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J Physiother. 2014 Jun;60(2):90-6. doi: 10.1016/j.jphys.2014.05.003. Epub 2014 Jun 10.

Kinesio taping to generate skin convolutions is not better than sham taping for people with chronic non-specific low back pain: a randomised trial.

Author information

1
Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo.
2
Private Practice, São Paulo, Brazil.
3
Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo; Department of Public & Occupational Health and EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
4
Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo; Musculoskeletal Division, The George Institute for Global Health, Sydney, Australia.

Abstract

QUESTION:

For people with chronic low back pain, does Kinesio Taping, applied according to the treatment manual to create skin convolutions, reduce pain and disability more than a simple application without convolutions?

DESIGN:

Randomised trial with concealed allocation, intention-to-treat analysis and blinded assessment of some outcomes.

PARTICIPANTS:

148 participants with chronic non-specific low back pain.

INTERVENTION:

Experimental group participants received eight sessions (over four weeks) of Kinesio Taping applied according to the Kinesio Taping Method treatment manual (ie, 10 to 15% tension applied in flexion to create skin convolutions in neutral). Control group participants received eight sessions (over four weeks) of Kinesio Taping with no tension, creating no convolutions.

OUTCOME MEASURES:

The primary outcome measures were pain intensity and disability after the four-week intervention. Secondary outcomes were pain intensity and disability 12 weeks after randomisation, and global perceived effect at both four and 12 weeks after randomisation.

RESULTS:

Applying Kinesio Tape to create convolutions in the skin did not significantly change its effect on pain (MD-0.4 points, 95% CI-1.3 to 0.4) or disability (MD-0.3 points, 95% CI-1.9 to 1.3) at four weeks. There was a small difference in favour of the experimental group for the secondary outcome of global perceived effect (MD 1.4 points, 95% CI 0.3 to 2.5) at four weeks. No significant between-group differences were observed for the other secondary outcomes.

CONCLUSION:

Kinesio Taping applied with stretch to generate convolutions in the skin was no more effective than simple application of the tape without tension for the outcomes measured. These results challenge the proposed mechanism of action of this therapy.

TRIAL REGISTRATION:

Brazilian Registry of Clinical Trials, RBR-7ggfkv.

KEYWORDS:

Kinesio Taping; Low back pain; Randomised controlled trial

PMID:
24952836
DOI:
10.1016/j.jphys.2014.05.003
[Indexed for MEDLINE]
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