The Effects of Biomechanical Taping on Individuals With Mechanical Low Back Pain With Increased Foot Pronation
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Foot Posture Index (FPI-6)
研究概览
简要总结
It is stated that abnormal lower extremity posture and biomechanics are effective in the development and progression of Low Back Pain (LBP). Exercise, electrotherapy, insoles, and orthoses are used for the prevention and treatment of low back pain.The use of orthosis, insoles, and taping techniques stands out in the correction of foot posture and dysfunctions, which are stated to cause LBP. In studies examining the application of taping to improve foot posture and biomechanics, it is stated that taping is effective in improving foot posture and biomechanics in the short term.
Biomechanical taping has been used in the treatment of musculoskeletal disorders in recent years. It is aimed to correct the impaired joint biomechanics by reducing the load on the joint, supporting strength, and providing movement modification.
详细描述
In this study, it is assumed that correction of "increased foot pronation" with dynamic taping will result in the recovery of increased internal rotation and decreased shock absorption during weight-bearing, which is stated to cause pain. The study aims to investigate the effects of biomechanical tapping in combination with a home exercise program on LBP.
Participants with a diagnosis of LBP and bilateral increased flexible foot pronation will divide into two groups (Biomechanical Taping (BT) group or Placebo Taping (PT) group). Tape applications will repeat twice per week, for 4 weeks. And also a home-based exercise program will apply to both groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Mechanical low back pain for at least 6 months
- •Age between 18-65 years
- •Increased, bilateral, flexible pronation of the feet (Foot Posture Index-6 score> 0)
排除标准
- •Rigid pes planus, pes cavus, equinus deformity, hallux valgus, hallux rigid or calcaneal epin in the feet
- •Lower extremity injury or surgery in the last 6 months
- •Radicular type back pain (patients with leg pain> low back pain)
- •Body Mass Index (BMI)> 30,
- •Use of analgesics
- •Pregnancy
- •Presence of symptoms related to a history of spinal surgery in the last 5 years.
- •Neurological impairment or cognitive dysfunction (stroke, dementia, etc.)
- •Rheumatological diseases
- •Peripheral vascular diseases
- •Difference in length between extremities
结局指标
主要结局
Foot Posture Index (FPI-6)
时间窗: 4 week
FPI-6 examines foot posture under 6 headings: talar head palpation, supra and infra lateral malleoli curvature, calcaneal frontal plane position, prominence in region of talonavicular joint, congruence of medial longitudinal arch, abduction/adduction of forefoot on rearfoot. Each measure is scored from -2 to 2. A total score of 0 is considered a neutral foot; a positive score is for pronated foot, whereas a supinated foot is given a negative score.
Visual Analog Scale (VAS)
时间窗: 4 week
It is used to evaluate the level of pain.The activity, rest and night pain levels of the patients will be question.
次要结局
- 6 Minute Walk Test (6MWT)(4 week)
- Revised Oswestry Disability Index(4 week)
- Step-On-Stool Test(4 week)
- PILE Lumbar Lifting Test(4 week)
研究者
Ayse Zengin Alpozgen
Asst.Prof.
Istanbul University - Cerrahpasa (IUC)