About
Scope & Aims
Editorial office
Editorial board
Reviewers
Ethical standards and procedures
Abstracting and indexing
Contact
Articles & Issues
Current issue
Articles in press
Archive
For Authors
General rules
Guide for authors
Templates
Publication charge
For Reviewers
Guide for reviewers
Our reviewers
ORIGINAL PAPER
Effect of instrument assisted soft tissue mobilization versus kinesiotape
for chronic mechanical low back pain: a randomized controlled trial
1
Basic Science Department, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
2
Basic Science Department, Faculty of Physical Therapy, Sinai University, Ismailia, Egypt
3
Misr International Hospital, Cairo, Egypt
Submission date: 2020-12-27
Acceptance date: 2021-03-01
Publication date: 2023-06-01
Physiother Quart. 2023;31(2):27-33
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The primary purpose was to compare the effect of conventional program, instrument assisted soft tissue mobilization (IASTM) and kinesiotape (KT) in patients with chronic mechanical low back pain (CMLBP).
Methods:
51 participants were randomly enrolled into three equal groups. Group A (n = 17) received conventional program, Group B (n = 17) received conventional program plus IASTM, and Group C (n = 17) received conventional program plus KT. The participants were evaluated before and after eight sessions using the Visual Analogue Scale (VAS), pressure algometer, dual inclinometer, and Oswestry Disability Index (ODI).
Results:
Between pre-treatment and post-treatment, the three groups demonstrated a significant pain reduction (57.2%, 61.2%, and 57.77%; p < 0.0001), a significant increase in pain pressure threshold (PPT) [right (Rt): 56%, 53.2%, and 35.6%; left (Lt): 49%, 50.55%, and 41.36%; p < 0.0001], a significant improvement in the range of motion (ROM) (flexion: 38.59%, 43.55%, and 35.7%; extension: 72.4%, 88.73%, and 65.56%; Rt lateral flexion: 79.05%, 78.03%, and 55.42%; Lt lateral flexion: 85.33%, 96.37%, and 64.66%; Rt rotation 135%, 116.5%, and 188.48%; Lt rotation: 203%, 140.48%, and 224.24%; p < 0.0001), and a significant improvement in the functional disability index (56.8%, 49.55%, and 46.99%; p < 0.0001). No significant difference in pain, PPT, ROM and function was found among the three groups.
Conclusions:
Conventional program, IASTM and KT are effective methods for improving pain, ROM and function on CMLBP.
The primary purpose was to compare the effect of conventional program, instrument assisted soft tissue mobilization (IASTM) and kinesiotape (KT) in patients with chronic mechanical low back pain (CMLBP).
Methods:
51 participants were randomly enrolled into three equal groups. Group A (n = 17) received conventional program, Group B (n = 17) received conventional program plus IASTM, and Group C (n = 17) received conventional program plus KT. The participants were evaluated before and after eight sessions using the Visual Analogue Scale (VAS), pressure algometer, dual inclinometer, and Oswestry Disability Index (ODI).
Results:
Between pre-treatment and post-treatment, the three groups demonstrated a significant pain reduction (57.2%, 61.2%, and 57.77%; p < 0.0001), a significant increase in pain pressure threshold (PPT) [right (Rt): 56%, 53.2%, and 35.6%; left (Lt): 49%, 50.55%, and 41.36%; p < 0.0001], a significant improvement in the range of motion (ROM) (flexion: 38.59%, 43.55%, and 35.7%; extension: 72.4%, 88.73%, and 65.56%; Rt lateral flexion: 79.05%, 78.03%, and 55.42%; Lt lateral flexion: 85.33%, 96.37%, and 64.66%; Rt rotation 135%, 116.5%, and 188.48%; Lt rotation: 203%, 140.48%, and 224.24%; p < 0.0001), and a significant improvement in the functional disability index (56.8%, 49.55%, and 46.99%; p < 0.0001). No significant difference in pain, PPT, ROM and function was found among the three groups.
Conclusions:
Conventional program, IASTM and KT are effective methods for improving pain, ROM and function on CMLBP.
REFERENCES (30)
1.
Špringrová IP, Krejčová A, Bendíková E, Tomková Š, Łubkowska W, Mroczek B. Comparison of the impact of two physiotherapeutic methods on pain and disability in patients with non-specific low back pain: a controlled clinical pilot study. Fam Med Prim Care Rev. 2020;22(2):146–151; doi: 10.5114/fmpcr.2020.95323.
2.
Christakou A, Boulnta F. The effectiveness of hydrotherapy in patients with chronic low back pain. Physiother Quart. 2020;28(3):32–38; doi: 10.5114/pq.2020.95772.
3.
Hayden JA, van Tulder MW, Tomlinson G. Systematic review: strategies for using exercise therapy to improve outcomes in chronic low back pain. Ann Intern Med. 2005;142(9):776–785; doi: 10.7326/0003-4819-142-9-200505030-00014.
4.
van Middelkoop M, Rubinstein SM, Kuijpers T, Verhagen AP, Ostelo R, Koes BR, et al. A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain. Eur Spine J. 2011;20:19–39; doi: 10.1007/s00586-010-1518-3.
5.
Baker RT, Nasypany A, Seegmiller JG, Baker JG. Instrument-assisted soft tissue mobilization treatment for tissue extensibility dysfunction. Int J Athl Ther Train. 2013;18(5):16–21; doi: 10.1123/ijatt.18.5.16.
6.
Moon JH, Jung J-H, Won YS, Cho H-Y. Immediate effects of Graston Technique on hamstring muscle extensibility and pain intensity in patients with nonspecific low back pain. J Phys Ther Sci. 2017;29(2):224–227; doi: 10.1589/jpts.29.224.
7.
Lee J-H, Lee D-K, Oh J-S. The effect of Graston technique on the pain and range of motion in patients with chronic low back pain. J Phys Ther Sci. 2016;28(6):1852–1855; doi: 10.1589/jpts.28.1852.
8.
Hafez HA, Magdolin Mishel SS, Balbaa AAH. Efficacy of Kinesio Tape and Home Exercise Program on pain intensity and functional disability in patients with lumbar spondylosis. Bull Fac Phys Ther Cairo Univ. 2012;17(2):65–72.
9.
AlBahel F, Hafez AR, Zakaria AR, Al-Ahaideb A, Buragadda S, Melam GR. Kinesiotaping for the treatment of mechanical low back pain. World Appl Sci J. 2013;22(1):78–84; doi: 10.5829/idosi.wasj.2013.22.01.72182.
10.
Castro-Sánchez MA, Lara-Palomo IC, Matarán-Peñarrocha G, Fernandez-Sanchez M, Sánchez-Labraca N, Arroyo-Morales M. Kinesio Taping reduces disability and pain slightly in chronic non-specific low back pain: a randomized trial. J Physiother. 2012;58(2):89–95; doi: 10.1016/S1836-9553(12)70088-7.
11.
Paoloni M, Bernetti A, Fratocchi G, Mangone M, Parrinello L, Del Pilar Cooper M, et al. Kinesio Taping applied to lumbar muscles influences clinical and electromyographic characteristics in chronic low back pain patients. Eur J Phys Rehabil Med. 2011;47(2):237–244.
12.
Bae SH, Lee JH, Oh KA, Kim KY. The effects of kinesio taping on potential in chronic low back pain patients anticipatory postural control and cerebral cortex. J Phys Ther Sci. 2013;25(11):1367–1371; doi: 10.1589/jpts.25.1367.
13.
Shojaedin SS, Yousefpour K. The effect of Pilates exercises and Kinesio taping on pain in subjects with non-specific chronic low back pain. J Res Rehabil Sci. 2013;9(1):28–38.
14.
Luz Júnior MA, Sousa MV, Neves LAFS, Cezar AAC, Costa LOP. Kinesiotaping ® is not better than placebo in reducing pain and disability in patients with chronic non-specific low back pain: a randomized controlled trial. Braz J Phys Ther. 2015;19(6):482–490; doi: 10.1590/bjpt-rbf.2014.0128.
15.
Abdellatif MM, Kamel MR, Ahmed HH, Diab HR. Effect of lumbar stabilization exercises versus kinesiotaping on chronic mechanical low back pain. Isotope Radiat Res. 2016;48(2): 243–253.
16.
Added MAN, Costa LOP, de Freitas DG, Fukuda TY, Monteiro RL, Salomão EC, et al. Kinesiotaping does not provide additional benefits in patients with chronic low back pain who receive exercise and manual therapy: a randomized controlled trial. J Orthop Sports Phys Ther. 2016;46(7):506–513; doi: 10.2519/jospt.2016.6590.
17.
Al-Shareef AT, Omar MTA, Ibrahim AHM. Effect of kinesiotaping on pain and functional disability in chronic nonspecific low back pain. Spine. 2016;41(14):821–828; doi: 10.1097/BRS.0000000000001447.
18.
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; doi: 10.3233/BMR-169705.
19.
Kamali F, Sinaei E, Taherkhani E. Comparing spinal manipulation with and without Kinesiotaping in the treatment of chronic low back pain. J Bodyw Mov Ther. 2018;22(2):540–545; doi: 10.1016/j.jbmt.2017.07.008.
20.
Norman WMNW, Nuar MAM, Sariman MH, Razak FAA. The Effects of Kinesio Tape on Chronic Low Back Pain Among Young Male Adults in Ampang. In: Regional Conference on Science, Technology and Social Sciences (RCSTSS 2016). Springer, Singapore; 2018:993–1000.
21.
Velasco-Roldán O, Riquelme I, Ferragut-Garcías A, Heredia-Rizo AM, Rodríguez-Blanco C, Oliva-Pascual-Vaca Á. Immediate and short-term effects of kinesiotaping tightness in mechanical low back pain: a randomized controlled trial. PM R. 2018;10(1):28-35; doi: 10.1016/j.pmrj.2017.05.003.
22.
Kim J, Sung DJ, Lee J. Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application. J Exerc Rehabil. 2017;13(1):12–22; doi: 10.12965/jer.1732824.412.
23.
Stow R. Instrument-assisted soft tissue mobilization. Int J Athl Ther Trai. 2011;16(3):5–8; doi: 10.1123/ijatt.16.3.5.
24.
Nilsen TIL, Holtermann A, Mork PJ. Physical exercise, body mass index, and risk of chronic pain in the low back and neck/shoulders: longitudinal data from the Nord-Trøndelag Health Study. Am J Epidemiol. 2011;174(3):267–273; doi: 10.1093/aje/kwr087.
25.
Chiarotto A, Maxwell LJ, Ostelo RW, Boers M, Tugwell P, Terwee CB. Measurement properties of visual analogue scale, numeric rating scale, and pain severity subscale of the brief pain inventory in patients with low back pain: a systematic review. J Pain. 2019;20(3):245–263; doi: 10.1016/j.jpain.2018.07.009.
26.
Williams R, Binkley J, Bloch R, Goldsmith CH, Minuk T. Reliability of the modified-modified Schöber and double inclinometer methods for measuring lumbar flexion and extension. Phys Ther. 1993;73(1):26–37; doi: 10.1093/ptj/73.1.26.
27.
Algarni AS, Ghorbel S, Jones JG, Guermazi M. Validation of an Arabic version of the Oswestry index in Saudi Arabia. Ann Phys Rehabil Med. 2014;57(9–10):653–663; doi: 10.1016/j.rehab.2014.06.006.
28.
Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques. Philadelphia: FA Davis; 2012.
29.
Hussien HM, Abdel-Raoof NA, Kattabei OM, Ahmed HH. Effect of Mulligan concept lumbar SNAG on chronic nonspecific low back pain. J Chiropr Med. 2017;16(2):94–102; doi: 10.1016/j.jcm.2017.01.003.
30.
Added MAN, Costa LOP, Fukuda TY, de Freitas DG, Salomão EC, Monteiro RL, et al. Efficacy of adding the kinesiotaping method to guideline-endorsed conventional physiotherapy in patients with chronic nonspecific low back pain: a randomised controlled trial. BMC Musculoskelet Disord. 2013;14:301; doi: 10.1016/j.physio.2015.03.1860.
Share
RELATED ARTICLE
| eISSN: | 2544-4395 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
