Chronic Low Back Pain Clinical Trial
Official title:
Is Kinesio Taping Able to Influence the Electrical Activity of Muscles in Patients With Low Back Pain? A Controlled Randomized Trial
Objectives: To test if the Kinesio Tex Gold ® is able to change the electromyographic signal
of iliocostalis and longissimus muscles in patients with chronic nonspecific low back pain.
Study design: Three-arm, randomized controlled trial with a blinded assessor.
Location of study: Physical therapy Clinic of the Universidade Cidade de São Paulo (UNICID)
Patients: Sixty-three patients with chronic nonspecific low back pain.
Intervention: Patients allocated to the Kinesio Taping® group will receive the tape as
described by the manufacturer's manual. The patients assigned to the placebo group will
receive a Micropore tape and the control group will not receive any intervention. All groups
will be assessed before and 30 minutes after intervention
Measures: The following outcomes will be measured: 1) Muscle activity and 2) pain intensity.
Limitations: Therapists will not be blinded.
Patients who are seeking care for low back pain at the physiotherapy clinic from
Universidade São Paulo will be invited to participate in the study and informed about the
objectives of the study and evaluation procedures.
Patients who agree to participate will sign a consent form.
Patients will be assessed at baseline and immediately after the interventions.
Investigators will collect data with regards to personal and anthropometric data, as well as
pain intensity (measured by a 0-10 numerical rating scale in all follow up points) and
disability (measured by the 0-24 point Roland Morris Disability Questionnaire at baseline
only).
Finally, muscle activation will be evaluated by surface electromyography and the maximum
voluntary contraction of the trunk at 30 degrees position for a lumbar dynamometer that will
be adjusted to the anthropometric profile of patients. The average and maximum values of
muscular strength will be obtained by maximum voluntary contraction. The electromyography
will capture the muscle activity in an integrated manner to electrogoniometers and will
transmit the data via Bluetooth to a desktop with a MWX8 software (Biometrics) that will
analyze the data. Before instrumentation patients will be instructed to perform the trunk
extension movement the therapist's commands to become familiar with the equipment. Soon
after will be held instrumentation (placement of electromyography electrodes and
electrogoniometers and lumbar dynamometer) maximal voluntary contraction will be collected
in trunk extension without Kinesio taping
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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