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Effectiveness of the addition of the use of the Kinesio Taping in patients with chronic nonspecific low back pain who receive conventional physical therapy: a randomized controlled trial

Abstract

ABSTRACTBackground: Chronic nonspecific low back pain is an important health condition with a high prevalence worldwide and it is associated with enormous direct and indirect costs to the society. Clinical practice guidelines show that many interventions are available to treat patients with chronic low back pain, but the vast majority of these interventions have a modest effect in reducing pain and disability. An intervention that has been widely used in recent years is the use of elastic bandages called Kinesio Taping. Although Kinesio Taping have been largely used in clinical practice, the current evidence does not support the use of this intervention. However, these conclusions are based on a small number of underpowered studies. Therefore, questions remain about the effectiveness of the Kinesio Taping method as an additional treatment to interventions that have already been recommended by the current clinical practice guidelines, such as conventional physical therapy in a well design trial with statistic power.Objective: To determine the effectiveness of the addition of the use of Kinesio Taping in patients with chronic nonspecific low back pain who receive conventional physical therapy. Methods: One hundred and forty-eight patients will be randomized to receive either conventional physical therapy, which consist of a combination of manual therapy techniques, general exercises and specific exercises for spinal segmental stabilization (Conventional Physical Therapy Group) or to receive conventional physical therapy plus the addition of the Kinesio Taping in the lumbar spine (Conventional Physical Therapy plus Kinesio Taping), over a period of 5 weeks (10 sessions of treatment). Clinical outcomes (pain intensity, disability, global perceived effect and satisfaction with care) will be collected at baseline and at 5 weeks, 3 and 6 months after randomization. Data will be collected by a blinded examiner who will be unaware about the group allocation. All statistical analysis will be conducted following the principles of intention to treat analysis and the comparison between groups will be performed using Mixed Linear Models. Expected results: The results of this study may help in the decision making of physical therapists, as well as may reduce the enormous costs associated with chronic nonspecific low back pain. (AU)

Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
MEDEIROS, FLAVIA CORDEIRO; SALOMAO, EVELYN CASSIA; PENA COSTA, LEONARDO OLIVEIRA; DE FREITAS, DIEGO GALACE; FUKUDA, THIAGO YUKIO; MONTEIRO, RENAN LIMA; NEMITALLA ADDED, MARCO AURELIO; GARCIA, ALESSANDRA NARCISO; MENEZES COSTA, LUCIOLA DA CUNHA. Use of the STarT Back Screening Tool in patients with chronic low back pain receiving physical therapy interventions. BRAZILIAN JOURNAL OF PHYSICAL THERAPY, v. 25, n. 3, p. 286-295, MAY-JUN 2021. Web of Science Citations: 1.
MEDEIROS, FLAVIA CORDEIRO; PENA COSTA, LEONARDO OLIVEIRA; OLIVEIRA, INDIARA SOARES; MENEZES COSTA, LUCIOLA DA CUNHA. A Responsiveness Analysis of the Subgroups for Targeted Treatment (STarT) Back Screening Tool in Patients With Nonspecific Low Back Pain. JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, v. 49, n. 10, p. 725+, OCT 2019. Web of Science Citations: 0.
NEMITALLA ADDED, MARCO AURELIO; PENA COSTA, LEONARDO OLIVEIRA; DE FREITAS, DIEGO GALACE; FUKUDA, THIAGO YUKIO; MONTEIRO, RENAN LIMA; SALOMAO, EVELYN CASSIA; DE MEDEIROS, FLAVIA CORDEIRO; MENEZES COSTA, LUCIOLA DA CUNHA. Kinesio Taping Does Not Provide Additional Benefits in Patients With Chronic Low Back Pain Who Receive Exercise and Manual Therapy: A Randomized Controlled Trial. JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, v. 46, n. 7, p. 506-513, JUL 2016. Web of Science Citations: 13.

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