Functional taping effects on pain and electrical activation in patients with low back pain (original) (raw)
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Electromyography (EMG) for Assessment in Low Back Pain; Erector Spinae Muscle
IOP Conference Series: Materials Science and Engineering, 2020
The purpose of electromyography (EMG) study is to identify which position of surface EMG sensor attached to erector spinae muscle related with lower back pain by squat and stoop lifting technique. This is to avoid lower back pain (LBP) occur during Manual Materials Handling (MMH). There are only one types of upper extremity muscle were chosen to be monitored in this study which is erector spinae (ES) muscle with different electrodes placement on the surface electromyography (sEMG) sensor. However, each of the lifting styles come out with the different reading of root mean square (RMS) frequency for each muscle chosen. In this study, the two subjects consist of two females with normal body mass index (BMI) range from 18.5 to 24.9 with same physical measurement, was selected in order to perform both styles of lifting which are squatting and stooping. For every session the subject will undertake 15 repetitions with 15 minutes rest in between for each movement. In furtherance of to get ...
Objective To investigate the effects of Kinesio Taping ® (KT) on chronic non-specific low back pain (LBP). Design Randomised controlled trial with intention-to-treat analysis. Setting University laboratory. Participants One hundred and eight women with chronic non-specific LBP underwent an evaluation pre, 3 and 10 days after intervention. Interventions After randomisation, participants were assigned to four groups: KT with tension group (KTT) applied KT ® with tension in the region of the erector spinae muscles; KT no tension group (KTNT) applied KT ® with no tension in the same region; Micropore group (MP) applied Micropore ® tape on the erector spinae muscles; and control group (CG) did not receive any intervention. Main outcome measures The primary outcome was pain sensation, measured by numerical pain rating scale. Secondary outcomes were: disability (Roland Morris Disability questionnaire), trunk range of motion (inclinometry), strength (dynamometry) and electromyographic amplitude (electromyography). Results Improved pain relief was observed for KTT group (mean difference 2.0; 95% CI 0.5 to 3.4; P = 0.003) and KTNT group [mean difference (MD) 1.9; 95% CI 0.5 to 3.4; P = 0.004] compared with CG at 3 days after application of the tape. For disability, there was a difference between CG and KTT group at 3 days (MD 3.5; 95% CI 0.8 to 6.1; P = 0.004) and 10 days (MD 32; 95% CI 0.4 to 6.0; P = 0.016). For all the other variables, there were no differences between groups. Conclusion KT with or without tension reduces pain 3 days after its application. Additionally, when applied with tension, it improves disability after 3 and 10 days in patients with LBP. Trial registration NCT02550457 (clinicaltrials.gov).
Journal of Back and Musculoskeletal Rehabilitation, 2021
OBJECTIVE: To evaluate the effect of different taping techniques on back muscle fatigue in people with low back pain. METHODS: Sixty women with chronic non-specific low back pain were randomly assigned to four groups of 15 participants each: control (CG), Kinesio Taping (KT) with tension (KTT), KT no tension (KTNT) and Micropore® (MP), which were applied over the erector spinae muscles. The median frequency (MF) fatigue slopes of the longissimus muscle and sustained contraction time during a trunk fatigue test (Ito test), and pain using the numerical pain rating scale (NPRS) were collected at three time points: pre-treatment, three and ten days after intervention at a university laboratory. RESULTS: Significant differences were seen in the MF slopes between groups (p= 0.01, η2= 0.20), with the KTT showing a mean difference (MD = 0.31, p= 0.04) and KTNT (MD = 0.28, p= 0.04) compared with CG. Significant reductions in NPRS were seen between time points (p< 0.001, η2= 0.28), with a ...
https://www.ijhsr.org/IJHSR\_Vol.8\_Issue.7\_July2018/IJHSR\_Abstract.015.html, 2018
Background and purpose: Chronic Mechanical low back pain is one of the most common health problems. Core stabilization exercise has an important role in Chronic low back pain treatment as well as prevention. Extensive literature review revealed little evidence on Kinesio taping with standardized exercise program and standardized exercise program alone for the management of chronic mechanical low back pain. So, the purpose of this study was to compare the effectiveness of Kinesio taping with standardized exercise program Vs standardized exercise program alone and find out the efficacy of Kinesio Taping in subjects with Chronic Mechanical Low Back Pain. Study design: Randomised clinical trial. Subjects and methods: Thirty (30) subjects with Chronic Mechanical low back pain were randomly assigned into two groups. Group-A (n=15, 14 Male, 1 Female) received Kinesio Taping (2 session/week for 4 weeks) with standardized exercise program (3sittings per week for 4 weeks) and Group-B (n=15, 9 Male, 6 Female) received standardized exercise program alone (3sittings per week for 4 weeks). Pain intensity was measured by Visual Analogue Scale (VAS), lumbar spine range of motion was evaluated by Modified Schober"s test (MST) and Functional disability was evaluated by Oswestry Disability Index (ODI) at Baseline, after second week and after 4 th week of intervention. Results: Both groups showed statistical significant improvement after 4 weeks of intervention in respect to pain intensity, range of motion and functional disability. Group-A showed significant improvement than Group-B in respect to Pain intensity (p value <0.05) and functional disability (p value <0.05), however, there was insignificant changes found between the groups for lumbar spine range of motion (p value >0.05) after 4 weeks of treatment. Conclusion: The results of this study suggested that Kinesio taping with standardized exercise has a significant effect in improving pain and function in subjects with Chronic Mechanical low back pain.
Neuromuscular Functional Assessment in Low Back Pain by Surface Electromyography (SEMG)
The Open Public Health Journal
Background: Low back pain is a major occupational health issue and a leading cause of disability globally. Significant differences in Surface Electromyography (SEMG) have been reported between persons with Low Back Pain (LBP) and normal, healthy controls. Many studies reveal that when the trunk is in full flexion there is an electrical silence in back muscles referred to as “flexion-relaxation phenomenon.” It is often absent in individuals reporting LBP and particularly chronic LBP. There are several SEMG measures that describe this phenomenon. Objective: To evaluate muscle activity in acute and chronic LBP and the usefulness of quick and reliable procedures to demonstrate abnormal electromyographic activity of the spine erector muscles. Methods: We evaluated 40 subjects aged 25-65 years. For each participant, a clinical history regarding the presence of chronic or acute LBP was collected. Each subject was evaluated with SEMG measures of spine erector muscles during standing and pro...
2020
Introduction: This study aimed to evaluate the effect of Kinesio Taping (KT) on low back/ pelvis pain, disability, and trunk Range of Motion (ROM) in individuals with nonspecific chronic low back pain (CLBP) after 72 h. Materials and Methods: Eighteen patients with nonspecific CLBP participated in this study. Pain intensity, Oswestry low back pain disability questionnaire, and lumbar ROM were evaluated once before the intervention (KT with 50% tension) and then 72 h after. For statistical analysis, we used the paired sample t-test. Results: Pain intensity was significantly reduced (P<0.01). But KT did not improve disability and lumbar ROM (P>0.05). Conclusion: Based on the results, 72 h KT over the lumbopelvic area did not improve disability and lumbar ROM in people with nonspecific CLBP while there was a significant reduction in pain intensity. The proposed mechanism of the KT effects is inconsistent with these results.
Journal of Modern Rehabilitation, 2020
Introduction: This study aimed to evaluate the effect of Kinesio Taping (KT) on low back/pelvis pain, disability, and trunk Range of Motion (ROM) in individuals with nonspecific chronic low back pain (CLBP) after 72 h.Materials and Methods: Eighteen patients with nonspecific CLBP participated in this study. Pain intensity, Oswestry low back pain disability questionnaire, and lumbar ROM were evaluated once before the intervention (KT with 50% tension) and then 72 h after. For statistical analysis, we used the paired sample t-test. Results: Pain intensity was significantly reduced (P<0.01). But KT did not improve disability and lumbar ROM (P>0.05).Conclusion: Based on the results, 72 h KT over the lumbopelvic area did not improve disability and lumbar ROM in people with nonspecific CLBP while there was a significant reduction in pain intensity. The proposed mechanism of the KT effects is inconsistent with these results.
CHRONIC LUMBAR PAIN TREATMENT, COMPARING MYOFASCIAL RELEASE METHODS AND KINESIO TAPING (Atena Editora), 2022
Introduction: Low back pain is considered a major public health problem, as it is responsible for the drop in the individual's work performance, limitation in performing activities of daily living and decreased quality of life. Goals: Check whether Kinesio Taping and myofascial release techniques are effective in reducing low back pain, comparing the effects that both provide and analyzing whether there is an advantage of any technique over the other, as well as demystifying the use of Kinesio Taping and placebo effect. Method: Experimental analytical research, with 27 volunteers who had chronic low back pain, with no specific cause, aged between 20 and 62 years. All selected individuals, at the beginning of the research and at the end, were evaluated with the Milgram test, modified Schober and Visual Analogue Scale (VAS). Participants were randomly divided into two groups, the LM Group, received treatment with myofascial release in the lumbar region, and the other group called KT, had the application of the Kinesio Taping technique in the lumbar region as an intervention. Results: The mean pain level in the KT group was initially 5.9 (±2.330) and at the end it was 1.9 (±2.024), with p=0.007. In the LM group, initial 7.125 (±2.587), and final 2.75 (±2.915), p=0.0067. Comparing the results between groups, initial p=0.3146 and final, p=0.4969. Milgram's test was 60% positive in the KT group and 87.5% in the LM group, at the end 20% in the KT and 37.5% in the LM. The Schober test in KT showed improvement in the mobility of the participants' spine, at the beginning of the study, 40% of the volunteers in this group had reduced mobility and at the end, only 20%, in the LM, 12.5% of the participants remained with reduced mobility. Reduced mobility from the beginning to the end of the study. Conclusion: Both methods proved to be effective, and none of the techniques showed superiority over the other, probably due to the low and of the research, and precisely for this reason, it is difficult to say whether the positive results obtained by Kinesio Taping are due to effectiveness of the technique or by a placebo action.
PHYSICAL TREA MENTS Kinesio Taping Applied to Lumbar Muscles in Static Lumbar Flexion
Purpose: In approaching full trunk flexion (75%-80% of full flexion), myoelectric activity of lumbar erector spinae muscles is reduced or silenced; this response is known as flexion-relaxation phenomenon (FRP). FRP is a shift in load sharing and spinal stabilization from active structures (erector spinae muscles) to passive ligamentous and articular structures. Static lumbar flexion under constant displacement or load, within the physiological range, elicits creep in lumbar viscoelastic tissues. During a short static lumbar flexion, significant changes are elicited in the muscular activity pattern of the FRP. Laxity in the passive tissues of the spine during prolonged spinal flexion disturbs the spinal stability. This study investigated the effects of Kinesio taping (KT) before and after periods of the static lumbar flexion on the timing of FRP for the erector spinae muscles. Methods: The research was conducted on 22 healthy female college students. The surface electromyographic silence and onset of the erector spinae muscle activities were measured in two states; before the static lumbar flexion and 10 minutes after the static lumbar flexion in two conditions (with and without KT). Results: The results indicate that KT causes erector spinae muscles relaxation earlier in the flexion and later reactivated in the extension. In other words, KT increased flexion relaxation time in erector spinae muscles (P<0.05). The results also indicate that 10 minutes static lumbar flexion will produce relaxation of the erector spinae muscles later during the forward bending activity and earlier reactivation during the extension (P<0.05). Application of KT cannot compensate the effects of 10 minutes static flexion at the onset and the silence of flexion relaxation and over again creep causes FRP occurs later. Conclusion: According to the effects of KT before the creep in reducing the duration of the muscles activity, kinesio tape may be used in reducing muscle spasms and duration of erector spinae muscles activity. It may also improve FRP in the back and the people who are predisposed to the back pain and FRP has not seen in them. Therefore, the need for research on these subjects and other factors, such as the electrical activity of muscles is essential. Although the application of KT cannot substitute the effects of 10 minutes static flexion on the onset and the silence of flexion relaxation, it could be used for protection and reduction of using strained viscoelastic structures.
The Journal of Pain, 2005
persons with low back pain (LBP) and normal, healthy controls. This manuscript presents a systematic meta-analytic review of studies examining SEMG differences between these groups. Forty-four articles were identified using MEDLINE and a review of reference lists in articles. For static SEMG, the largest effect size was observed for SEMG while standing, with subjects having LBP demonstrating higher SEMG. The effect size for flexion/relaxation measures was found to be very high (d ؍ ؊1.71). Studies examining SEMG during isometric exercise or muscle recovery following exercise produced inconsistent findings. Sensitivity and specificity of SEMG for dynamic SEMG measures averaged 88.8% and 81.3%. Most classification schemes were statistically determined and utilized a combination of measures. Only one published study prospectively validated a classification scheme. SEMG measures of flexion-relaxation appear to distinguish LBP subjects from controls with good accuracy, and the sensitivity and specificity of SEMG can be increased by using multiple measures. Further research is needed to determine the combination of measures that are cost-effective, reliable, valid and discriminate with a high degree of accuracy between healthy persons and those with LBP.