Star-Shape Kinesio Taping Is Not Better Than a Minimal Intervention or Sham Kinesio Taping for Pain Intensity and Postural Control in Chronic Low Back Pain: A Randomized Controlled Trial

Jassi, Fabrício José; Antonio, Tiago Tsunoda Del; Azevedo, Beatriz; Moraes, Renato; George, Steven Z.; Chaves, Thaís Cristina

doi:10.1016/j.apmr.2021.03.007

Cited by 7 publications

(17 citation statements)

References 36 publications

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“…According to Kase et al [2], the tension of the tape lifts the skin to create skin convolutions or folds in the skin. Therefore, tape with minimal tension should not exert a pain reducing effect and has served as the placebo condition in many KT studies [15][16][17][18][19]. However, it has also been argued that KT applied with minimal tension could also provide stimulation of sensory afferents and therefore, may not serve as a true placebo.…”

Section: Methodsmentioning

confidence: 99%

Effect of different Kinesio tape tensions on experimentally-induced thermal and muscle pain in healthy adults

2021

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Athletes and rehabilitation specialists have used Kinesio tape (KT) to help alleviate pain symptoms. Currently, no clear mechanism exists as to why pain is relieved with the use of KT and whether the pain relieving effect is simply a placebo effect. Additionally, the most effective taping parameters (tension of tape) for pain reduction remain unknown. We used quantitative sensory testing to address these key gaps in the KT and pain literature. Using a repeated-measures laboratory design, we examined whether KT applied at different tensions reduces experimentally-induced pain compared to a no tape condition and KT with minimal tension. Heat pain thresholds (HPT’s), pressure pain thresholds (PPT’s), and pressure pain suprathreshold (PPS: 125% of PPT) tests were administered to the forearm prior to and during KT and no tape conditions. Tape was applied to the ventral forearm at 25% of max tension, 75% of max tension, and no tension (placebo). Repeated measures ANOVA’s evaluated the pain outcomes between conditions and across time. KT had no significant effect on PPT’s and HPT’s (p’s >0.05). The ANOVA on PPS revealed that KT applied at 25% of tension significantly reduced pain ratings from the pretest (M = 34.4, SE = 5.5) to post-test 1 (M = 30.3, SE = 4.7) and post-test 2 (M = 30.4, SE = 4.7). No other conditions significantly reduced suprathreshold pressure pain. However, pain ratings at posttest-1 during the no-tape condition (M = 36.4, SE = 5.3) were significantly greater than pain ratings during post-test 1 and post-test 2 of all three tape conditions. In conclusion, the current study revealed that KT applied at low tension is the optimal tension to reduce pressure-evoked muscle pain. Additionally, the results suggested that KT applied at low, high, or no tension may acutely prevent increased muscle sensitivity with repeated pressure stimulation.

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Section: Methodsmentioning

confidence: 99%

Effect of different Kinesio tape tensions on experimentally-induced thermal and muscle pain in healthy adults

2021

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“…When using 0-10-point pain rating scales, pain intensity varied from 1.5 to 7.7 between studies. The LBP-related disability level was evaluated by Roland-Morris Disability Questionnaire (RMDQ) [14] and Oswestry Disability Index (ODI) [37,[46][47][48][49][50][54][55][56]. The mean RMDQ and ODI disability scores were 5.02 and 21.5% (16.3-39.3%), respectively, indicating the inclusion of patients with mild to moderate functional disability in these studies.…”

Section: Overview Of Participants' Characteristicsmentioning

confidence: 99%

“…Of the 27 included studies, 11 studies examined healthy individuals [13,15,16,[38][39][40][41][42][43][44][45], 12 studies examined only LBP patients [37,[46][47][48][49][50][51][52][53][54][55][56], and four studies evaluated both healthy individuals and LBP patients [12,14,17,57] (Table 3). With the exception of one study in which participants had lumbar discopathy [51], most studies examined patients with non-specific LBP.…”

Section: Overview Of Participants' Characteristicsmentioning

confidence: 99%

“…All but three studies [15,41,45] reported the age range of the participants, ranging from 18 to 65 years. Fourteen studies reported pain duration [12,14,17,37,[46][47][48][49][52][53][54][55][56][57] with pain lasting at least >3 months in all studies with the exception of one where patients had LBP with at least 4-week duration [14]. When using 0-10-point pain rating scales, pain intensity varied from 1.5 to 7.7 between studies.…”

Section: Overview Of Participants' Characteristicsmentioning

confidence: 99%

“…Sixteen studies [15,38,39,[43][44][45][46][47][48][49][50][51][52][53]55,57] evaluated the effect of orthoses (n ¼ 11) or kinesio-tape (n ¼ 5) on postural control during standing on firm surface. Additionally, proprioceptive feedback was manipulated in five of these studies by standing on foam surface [47][48][49]55,57].…”

Section: Description Of Intervention and Outcome Measuresmentioning

confidence: 99%

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Effect of external lumbar supports on joint position sense, postural control, and postural adjustment: a systematic review

Azadinia

Kingma

Mazaheri

2022

Disability and Rehabilitation

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Purpose: To review the effects of external lumbar supports on various aspects of sensorimotor function including joint position sense (JPS), postural control, anticipatory postural adjustments (APAs), and compensatory postural adjustments (CPAs). Methods: A systematic literature search was performed in PubMed, EMBASE, Scopus, Ovid, Cochrane library, and Web of Science. Two reviewers selected studies which assessed the effect of lumbosacral orthosis or kinesio-tape on JPS, postural control or APAs/CPAs in subjects with and without low back pain (LBP). The methodological quality of included studies was assessed using a modified version of Downs and Black's checklist. Results: Findings demonstrated moderate effects of lumbosacral orthosis on specific aspects of sensorimotor control including JPS and to a lesser extent standing stability. These domains were not or minimally affected by application of kinesio-tape. Both orthosis and kinesio-tape had negligible effects on APAs and CPAs. Conclusions: The positive effects of lumbar orthosis on JPS or postural control were mostly observed in conditions where sources of proprioceptive feedback are impaired (such as LBP) or absent (standing with eyes closed on an unstable surface). However, evidence does not prove significant positive effects for the application of kinesio-tape to improve sensorimotor control. � IMPLICATIONS FOR REHABILITATION� Wearing lumbar orthosis leads to an improvement in joint position sense. � Postural stability seems to be affected to some extent by utilizing lumbar orthosis. � Clinicians can administer orthosis to improve sensorimotor adaptation, especially in conditions with poor proprioception. � Kinesio-tape had negligible effects on all domains of sensorimotor control. � Improvement of sensorimotor function as a result of application of kinesio-tape is questionable.

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Systematic Review to Inform a World Health Organization (WHO) Clinical Practice Guideline: Benefits and Harms of Structured and Standardized Education or Advice for Chronic Primary low back pain in Adults

Southerst,

Hincapié,

et al. 2023

J Occup Rehabil

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Purpose Evaluate benefits and harms of education/advice for chronic primary low back pain (CPLBP) in adults to inform a World Health Organization (WHO) standard clinical guideline. Methods Electronic databases were searched for randomized controlled trials (RCTs) assessing education/advice compared with placebo/sham, usual care, or no intervention (including comparison interventions where the attributable effect of education/advice could be isolated). We conducted meta-analyses and graded the certainty of evidence. Results We screened 2514 citations and 86 full text RCTs and included 15 RCTs. Most outcomes were assessed 3 to 6 months post-intervention. Compared with no intervention, education/advice improved pain (10 RCTs, MD = -1.1, 95% CI -1.63 to -0.56), function (10 RCTs, SMD = -0.51, 95% CI -0.89 to -0.12), physical health-related quality of life (HRQoL) (2 RCTs, MD = 24.27, 95% CI 12.93 to 35.61), fear avoidance (5 RCTs, SMD = -1.4, 95% CI -2.51 to -0.29), depression (1 RCT; MD = 2.10, 95% CI 1.05 to 3.15), and self-efficacy (1 RCT; MD = 4.4, 95% CI 2.77 to 6.03). Education/advice conferred less benefit than sham Kinesio taping for improving fear avoidance regarding physical activity (1 RCT, MD = 5.41, 95% CI 0.28 to 10.54). Compared with usual care, education/advice improved pain (1 RCT, MD = -2.10, 95% CI -3.13 to -1.07) and function (1 RCT, MD = -7.80, 95% CI -14.28 to -1.32). There was little or no difference between education/advice and comparisons for other outcomes. For all outcomes, the certainty of evidence was very low. Conclusion Education/advice in adults with CPLBP was associated with improvements in pain, function, HRQoL, and psychological outcomes, but with very low certainty.

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Star-Shape Kinesio Taping Is Not Better Than a Minimal Intervention or Sham Kinesio Taping for Pain Intensity and Postural Control in Chronic Low Back Pain: A Randomized Controlled Trial

Cited by 7 publications

References 36 publications

Effect of different Kinesio tape tensions on experimentally-induced thermal and muscle pain in healthy adults

Effect of different Kinesio tape tensions on experimentally-induced thermal and muscle pain in healthy adults

Effect of external lumbar supports on joint position sense, postural control, and postural adjustment: a systematic review

Systematic Review to Inform a World Health Organization (WHO) Clinical Practice Guideline: Benefits and Harms of Structured and Standardized Education or Advice for Chronic Primary low back pain in Adults

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