Objective

This study investigated the effects of star-shape Kinesio taping (KT) compared with both sham KT and minimal intervention (MI) on pain intensity and postural control.

Design

Randomized controlled trial.

Setting

Outpatient physical therapy.

Participants

A total of 120 people with chronic low back pain (CLBP) aged 18-60 years (N=120).

Interventions

Star-shape KT, sham KT (no tension), and MI (educational booklet for self-management counseling).

Main Outcome Measures

The primary outcome measures were pain intensity and center of pressure (COP) mean sway speed, and disability score (Oswestry Disability Index) was a secondary outcome. The outcomes were obtained immediately after initial KT application, on the seventh day of intervention and at the 1-month follow-up. Linear mixed-model analyses using Bonferroni post hoc analyses were applied to investigate between-group differences. The model included treatment, time, and treatment×time interaction as fixed effects.

Results

Pain intensity was significantly lower for the star-shape KT group than for the MI group (mean difference [MD], −1.35; 95% confidence interval [CI], −2.63 to −0.07) immediately after the intervention and on the seventh day of intervention (MD, −1.32; 95% CI, −2.56 to −0.07). No difference in pain intensity between star-shape KT vs sham-KT groups was observed. In addition, no significant between-group differences were observed for the COP mean sway speed and disability score at any of the follow-up times.

Conclusions

Our results showed no meaningful effect of star-shape KT intervention on pain intensity and postural control in people with CLBP compared with MI or sham KT. The observed reduction of 1.3 units between star-shape KT and MI groups was statistically different, but it could not be considered clinically relevant. The results of this trial suggest that benefits from KT are more likely attributable to contextual factors rather than specific taping parameters.

中文翻译：

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星形肌内效贴不比最小干预或假运动贴在慢性腰痛中的疼痛强度和姿势控制更好：一项随机对照试验

客观的

本研究调查了星形肌内效贴扎 (KT) 与假 KT 和最小干预 (MI) 对疼痛强度和姿势控制的影响。

设计

随机对照试验。

环境

门诊物理治疗。

参与者

共有 120 名年龄在 18-60 岁之间的慢性腰痛 (CLBP) 患者（N=120）。

干预

星形 KT、假 KT（无张力）和 MI（自我管理咨询教育手册）。

主要观察指标

主要结果指标是疼痛强度和压力中心 (COP) 平均摆动速度，而残疾评分（Oswestry 残疾指数）是次要结果。在初次应用 KT 后、干预的第 7 天和 1 个月的随访时立即获得结果。使用 Bonferroni 事后分析的线性混合模型分析被应用于调查组间差异。该模型包括治疗、时间和治疗×时间相互作用作为固定效应。

结果

星形 KT 组的疼痛强度显着低于 MI 组（平均差异 [MD]，-1.35；95% 置信区间 [CI]，-2.63 至 -0.07）在干预后立即和第 7 天干预（MD，-1.32；95% CI，-2.56 至 -0.07）。观察到星形 KT 组与假 KT 组之间的疼痛强度没有差异。此外，在任何随访时间均未观察到 COP 平均摆动速度和残疾评分的显着组间差异。

结论

我们的结果表明，与 MI 或假 KT 相比，星形 KT 干预对 CLBP 患者的疼痛强度和姿势控制没有有意义的影响。观察到的星形 KT 组和 MI 组之间减少 1.3 个单位具有统计学差异，但不能被认为具有临床相关性。该试验的结果表明，KT 的益处更有可能归因于环境因素，而不是特定的录音参数。