Functional taping effects on pain and electrical activation in patients with low back pain
Background: Low back pain (LBP) is a high prevalence health problem and it has several treatments available, among them it is the functional taping. Objective: To evaluate the influence of functional taping on the electrical activation of the erector spinae muscle, the degree of pain and the functionality in subjects with LBP. Methods: Twenty female with LBP participated in the study, and were divided in two groups: with and without the use of the functional taping. The electrical activity of the erector spinae muscle was obtained bilaterally by electromyography (EMG). The root mean square (RMS) value of the EMG was calculated for three maximum voluntary contractions (MVC) obtained before and 48 hours after the application of the taping. The RMS value of each MVC was normalized by the mean RMS value of the first test for each group. The visual analog pain scale was used to measure the pain, and the Roland Morris questionnaire to evaluate the functionality. Comparisons between groups (α=5%) were performed using the Mann Whitney test, and intra-group using the Wilcoxon test. Results: There was no decrease in muscular electrical activation, a significant decrease in pain, and an improvement in functionality. Conclusion: The use of functional taping in the lumbar spine promoted positive effects related to pain and functionality.
1. Helfenstein Junior M, Goldenfum MA, Siena C. Occupational low back pain. Rev Assoc Med Bras. 2010;56(5):583–589.
2. Fujii T, Matsudaira K. Prevalence of low back pain and factors associated with chronic disabling back pain in Japan. Eur spine J. 2013;22(2):432–438.
3. Balagué F, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. Lancet. 2012;379(9814):482–491.
4. Lemos AT, Santos FR, Moreira RB, Machado DT, Braga FCC, Gaya ACA. Ocorrência de dor lombar e fatores associados em crianças e adolescentes de uma escola privada do sul do Brasil. Cad. Saúde Pública. 2013;29(11):2177–2185.
5. Coenen P, Kingma I, Boot CRL, Twisk JWR, Bongers PM, van Dieën JH. Cumulative low back load at work as a risk factor of low back pain: a prospective cohort study. J Occup Rehabil. 2013;23(1):11–18.
6. Campolo M, Babu J, Dmochowska K, Scariah S, Varughese J. A comparison of two taping techniques (kinesio and mcconnell) and their effect on anterior knee pain during functional activities. Int J Sports Phys Ther. 2013;8(2):105–110.
7. Kang MH, Choi SH, Oh JS. Postural taping applied to the low back influences kinematics and EMG activity during patient transfer in physical therapists with chronic low back pain. J Electromyogr Kinesiol. 2013;23(1):787–793.
8. Greig AM, Bennell KL, Briggs AM, Hodges PW. Postural taping decreases thoracic kyphosis but does not influence trunk muscle electromyographic activity or balance in women with osteoporosis. Man Ther. 2008;13(3):249–257.
9. Bennell K, Khan K, McKay H. The role of physiotherapy in the prevention and treatment of osteoporosis. Man Ther. 2000;5(4):198–213.
10. Correa CS, Silva BGC, Alberton CL, Wilhelm Neto EN, Moraes AC, Lima CS, et al. Análise da força isométrica máxima e do sinal de EMG em exercícios para os membros inferiores. Rev Bras Cineantropom Desempenho Hum. 2011;13(6):429–435.
11. Soderberg GL, Knutson LM. A Guide for Use and Interpretation of Kinesiologic Electromyographic Data. Phys Ther. 2010;80(5):485–498.
12. Derasari A, Brindle TJ, Alter KE, Sheehan FT. McConnell taping shifts the patella inferiorly in patients with patellofemoral pain: a dynamic magnetic resonance imaging study. Phys Ther. 2010;90(3):411–419.
13. Lee SE, Cho SH. The effect of McConnell taping on vastus medialis and lateralis activity during squatting in adults with patellofemoral pain syndrome. J Exerc Rehabil. 2013;9(2):326–330.
14. McConnell J, Donnelly C, Hamner S, Dunne J, Besier T. Passive and dynamic shoulder rotation range in uninjured and previously injured overhead throwing athletes and the effect of shoulder taping. PM R. 2012;4(2):111–116.
15. Filho JM, Menossi BRS, Preis C, Neto LB, Stabelini A. Análise da musculatura estabilizadora lombopélvica em jovens com e sem dor lombar. Fisioter Mov. 2013;26(3):587–594.
16. Nusbaum L, Natour J, Ferraz MB, Goldenberg J. Translation, adaptation and validation of the Roland-Morris questionnaire - Brazil Roland-Morris. Braz J Med Biol Res. 2001;34(2):203–210.
17. The SENIAM project. Netherlands Roessingh Res. 1996 [acesso em 1 mar. 2009]. Disponível em: http://www.seniam.org/
18. Mulligan BR. Terapia Manual: Nags, Snags, MWM e outras técnicas. 5o ed São Paulo: Premier; 2009.
19. Silva GP, Campos YAC, Guimarães MP, Silva AC, Silva SF. Estudo eletromiográfico do exercício supino executado em diferentes ângulos. Rev Andal Med Deporte. 2014;7(2):78–82.
20. Corcos DM, Jiang HY, Wilding J, Gottlieb GL. Fatigue induced changes in phasic muscle activation patterns for fast elbow flexion movements. Exp Brain Res. 2002;142(1):1–12.
21. Chen SM, Alexander R, Lo SK, Cook J. Effects of Functional Fascial Taping on pain and function in patients with non-specific low back pain: a pilot randomized controlled trial. Clin Rehabil. 2012;26(10):924–933.
22. Lan TY, Lin WP, Jiang CC, Chiang H. Immediate effect and predictors of effectiveness of taping for patellofemoral pain syndrome: a prospective cohort study. Am J Sports Med. 2010;38(8):1626–1630.
23. Ng GYF, Wong PYK. Patellar taping affects vastus medialis obliquus activation in subjects with patellofemoral pain before and after quadriceps muscle fatigue. Clin Rehabil. 2009;23(8):705–713.