Effects of extracorporeal shock wave therapy combined with kinesio taping on chronic non-specific low back pain_West China Medical Journal

Authors：

WANG Liang ¹ , ZHU Dongyan ¹ , XU Qian ¹ , HUANG Zhidong ¹ ,  LIU Su ²

1. Department of Rehabilitation Medicine, the Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, P. R. China;
2. Department of Rehabilitation Medicine, the Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, P. R. China;

Corresponding?author：

LIU Su, Email: 327202278@qq.com

Keywords：

Extracorporeal shock wave therapy; kinesio taping; chronic non-specific low back pain

DOI：

10.7507/1002-0179.202304156

Video：

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Objective To observe the effects of extracorporeal shock wave therapy (ESWT) combined with kinesio taping (KT) on chronic non-specific low back pain (CNLBP). Methods CNLBP patients who visited the Department of Rehabilitation Medicine, the Second Affiliated Hospital of Nantong University between January 2021 and January 2022 were selected. The included patients were divided into ESWT group, KT group, and combined treatment group using a random number table method. All patients received conventional rehabilitation. The ESWT group was treated with ESWT, the KT group was given KT therapy, and the combined treatment group were treated with ESWT and KT with the same treatment frequency as before. Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), MOS 36-item Short form Health Survey (SF-36) and Self-rating Anxiety Scale (SAS) were used to evaluate pain severity, lumbar spine function, quality of life, and anxiety status in all groups before and 4 weeks after treatment, respectively. Results A total of 85 patients were included. Among them, there were 29 cases in the ESWT group, 28 cases in the KT group, and 28 cases in the combined treatment group. There was no adverse event in any group. The intra-group comparison results showed that the VAS, ODI, and SAS scores of the three groups after 4 weeks of treatment were lower than those before treatment (P<0.05), while the SF-36 scores in all dimensions were higher than those before treatment (P<0.05). Before treatment, there was no statistically significant difference in VAS, ODI, SAS, or SF-36 scores among the three groups (P>0.05). After 4 weeks of treatment, there were statistically significant differences in VAS, ODI, SAS, and SF-36 scores among the three groups (P<0.05). The results of multiple comparisons between groups showed that the VAS scores of the ESWT group and the combination therapy group were lower than those of the KT group (P<0.05); the ODI scores of the combination therapy group were lower than those of the ESWT group and the KT group (P<0.05); the SAS scores of the combination therapy group were lower than those of the KT group (P<0.05); the SF-36 scores of each dimension were compared in pairs among the three groups, and the differences were statistically significant (P<0.05); there was no statistically significant difference in pairwise comparison of other indicators between groups (P>0.05). Conclusion ESWT combined with KT can more effectively improve the pain and lumbar spine function of patients with CNLBP, and improve the quality of life of patients.

Citation： WANG Liang, ZHU Dongyan, XU Qian, HUANG Zhidong, LIU Su. Effects of extracorporeal shock wave therapy combined with kinesio taping on chronic non-specific low back pain. West China Medical Journal, 2023, 38(8): 1181-1187. doi: 10.7507/1002-0179.202304156 Copy

1.	Foster NE, Anema JR, Cherkin D, et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet, 2018, 391(10137): 2368-2383.
2.	李祖虹, 李潔, 朱耀剛, 等. 體外沖擊波治療慢性非特異性下背痛的療效觀察. 中華物理醫學與康復雜志, 2019, 41(7): 501-503.
3.	Macedo LB, Richards J, Borges DT, et al. The influence of Kinesio Taping on muscle fatigue in individuals with low back pain: a randomized controlled trial. J Back Musculoskelet Rehabil, 2021, 34(4): 613-621.
4.	Pourahmadi MR, Bagheri R, Jannati E, et al. Effect of elastic therapeutic taping on abdominal muscle endurance in patients with chronic nonspecific low back pain: a randomized, controlled, single-blind, crossover trail. J Manipulative Physiol Ther, 2018, 41(7): 609-620.
5.	Jung KS, Jung JH, In TS, et al. Influences of kinesio taping with therapeutic exercise in patients with low back pain. Healthcare (Basel), 2021, 9(8): 927.
6.	中國康復醫學會脊柱脊髓專業委員會專家組. 中國急/慢性非特異性腰背痛診療專家共識. 中國脊柱脊髓雜志, 2016, 26(12): 1134-1138.
7.	Boonstra AM, Schiphorst Preuper HR, Reneman MF, et al. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int J Rehabil Res, 2008, 31(2): 165-169.
8.	Fairbank JC, Pynsent PB. The oswestry disability index. Spine (Phila Pa 1976), 2000, 25(22): 2940-2952.
9.	李春波, 何燕玲. 健康狀況調查問卷 SF-36 的介紹. 國外醫學: 精神病學分冊, 2002, 29(2): 116-119.
10.	Dunstan DA, Scott N. Norms for zung’s self-rating anxiety scale. BMC Psychiatry, 2020, 20(1): 90.
11.	Senbursa G, Pekyavas NO, Baltaci G, et al. Comparison of physiotherapy approaches in low back pain: a randomized controlled trial. Korean J Fam Med, 2021, 42(2): 96-106.
12.	Eftekharsadat B, Fasaie N, Golalizadeh D, et al. Comparison of efficacy of corticosteroid injection versus extracorporeal shock wave therapy on inferior trigger points in the quadratus lumborum muscle: a randomized clinical trial. BMC Musculoskelet Disord, 2020, 21(1): 695.
13.	Taheri P, Khosrawi S, Ramezani M. Extracorporeal shock wave therapy combined with oral medication and exercise for chronic low back pain: a randomized controlled trial. Arch Phys Med Rehabil, 2021, 102(7): 1294-1299.
14.	Notarnicola A, Maccagnano G, Gallone MF, et al. Extracorporeal shockwave therapy versus exercise program in patients with low back pain: short-term results of a randomised controlled trial. J Biol Regul Homeost Agents, 2018, 32(2): 385-389.
15.	?elik A, Altan L, ?kmen BM. The effects of extracorporeal shock wave therapy on pain, disability and life quality of chronic low back pain patients. Altern Ther Health Med, 2020, 26(2): 54-60.
16.	呂欣, 周達岸. 沖擊波治療作用的基礎研究進展. 中國現代醫學雜志, 2021, 31(7): 45-49.
17.	Chen YP, Lin CY, Kuo YJ, et al. Extracorporeal shockwave therapy in the treatment of trigger finger: a randomized controlled study. Arch Phys Med Rehabil, 2021, 102(11): 2083-2090. e1.
18.	錢秀玲, 丁厚鵬, 張英杰, 等. 體外沖擊波聯合核心穩定性訓練治療非特異性下背痛的療效觀察. 中華物理醫學與康復雜志, 2016, 38(1): 68-69.
19.	舒真諦, 金韻, 蘇婷婷, 等. 運動貼扎技術對急性踝關節外側韌帶損傷患者早期康復的影響. 中國康復醫學雜志, 2021, 36(6): 686-691.
20.	Wang M, Pei ZW, Xiong BD, et al. Use of Kinesio taping in lower-extremity rehabilitation of post-stroke patients: a systematic review and meta-analysis. Complement Ther Clin Pract, 2019, 35: 22-32.
21.	Paoloni M, Bernetti A, Fratocchi G, et al. Kinesio taping applied to lumbar muscles infuences clinical and electromyographic characteristics in chronic low back pain patients. Eur J Phys Rehabil Med, 2011, 47(2): 237-244.
22.	陳文華, 余波. 軟組織貼扎技術基礎與實踐. 上海: 上海科學技術出版社, 2017: 007.
23.	Pe?alver-Barrios ML, Lisón JF, Ballester-Salvador J, et al. A novel (targeted) kinesio taping application on chronic low back pain: randomized clinical trial. PLoS ONE, 2021, 16(5): e0250686.
24.	孫菲, 田樹峰, 楊晨, 等. 肌內效貼在康復中的應用現狀. 中國運動醫學雜志, 2019, 38(3): 235-239.
25.	陸斌, 趙晨光, 琚芬, 等. 肌內效貼聯合深部肌肉刺激對非特異性頸痛的療效. 中國康復理論與實踐, 2020, 26(11): 1349-1352.
26.	Shi L, Lu ZA, Que JY, et al. Prevalence of and risk factors associated with mental health symptoms among the general population in China during the coronavirus disease 2019 pandemic. JAMA Netw Open, 2020, 3(7): e2014053.
27.	Hong JH, Kim HD, Shin HH, et al. Assessment of depression, anxiety, sleep disturbance, and quality of life in patients with chronic low back pain in Korea. Korean J Anesthesiol, 2014, 66: 444-450.
28.	Mok LC, Lee IF. Anxiety, depression and pain intensity in patients with low back pain who are admitted to acute care hospitals. J Clin Nurs, 2008, 17(11): 1471-1480.
29.	Wettstein M, Eich W, Bieber C, et al. Pain intensity, disability, and quality of life in patients with chronic low back pain: does age matter?. Pain Med, 2019, 20(3): 464-475.
30.	Hu Y, Yang Z, Li Y , et al. Anxiety symptoms and associated factors among chronic low back pain patients in China: a cross-sectional study. Front Public Health, 2022, 10: 878865.

1. Foster NE, Anema JR, Cherkin D, et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet, 2018, 391(10137): 2368-2383.
2. 李祖虹, 李潔, 朱耀剛, 等. 體外沖擊波治療慢性非特異性下背痛的療效觀察. 中華物理醫學與康復雜志, 2019, 41(7): 501-503.
3. Macedo LB, Richards J, Borges DT, et al. The influence of Kinesio Taping on muscle fatigue in individuals with low back pain: a randomized controlled trial. J Back Musculoskelet Rehabil, 2021, 34(4): 613-621.
4. Pourahmadi MR, Bagheri R, Jannati E, et al. Effect of elastic therapeutic taping on abdominal muscle endurance in patients with chronic nonspecific low back pain: a randomized, controlled, single-blind, crossover trail. J Manipulative Physiol Ther, 2018, 41(7): 609-620.
5. Jung KS, Jung JH, In TS, et al. Influences of kinesio taping with therapeutic exercise in patients with low back pain. Healthcare (Basel), 2021, 9(8): 927.
6. 中國康復醫學會脊柱脊髓專業委員會專家組. 中國急/慢性非特異性腰背痛診療專家共識. 中國脊柱脊髓雜志, 2016, 26(12): 1134-1138.
7. Boonstra AM, Schiphorst Preuper HR, Reneman MF, et al. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int J Rehabil Res, 2008, 31(2): 165-169.
8. Fairbank JC, Pynsent PB. The oswestry disability index. Spine (Phila Pa 1976), 2000, 25(22): 2940-2952.
9. 李春波, 何燕玲. 健康狀況調查問卷 SF-36 的介紹. 國外醫學: 精神病學分冊, 2002, 29(2): 116-119.
10. Dunstan DA, Scott N. Norms for zung’s self-rating anxiety scale. BMC Psychiatry, 2020, 20(1): 90.
11. Senbursa G, Pekyavas NO, Baltaci G, et al. Comparison of physiotherapy approaches in low back pain: a randomized controlled trial. Korean J Fam Med, 2021, 42(2): 96-106.
12. Eftekharsadat B, Fasaie N, Golalizadeh D, et al. Comparison of efficacy of corticosteroid injection versus extracorporeal shock wave therapy on inferior trigger points in the quadratus lumborum muscle: a randomized clinical trial. BMC Musculoskelet Disord, 2020, 21(1): 695.
13. Taheri P, Khosrawi S, Ramezani M. Extracorporeal shock wave therapy combined with oral medication and exercise for chronic low back pain: a randomized controlled trial. Arch Phys Med Rehabil, 2021, 102(7): 1294-1299.
14. Notarnicola A, Maccagnano G, Gallone MF, et al. Extracorporeal shockwave therapy versus exercise program in patients with low back pain: short-term results of a randomised controlled trial. J Biol Regul Homeost Agents, 2018, 32(2): 385-389.
15. ?elik A, Altan L, ?kmen BM. The effects of extracorporeal shock wave therapy on pain, disability and life quality of chronic low back pain patients. Altern Ther Health Med, 2020, 26(2): 54-60.
16. 呂欣, 周達岸. 沖擊波治療作用的基礎研究進展. 中國現代醫學雜志, 2021, 31(7): 45-49.
17. Chen YP, Lin CY, Kuo YJ, et al. Extracorporeal shockwave therapy in the treatment of trigger finger: a randomized controlled study. Arch Phys Med Rehabil, 2021, 102(11): 2083-2090. e1.
18. 錢秀玲, 丁厚鵬, 張英杰, 等. 體外沖擊波聯合核心穩定性訓練治療非特異性下背痛的療效觀察. 中華物理醫學與康復雜志, 2016, 38(1): 68-69.
19. 舒真諦, 金韻, 蘇婷婷, 等. 運動貼扎技術對急性踝關節外側韌帶損傷患者早期康復的影響. 中國康復醫學雜志, 2021, 36(6): 686-691.
20. Wang M, Pei ZW, Xiong BD, et al. Use of Kinesio taping in lower-extremity rehabilitation of post-stroke patients: a systematic review and meta-analysis. Complement Ther Clin Pract, 2019, 35: 22-32.
21. Paoloni M, Bernetti A, Fratocchi G, et al. Kinesio taping applied to lumbar muscles infuences clinical and electromyographic characteristics in chronic low back pain patients. Eur J Phys Rehabil Med, 2011, 47(2): 237-244.
22. 陳文華, 余波. 軟組織貼扎技術基礎與實踐. 上海: 上海科學技術出版社, 2017: 007.
23. Pe?alver-Barrios ML, Lisón JF, Ballester-Salvador J, et al. A novel (targeted) kinesio taping application on chronic low back pain: randomized clinical trial. PLoS ONE, 2021, 16(5): e0250686.
24. 孫菲, 田樹峰, 楊晨, 等. 肌內效貼在康復中的應用現狀. 中國運動醫學雜志, 2019, 38(3): 235-239.
25. 陸斌, 趙晨光, 琚芬, 等. 肌內效貼聯合深部肌肉刺激對非特異性頸痛的療效. 中國康復理論與實踐, 2020, 26(11): 1349-1352.
26. Shi L, Lu ZA, Que JY, et al. Prevalence of and risk factors associated with mental health symptoms among the general population in China during the coronavirus disease 2019 pandemic. JAMA Netw Open, 2020, 3(7): e2014053.
27. Hong JH, Kim HD, Shin HH, et al. Assessment of depression, anxiety, sleep disturbance, and quality of life in patients with chronic low back pain in Korea. Korean J Anesthesiol, 2014, 66: 444-450.
28. Mok LC, Lee IF. Anxiety, depression and pain intensity in patients with low back pain who are admitted to acute care hospitals. J Clin Nurs, 2008, 17(11): 1471-1480.
29. Wettstein M, Eich W, Bieber C, et al. Pain intensity, disability, and quality of life in patients with chronic low back pain: does age matter?. Pain Med, 2019, 20(3): 464-475.
30. Hu Y, Yang Z, Li Y , et al. Anxiety symptoms and associated factors among chronic low back pain patients in China: a cross-sectional study. Front Public Health, 2022, 10: 878865.

West China Medical Journal

Effects of extracorporeal shock wave therapy combined with kinesio taping on chronic non-specific low back pain

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