The Additional Effect of Different Taping Applications in Patients With Lumbar Radiculopathy
- Conditions
- Low Back Pain, RecurrentQuality of LifeKinesiotapePhysiotherapy
- Interventions
- Other: kinesio tapingOther: rigid tapingOther: placebo taping
- Registration Number
- NCT04943640
- Lead Sponsor
- Ankara Yildirim Beyazıt University
- Brief Summary
Our study aims to compare the therapeutic effects of different taping materials and techniques on pain, functionality, and tissue temperature in patients with lumbar radiculopathy.
- Detailed Description
Pain occurs due to the intervertebral disc; ligaments in the region; or degeneration, strain, and sprains in the muscles, neurogenic, inflammatory, infectious, or neoplastic problems caused by structures in and around the spine . Low back pain is a serious health problem, with a lifetime prevalence of 84% . According to the American Society of Pain's clinical practice guidelines, low back pain is classified into three categories: nonspecific low back pain, radiculopathy-induced low back pain, and low back pain associated with another specific cause. A multidisciplinary approach is recommended for the treatment of low back pain. Before pharmacological treatments, cognitive behavioral therapy, physiotherapy exercise programmes, electrical physical therapy modalities, manual therapy, and psychological therapy are frequently referenced treatment options. Taping is one of the conservative physical therapy methods that is often a preferred treatment in clinics. Rigid (athletic) taping and kinesiological taping are the most preferred taping techniques . Non-elastic taping material is used in the rigid taping application. It is used to position soft tissue and ensure that the tissues come together, are protected from contact, create compression, and prevent local swelling. Studies supporting the sensorimotor and proprioceptive sensory enhancing effects of rigid tape, which provides very good sensory input over the skin, are found in previous studies \[7-9\]. Unlike rigid tape, kinesio tape can be stretched up to 140% of its resting length due to its structure, which is the approximate stretching capacity of normal skin .
Although there are various studies related to this topic, there is still no consensus on the effectiveness of taping in patients with low back pain who have disc degeneration. The reason for this is that some studies show the positive effect of kinesio taping on the reduction of low back pain, but some cannot show the effect of taping or find any changes . The healing mechanisms of different taping treatments have not been fully clarified. Moreover, local temperature, which is one of the indicators of vascularization and tissue healing, has not been investigated widely. Our study aims to examine the effects of different taping materials and techniques on pain, functionality, and local tissue temperature in patients with lumbar radiculopathy.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 51
- The criterion for inclusion in the study for volunteers was low back pain due to lumbar radiculopathy.
- Exclusion criteria were skin disease, central nervous system damage, tumour in the spine, surgical operation of the spine, pregnancy, and rheumatic disease
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description kinesio taping kinesio taping The patient was advised to clean the skin with alcohol and shave the hairy areas. The standing patient was asked to take off high heels if he/she was wearing them. The paravertebral technique was used with 5 cm x 5 m kinesio tape material. While the patient was standing in an upright position, two longitudinal pieces were cut by taking the tape and slightly rolling its corners. The patient was asked to lean forward. The lower end of the tape was attached 7 cm below the sacroiliac joint at the level of the paravertebral muscles and the patient was bent forward. The patient was asked to do a slight rotation to the left, and while in this position, the tape was attached to T11-T12 without stretching at all. Kinesio tape was attached to the opposite side of the vertebrae with the same procedure. rigid taping rigid taping The patient was asked to lean forward, and 5 cm x 5 m rigid tape material was used in the right paravertebral region. When bonding the tape, first, the lower end of the tape was attached 7 cm below the sacroiliac joint at the level of the paravertebral muscles and the patient was bent forward. Then, the patient was asked to do a slight rotation to the left, and while in this position, the hypoallergenic tape (beta fix) was applied with no tension \[23\]. Then, rigid tape was applied upward onto the paravertebral muscles. The left paravertebral region was taped with the same procedure as the right paravertebral region . placebo taping groups placebo taping Placebo taping was applied to patients in this group using betafix, an elastic stabilization tape, as material. A straight line of betafix was applied to the non-painful scapular inferior alignment of the spine, right and left, while the patient was standing upright. Treatment with taping was administered to all groups every 2 days by the same physiotherapist .
- Primary Outcome Measures
Name Time Method Change from Roland-Morris Disability Questionnaire score at five weeks before and after five weeks of treatment (10 sessions) The Roland-Morris Disability Questionnaire is a 24-item survey designed to assess the degree of functional limitation in patients with low back pain. The questionnaire answers are Yes-No (Yes: 1 point, No: 0 points), and high scores indicate severe disability
Change from Tissue temperature at five weeks before and after five weeks of treatment (10 sessions) Regional tissue temperature was measured by digital electronic infrared thermography (FLIR-e63900, Wilsonville, OR, USA). This method is a non-invasive assessment tool that does not require intervention by the investigator. The investigator can see changes in the skin surface temperature of the patient and, the thermal differences of the measured point are shown on the monitor.
- Secondary Outcome Measures
Name Time Method Change from Pain severity at five weeks before and after each session( five weeks of treatmant) The Visual Analogue Scale (VAS) was used to evaluate the severity of pain felt during the activities and rest of patients. The scale is horizontal in the form of a line 10 cm long, starting with "no pain" and ending with "excruciating pain". The pain was measured and recorded as "cm" between the point marked with no onset .
Change from The Oswestry Low Pain Disability Questionnaire score at five weeks before and after five weeks of treatment (10 sessions) The Oswestry Disability Index measures the degree to which low back pain affects the daily life activities of patients in 10 different aspects (severity of pain, personal care, lifting, walking, sitting, standing, sleeping, degree of change of pain, social life, and travel). There are six expressions under each item that mark what is appropriate for the patient's condition. The first phrase is scored as "0", and the sixth phrase as "5"; 0-4 points is considered no disability, 5-14 points light disability, 15-24 points medium disability, 25-34 points serious disability, and 35-50 points total functional disability. The minimum score taken from the scale is 0, and the maximum score is 50. Fifty points indicate the highest level of functional inadequacy .
Trial Locations
- Locations (3)
Departmant of Health Services Vocational School, Physical Thraphy and Rehablitation, Ufuk University
🇹🇷Ankara, Turkey
Ankara Yildirim Beyazit University,Faculty of Health Sciences, Physiotherapy and Rehabilitation Department
🇹🇷Ankara, Turkey
Faculty of Health Sciences, Departmant of Physiotherapy and Rehabilitation, Baskent University
🇹🇷Ankara, Turkey