours and 7 days after randomization.

Results: After 48 hours, there was a statistically significant difference between the Kinesio Taping® group versus the control group (mean between-group difference = -3.1 points, 95% CI=-5.2 to -1.1, p=0.003), but no difference when compared to the placebo group (mean between-group difference= 1.9 points, 95% CI=-0.2 to 3.9, p=0.08). For the other outcomes no differences were observed.

Conclusions: The Kinesio Taping® is not better than placebo (Micropore®) in patients with chronic low back pain.

Figures

Figure 1. Flow diagram of participants throughout…
Figure 1. Flow diagram of participants throughout the study.

References

    1. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J. 2006;15(Suppl 2):S192–S300.
    1. Menezes Costa LC, Maher CG, Hancock MJ, McAuley JH, Herbert RD, Costa LOP. The prognosis of acute and persistent low-back pain: a meta-analysis. CMAJ. 2012;184(11):E613–E624.
    1. Hoy D, March L, Brooks P, Woolf A, Blyth F, Vos T. Measuring the global burden of low back pain. Best Pract Res Clin Rheumatol. 2010;24(2):155–165.
    1. Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2163–2196.
    1. Barros MB, Francisco PM, Zanchetta LM, César CL. Tendências das desigualdades sociais e demográficas na prevalência de doenças crônicas no Brasil, PNAD: 2003- 2008. Cien Saude Colet. 2011;16(9):3755–3768.
    1. Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012;64(6):2028–2037.
    1. Dagenais S, Caro J, Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J. 2008;8(1):8–20.
    1. Mostafavifar M, Wertz J, Borchers J. A systematic review of the effectiveness of kinesio taping for musculoskeletal injury. Phys Sportsmed. 2012;40(4):33–40.
    1. Silva Parreira PC, Menezes Costa LC, Takahashi R, Hespanhol LC, Junior, Motta Silva T, da Luz MA., Junior Do convolutions in Kinesio Taping matter? Comparison of two Kinesio Taping approaches in patients with chronic non-specific low back pain: protocol of a randomised trial. J Physiother. 2013;59(1)
    1. Kase K, Dias EM, Lemos TV. KINESIO TAPING®: introdução ao método e aplicações musculares. São Paulo: Andreoli; 2013.
    1. Kase K, Tatsuyuki H, Tomoki O. Development of Kinesiotape. KinesioTaping Perfect Manual. 1996;6-10:117–118.
    1. Moisse K. Injured olympians turn to tape: the sticky science of Kinesio. ABC News Network; 2012.
    1. Williams S, Whatman C, Hume PA, Sheerin K. Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness. Sports Med. 2012;42(2):153–164.
    1. Krajczy M, Bogacz K, Luniewski J, Szczegielniak J. The influence of Kinesio Taping on the effects of physiotherapy in patients after laparoscopic cholecystectomy. ScientificWorldJournal. 2012;2012:948282–948282.
    1. Serra MVGB, Vieira ER, Brunt D, Goethel MF, Gonçalves M, Quemelo PRV. Kinesio Taping effects on knee extension force among soccer players. Braz J Phys Ther. 2015;19(2):152–158.
    1. Parreira PC, Costa LC, Takahashi R, Hespanhol LC Jr, Luz MA Jr, Silva TM. Kinesio taping to generate skin convolutions is not better than sham taping for people with chronic non-specific low back pain: a randomised trial. J Physiother. 2014;60(2):90–96.
    1. Castro-Sánchez AM, Lara-Palomo IC, Matarán-Peñarrocha GA, Fernández-Sánchez M, Sánchez-Labraca N, Arroyo-Morales M. Kinesio Taping reduces disability and pain slightly in chronic non-specific low back pain: a randomised trial. J Physiother. 2012;58(2):89–95.
    1. González-Iglesias J, Fernández-de-Las-Peñas C, Cleland JA, Huijbregts P, Del Rosario Gutiérrez-Vega M. Short-term effects of cervical kinesio taping on pain and cervical range of motion in patients with acute whiplash injury: a randomized clinical trial. J Orthop Sports Phys Ther. 2009;39(7):515–521.
    1. Paoloni M, Bernetti A, Fratocchi G, Mangone M, Parrinello L, Del Pilar Cooper M. Kinesio Taping applied to lumbar muscles influences clinical and electromyographic characteristics in chronic low back pain patients. Eur J Phys Rehabil Med. 2011;47(2):237–244.
    1. Şimşek HH, Balki S, Keklik SS, Öztürk H, Elden H. Does Kinesio taping in addition to exercise therapy improve the outcomes in subacromial impingement syndrome? A randomized, double-blind, controlled clinical trial. Acta Orthop Traumatol Turc. 2013;47(2):104–110.
    1. Kase K, Wallis J, Kase T, Association KT. Clinical therapeutic applications of the Kinesio Taping Method. Albuquerque: Kinesio Taping Association; 2003.
    1. Kamper SJ, Henschke N. Kinesio taping for sports injuries. Br J Sports Med. 2013;47(17):1128–1129.
    1. Morris D, Jones D, Ryan H, Ryan CG. The clinical effects of Kinesio®Tex taping: A systematic review. Physiother Theory Pract. 2013;29(4):259–270.
    1. Parreira PC, Costa LC, Hespanhol LC Jr, Lopes AD, Costa LO. Current evidence does not support the use of Kinesio Taping in clinical practice: a systematic review. J Physiother. 2014;60(1):31–39.
    1. Vanti C, Bertozzi L, Gardenghi I, Turoni F, Guccione AA, Pillastrini P. Effect of taping on spinal pain and disability: systematic review and meta-analysis of randomized trials. Phys Ther. 2015;95(4):493–506.
    1. Andrews JC, Schünemann HJ, Oxman AD, Pottie K, Meerpohl JJ, Coello PA. GRADE guidelines: 15. Going from evidence to recommendation-determinants of a recommendation's direction and strength. J Clin Epidemiol. 2013;66(7):726–735.
    1. Delitto A, George SZ, Van Dillen LR, Whitman JM, Sowa G, Shekelle P. Low back pain. J Orthop Sports Phys Ther. 2012;42(4):A1–57.
    1. Turk D, Melzack R. Handbook of pain assessment. New York: The Guilford Press; 1992.
    1. Nusbaum L, Natour J, Ferraz MB, Goldenberg J. Translation, adaptation and validation of the Roland-Morris questionnaire--Brazil Roland-Morris. Braz J Med Biol Res. 2001;34(2):203–210.
    1. Costa LO, Maher CG, Latimer J, Ferreira PH, Ferreira ML, Pozzi GC. Clinimetric testing of three self-report outcome measures for low back pain patients in Brazil: which one is the best? Spine (Phila Pa 1976) 2008;33(22):2459–2463.
    1. Costa LO, Maher CG, Latimer J, Ferreira PH, Pozzi GC, Ribeiro RN. Psychometric characteristics of the Brazilian-Portuguese versions of the Functional Rating Index and the Roland Morris Disability Questionnaire. Spine (Phila Pa 1976) 2007;32(17):1902–1907.
    1. Ostelo RW, Deyo RA, Stratford P, Waddell G, Croft P, Von Korff M. Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change. Spine (Phila Pa 1976) 2008;33(1):90–94.
    1. Hayden JA, van Tulder MW, Malmivaara AV, Koes BW. Meta-analysis: exercise therapy for nonspecific low back pain. Ann Intern Med. 2005;142(9):765–775.
    1. Burton AK, Balagué F, Cardon G, Eriksen HR, Henrotin Y, Lahad A. Chapter 2. European guidelines for prevention in low back pain : November 2004. Eur Spine J. 2006;15(Suppl 2):S136–S168.
    1. van Tulder M, Becker A, Bekkering T, Breen A, del Real MT, Hutchinson A. Chapter 3. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J. 2006;15(Suppl 2):S169–S191.

Source: PubMed

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