Combinación de taping con Escuela de Columna en pacientes con lumbalgia crónica: Ensayo clínico controlado aleatorizado.

• Autores: Andrés M. Tana, María A. Matesa, Maria Eugenia Catini, Vanesa Ruiz, Marisol Laiz, Ramiro S. Gomez, Guillermo Peker, Cecilia E. Quiroga, Mayra Reinoso, Valeria de Ormaechea Otalora, Marianela Abadie, Fernanda Gabriela Di Gresia, Juan Nadur, Carolina Fournery, Laura Bigatti, Julieta Paula Gomez, Sabrina Perez Cabrera
• Localización: Revista de la Asociación Argentina de Ortopedia y Traumatología, ISSN 1852-7434, Vol. 81, Nº. 4, 2016, págs. 250-257
• Idioma: español
• DOI: 10.15417/575
• Títulos paralelos:
  • Combination of taping with Back School in patients with chronic low back pain: a randomized controlled clinical trial
• Enlaces
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• Resumen
  • español

    Introducción: El 70-85% de la población general sufre dolor lumbar. Los programas de Escuela de Columna (EC) han demostrado ser efectivos en el tratamiento de la lumbalgia crónica (LC). El taping podría ser útil en la disminución del dolor y la normalización de la función muscular. Objetivo: Evaluar la eficacia a corto y a largo plazo del taping en combinación con EC en el tratamiento de LC. Materiales y métodos: Este es un ensayo clínico controlado randomizado. El grupo experimental (GE) utilizó cinta tape y realizó EC y el grupo control (GC) solo realizó EC. Se registraron al inicio y final del tratamiento el dolor conla Escala Visual Análoga (EVA), la flexibilidad con el Modified Finger Tip to Floor Test (MFTF) y la funcionalidad con el Roland Morris Disability Questionnaire (RMDQ). Resultados: Se incluyeron 220 sujetos, completando el tratamiento solo 42 en el GE y 33 en el GC. El delta de dolor entre la primera y la quinta sesión no demostró diferencias entre los grupos independientemente del tiempo (p=0.329). Tampoco hubo diferencias entre los grupos en el RMDQ (p=0.75) así como en el MFTF (p=0.20). Conclusión: El taping en combinación con EC comparado con el tratamiento exclusivo de EC no demostró ser más eficaz en la disminución del dolor, el aumento de la funcionalidad y flexibilidad en los pacientes con lumbalgia crónica

  • English

    Introduction: 70-85% of the general population suffers from back pain. Back School programs have being effective in the treatment of chronic low back pain. Taping may be useful in reducing pain and normalizing muscle function. The objective of this study was to evaluate the effectiveness of the combination of taping with Back School at short- and long-term.Methods: Randomized controlled clinical trial. The experimental group used tape and made Back Scholl and the control group only made Back School. At the beginning and the end of treatment, pain was evaluated with a visual analogue scale, the flexibility determined with the Modified Finger Tip-to-Floor Test and functionality was calculated with the Roland Morris Disability Questionnaire. Depression was recorded with the Depression Beck Inventory just at the beginning.Results: 220 patients were enrolled, only 42 in the experimental group and 33 in the control group completed the treatment. The variation of pain between the first and the fifth session showed no differences between groups regardless of time (p = 0.329). There were no differences between groups in functionality (p = 0.75), flexibility (p = 0.20) and depression.Conclusion: The combination of taping and Back School compared with only Back School was not more effective in reducing pain, increasing functionality and flexibility in patients with chronic low back pain.Key words: Taping; chronic low back pain; spine school; therapy exercises; flexibility; depression.

• Referencias bibliográficas
  • - Bonetti F, Curti S, Mattioli S, Mugnai R, Vanti C, Violante FS et al. Effectiveness of a “Global Postural Reeducation” program for persistent...
  • - Liebenson C. Manual de Rehabilitación de la Columna Vertebral. 2da edición. Barcelona: Editorial Paidotribo 2002.
  • - Sertpoyraz F, Eyigor S, Karapolat H, Capaci K and Kirazli Y. Comparison of isokinetic exercise versus standard exercise training in patients...
  • - Heymans MW, van Tulder MW, Esmail R, Bombardier C, Koes BW. Back schools for nonspecific low back pain: a systematic review within the framework...
  • - Airaksinen O, Brox J. I, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F et al. Chapter 4: European guidelines for the management...
  • - Garcia AN, Gondo FLB, Costa RA, Cyrillo FN, Silva TM, Costa LC et al. Effectiveness of the Back School and McKenzie techniques in patients...
  • - Morone G, Paolucci T, Alcuri MR, Vulpiani MC, Matano A, Bureca I, et al. Quality of life improved by multidisciplinary back school program...
  • - Currie SR and Wang JL. Chronic back pain and major depression in the general Canadian population. Pain. (2004) 107:54-60.
  • - Currie S. and Wang JL. More data on major depression as an antecedent risk factor for first onset of chronic back pain. Psychological Medicine....
  • - Kase K, Wallis J, Kase T. Clinical Therapeutic applications of the Kinesio Taping Method. Tokio, Japón: Ken lkazi Co Ltd, 2003.
  • - Salvat Salvat I y Alonso Salvat A. Efectos inmediatos del Kinesio Taping en la flexión lumbar. Fisioterapia. (2010) 32:57-65.
  • - Yoshida A and Kahanov L. The Effect of Kinesio Taping on Lower Trunk Range of Motions. Research in Sports Medicine: an International Journal....
  • - Paoloni M, Bernetti A, Fratocchi G, Mangone M, Parrinello L, Del Pilar Cooper M et al. Kinesio Taping applied to lumbar muscles influences...
  • - Castro-Sanchez AM, Lara-Palomo IC, Matarán-Peñarrocha GA, Fernández-Sánchez M, Sánchez-Labraca N and Arroyo Morales M. Kinesio Taping reduces...
  • - Garcia AN, Costa Lda C, da Silva TM, Gondo FL, Cyrillo FN, Costa RA et al. Effectiveness of the back school and Mckenzie techniques in patients...
  • - Akuthota V, Ferreiro A, Moore T and Fredericson M. Core Stability Exercise Principles. Curr Sports Med Rep. (2008) 7: 39-44.
  • - Shiphorst Preuper HR, Reneman MF, Boonstra AM, Dijkstra P, Versteegen G, Geertzen J et al. Relationship between psychological factors and...
  • - Sullivan MJL and Adams H. Psychosocial treatment techniques to augement the impact of physiotherapy interventions for low back pain. Physiother...
  • - Bonicatto S, Dew AM and Soria JJ. Analysis of the psychometric properties of the Spanish version of the Beck Depression Inventory in Argentina....
  • - Ekedahl KH, Jönsson B and Frobell RB. Validity of the Fingertip-to-Floor Test and Straight Leg Raising Test in Patients with Acute and Subacute...
  • - Roland M and Morris R. A study of the natural history of Back Pain.Part1: development of a reliable and sensitive measure of disability...
  • - Jensen MP, Chen C and Brugger MA. Interpretation of Visual Analog Scale Ratings and Change Scores: A Reanalysis of two clinical trials of...
  • - Kovacs FM, Abraira V, Royuela A, Corcoll J, Alegre L, Cano A et al. Minimal Clinically Important Change for Pain Intensity and Disability...
  • - Frost M, Stuckey S, Smalley LA and Dorman G. Reliability of Measuring Trunk Motions in Centimeters. Physical Therapy 1982; 62 1431-37.
  • - Gauvin MG, Riddle DL and Rothstein JM. Reliability of Clinical Measurement of Forward Bending Using the Modified Fingertip-to-Floor Method....
  • - Shaji JK, Aqel M, Hamada E, Ashraf R and Meshari A. Comparison between Kinesio Taping and a traditional Physical Therapy program in treatment...
  • - Parreira Pdo C, Costa Lda C, Hespanhol LC Junior, Lopes AD and Costa LO. Current evidence does not support the use of Kinesio Taping in...