Assessment of a taping method combined with manual therapy as a treatment of non-specific chronic low back pain – a randomized controlled trial

BMC Musculoskeletal Disorders

Stefan Schmidt¹  Nicolas Wölfle²  Dieter Sielmann³  Harald Walach⁴  Roman Huber⁵  Claudia Schultz⁶ 

[1] Department for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Medical Center – University of Freiburg, Hauptstr. 8, 79104, Freiburg, Germany;Institute for Frontier Areas of Psychology and Mental Health, Freiburg, Germany;Department for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Medical Center – University of Freiburg, Hauptstr. 8, 79104, Freiburg, Germany;University Centre for Complementary Medicine, Medical Faculty, Medical Center – University of Freiburg, Freiburg, Germany;GP practice, Bad Oldesloe, Germany;Institute for Frontier Areas of Psychology and Mental Health, Freiburg, Germany;Pediatric Clinic, Medical University Poznan, Poznan, Poland;Department of Psychology and Psychotherapy, University Witten-Herdecke, Witten, Germany;CHS Institute, Berlin, Germany;University Centre for Complementary Medicine, Medical Faculty, Medical Center – University of Freiburg, Freiburg, Germany;University Centre for Complementary Medicine, Medical Faculty, Medical Center – University of Freiburg, Freiburg, Germany;GP Practice B80, Gundelfingen, Germany;

关键词: Taping;    Chronic low back pain;    Manual therapy;    RCT;    Leg length difference;   

DOI  :  10.1186/s12891-021-04236-2

来源: Springer

【 摘 要 】

BackgroundChronic low back pain is the most frequent medical problem and the condition with the most years lived with disability in Western countries. The objective of this study was to assess a new treatment, Medi-Taping, which aims at reducing complaints by treating pelvic obliquity with a combination of manual treatment of trigger points and kinesio taping in a pragmatic RCT with pilot character.MethodsOne hundred ten patients were randomized at two study centers either to Medi-Taping or to a standard treatment consisting of patient education and physiotherapy as control. Treatment duration was 3 weeks. Measures were taken at baseline, end of treatment and at follow-up after 2 months. Main outcome criteria were low back pain measured with VAS, the Chronic Pain Grade Scale (CPGS) and the Oswestry Low Back Pain Disability Questionnaire (ODQ).ResultsPatients of both groups benefited from the treatment by medium to large effect sizes. All effects were pointing towards the intended direction. While Medi-Taping showed slightly better improvement rates, there were no significant differences for the primary endpoints between groups at the end of treatment (VAS: mean difference in change 0.38, 95-CI [− 0.45; 1.21] p = 0.10; ODQ 2.35 [− 0.77; 5.48] p = 0.14; CPGS − 0.19 [− 0.46; 0.08] p = 0.64) and at follow-up. Health-related quality of life was significantly higher (p = .004) in patients receiving Medi-Taping compared to controls.ConclusionsMedi-Taping, a purported way of correcting pelvic obliquity and chronic tension resulting from it, is a treatment modality similar in effectiveness to complex physiotherapy and patient education.Trial registrationThis trial was registered retrospectively on July 24th, 2019 as Number DRKS00017051 in the German Register of Clinical Trials (Deutsches Register Klinischer Studien).URL of trial registry record: https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00017051.

【 授权许可】

CC BY