The effectiveness of kinesio taping in addition to conventional treatment in patients with chronic low back pain: a randomized controlled trial

Year 2024, Volume: 7 Issue: 5, 564 - 570, 27.09.2024

Nazım Tolgahan Yıldız , Mehmet Canlı , Hikmet Kocaman , Halil Alkan

https://doi.org/10.32322/jhsm.1537291

Abstract

Aims: This study aimed to compare the effects of kinesio taping in combination with conventional treatment on pain intensity, lumbar range of motion (ROM) and flexibility, disability, and depression levels in patients with chronic low back pain (CLBP) with conventional treatment alone.
Methods: The 48 individuals with CLBP included in the trial were randomized into the control group (CG, n=24) and the kinesio taping group (KTG, n=24). The CG received only conventional treatment for four weeks, while the KTG received kinesio taping for four weeks in addition to conventional treatment. Before and after the four-week treatment periods, patients were assessed with respect to pain intensity (visual analogue scale), lumbar ROM (goniometric measurement), flexibility (hand-ground distance), disability (Oswestry disability index), and depression (Beck depression inventory).
Results: After the treatment programs, there were significant improvements in pain intensity, lumbar ROM and flexibility, disability, and depression levels in both the CG and KTG groups (p<0.05). Furthermore, improvements in pain intensity, lumbar ROM and flexibility, disability, and depression levels were significantly higher in CTG compared to CG (p<0.05).
Conclusion: Conventional treatment of CLBP is effective in improving pain, lumbar ROM and flexibility, disability, and depression levels, but further improvement can be achieved with the additional application of kinesio taping.

Keywords

Kinesio taping, low back pain, flexibility, disability, depression

Ethical Statement

Ethical approval for this randomized, controlled, single-blind study was granted by the Muş Alparslan University Scientific Research and Publication Ethics Committee (Decision No: 8-2024/72).

Supporting Institution

None

Thanks

None

References

• Bhargava A, Gelb D, Ludwig S, DePalma MJ. Physical therapy for low back pain. Curr Opinion Orthop. 2006;17(3):199-207.
• Shiri R, Falah‐Hassani K, Heliövaara M, et al. Risk factors for low back pain: a population‐based longitudinal study. Arth Care Res. 2019;71(2):290-299.
• İnanoğlu D, Baltacı G. Nörolojik defisiti olmayan bel ağrılı hastalarda farklı bantlama tekniklerinin yaşam kalitesi ve ağrı üzerine etkisi. J Exercise Ther Rehabil. 2014;1(1):26-34.
• Airaksinen O, Brox JI, Cedraschi C, et al. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J. 2006;15(Suppl 2):s192.
• Costa LdCM, Maher CG, Hancock MJ, McAuley JH, Herbert RD, Costa LO. The prognosis of acute and persistent low-back pain: a meta-analysis. Cmaj. 2012;184(11):E613-E624.
• Added MA, Costa LO, Fukuda TY, et al. Efficacy of adding the Kinesio Taping method to guideline-endorsed conventional physiotherapy in patients with chronic nonspecific low back pain: a randomised controlled trial. BMC Musculoskelet Disord. 2013;14:301.
• Papoli AF, Hosseini SM, Mirkarimpour SH. Effects of different treatments on pain, functional disability, position sense and range of motion in elite bodybuilders with chronic low back pain. Sci Rep. 2024;14(1):9176.
• 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.
• 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.
• Sun G, Lou Q. The efficacy of kinesio taping as an adjunct to physical therapy for chronic low back pain for at least two weeks: a systematic review and meta-analysis of randomized controlled trials. Medicine. 2021;100(49):e28170.
• Yoshida A, Kahanov L. The effect of kinesio taping on lower trunk range of motions. Res Sports Med. 2007;15(2):103-112.
• Al-Shareef AT, Omar MT, Ibrahim AH. Effect of Kinesio taping on pain and functional disability in chronic nonspecific low back pain: a randomized clinical trial. LWW; 2016.
• Çakmak Ö, Atıcı E, Gülşen M. The effects of instrument-assisted soft tissue mobilization and kinesio taping on pain, functional disability and depression in patients with chronic low back pain: a randomized trial. Türk Fizyoter Rehabil Derg. 2022;33(3):179-186.
• Ogunniran I, Akodu A, Odebiyi D. Effects of kinesiology taping and core stability exercise on clinical variables in patients with non-specific chronic low back pain: a randomized controlled trial. J Bodywork Movement Therap. 2023;33:20-27.
• Dizdar D, Nazlıkul H. Bel Ağrısı Olan Hastalarda Kinesyotaping Uygulamasının Etkinliği. Bil Tamamlayıcı Tıp Regülas Nöral Terapi Derg. 2019;13(3):66-69.
• Altınbilek T, Çolak TK, Dereli EE, Pehlivan Y, Çavun SS. Mekanik özellikte kronik bel ağrısı olan hastaların tedavisinde bel ağrısı okulu programının etkinliği. Marmara Med J. 2014; 27(2):107-111.
• Aoki Y, Sugiura S, Nakagawa K, et al. Evaluation of nonspecific low back pain using a new detailed visual analogue scale for patients in motion, standing, and sitting: characterizing nonspecific low back pain in elderly patients. Pain Res Treat. 2012;2012(1):680496.
• Hwang-Bo G, Lee J-H. Effects of kinesio taping in a physical therapist with acute low back pain due to patient handling: a case report. Int J Occupat Med Environment Health. 2011;24(3):320-323.
• Yakut E, Düger T, Öksüz Ç, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine. 2004;29(5):581-585.
• Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-571.
• Hisli N. A reliability and validity study of beck depression inventory in a university student sample. J Psychol. 1989;7:3-13.
• Research Randomizer. 09.08.2024, Accessed 09.08, 2024. https://www.randomizer.org/
• Kumar S, Sharma VP, Negi MP. Efficacy of dynamic muscular stabilization techniques (DMST) over conventional techniques in rehabilitation of chronic low back pain. J Strength Condition Res. 2009;23(9):2651-2659.
• Yılmaz Ö, Eroğlu P, Yurdakul FG, et al. Kronik mekanik bel ağrısı olan hastalarda egzersizle beraber fizik tedavi uygulamalarının sadece egzersiz tedavisi ile karşılaştırılması. Türk Osteoporoz Derg. 2015;21(2):73-78.
• Atılgan E, Erbahçeci F. Kronik bel ağrılı bireylerde yoga ve fizyoterapi programının yaşam kalitesi, denge, ağrı düzeyi ve uyku kalitesi üzerine etkilerinin karşılaştırılması. J Exer Ther Rehabil. 2018;5(3):158-166.
• de Brito Macedo L, Richards J, Borges DT, Melo SA, Brasileiro JS. Kinesio taping reduces pain and improves disability in low back pain patients: a randomised controlled trial. Physiotherapy. 2019;105(1):65-75.
• Köroğlu F, Çolak TK, Polat MG. The effect of Kinesio® taping on pain, functionality, mobility and endurance in the treatment of chronic low back pain: a randomized controlled study. J Back Musculoskelet Rehabil. 2017;30(5):1087-1093.
• Victora Ruas C, Vieira A. Do muscle strength imbalances and low flexibility levels lead to low back pain? A brief review. J Functional Morphol Kinesiol. 2017;2(3):29.
• Vezina MJ, Hubley-Kozey CL. Muscle activation in therapeutic exercises to improve trunk stability. Arch Physical Med Rehabil. 2000;81(10):1370-1379.
• Rainville J, Hartigan C, Martinez E, Limke J, Jouve C, Finno M. Exercise as a treatment for chronic low back pain. Spine J. 2004;4(1):106-115.
• Erdoğanoğlu Y, Günel MK, Çetin A. Kronik bel ağrısı olan kadınlarda farklı egzersiz programlarının etkinliğinin araştırılması. Fizyoter Rehabil. 2012;23:125-136.
• Coyle PC, Velasco T, Sions JM, Hicks GE. Lumbar mobility and performance-based function: an investigation in older adults with and without chronic low back pain. Pain Med. 2017;18(1): 161-168.
• Kachanathu SJ, Alenazi AM, Seif HE, Hafez AR, Alroumim AM. Comparison between Kinesio taping and a traditional physical therapy program in treatment of nonspecific low back pain. J Phys Ther Sci. 2014;26(8):1185-1188.
• Sharma A, Alahmari K, Ahmed I. Efficacy of manual therapy versus conventional physical therapy in chronic low back pain due to lumbar spondylosis. A pilot study. Med Sci. 2015;3(3):55-63.
• Ciosek Ż, Kopacz Ł, Samulak Ł, Kaźmierczak A, Rotter I. The influence of kinesiotaping on lumbar spine pain. Pomeranian J Life Sci. 2015;61(1):115-119.
• Durmus D, Alayli G, Goktepe AS, Taskaynatan MA, Bilgici A, Kuru O. Is phonophoresis effective in the treatment of chronic low back pain? A single-blind randomized controlled trial. Rheumatol Int. 2013;33:1737-1744.
• Şahin N, Albayrak İ, Karahan AY, Uğurlu H. Kronik bel ağrılı hastalarda fizik tedavinin etkinliği. Genel Tıp Derg. 2011;21(1):17-20.
• Kalinowski P, Krawulska A. Kinesio taping vs. placebo in reducing pregnancy-related low back pain: a cross-over study. Med Sci Monit. 2017;23:6114-6120.
• Koldaş Doğan Ş, Sonel Tur B, Kurtaiş Y, Atay MB. Comparison of three different approaches in the treatment of chronic low back pain. Clin Rheumatol. 2008;27(7):873-881.
• Aguilar-Ferrándiz ME, Matarán-Peñarrocha GA, Tapia-Haro RM, Castellote-Caballero Y, Martí-García C, Castro-Sánchez AM. Effects of a supervised exercise program in addition to electrical stimulation or kinesio taping in low back pain: a randomized controlled trial. Scient Rep. 2022;12(1):11430.