目的 系统评价肌内效贴对慢性非特异性腰痛的疗效。 方法 检索Cochrane Library、PubMed、Web of Science、CNKI、中国生物医学文献数据库(CBM)、维普信息资源系统(VIP)、万方数据库从建库至2019年1月关于肌内效贴治疗慢性非特异性腰痛的随机对照试验(RCT)研究。根据Cochrane系统评价标准对纳入文献进行质量评估，提取相关数据，采用RevMan 5.3 软件进行Meta分析。 结果 共纳入9项RCT研究，共计545例受试者。Meta分析结果显示，肌内效贴在改善疼痛方面优于无刺激组(MD = -0.76, 95%CI: -1.43~-0.08, P = 0.03)，可能优于假刺激组(MD = -1.10, 95%CI: -2.22~0.02, P = 0.05)；在改善功能障碍方面，肌内效贴组Oswestry功能障碍指数评分显著优于无刺激组(MD = -6.02, 95%CI: -8.63~-3.41, P < 0.001)和假刺激组(MD = -4.11, 95%CI: -5.82~-2.41, P < 0.001)；肌内效贴组Roland Morris功能障碍问卷表评分与无刺激组(MD = 0.69, 95%CI: -2.35~3.74, P = 0.66)和假刺激组(MD = -0.17, 95%CI: -1.43~1.08, P = 0.78)相比均无显著性差异。 结论 肌内效贴可以减轻慢性非特异性腰痛患者疼痛，并改善其功能障碍。
Objective To evaluate the effect of Kinesio taping on chronic nonspecific low back pain (CNLBP). Methods The Cochrane Library, PubMed, Web of Science, CNKI, CBM, VIP, and Wanfang Data were searched for the randomized controlled trials (RCT) about the effect of Kinesio taping on CNLBP from establishment to January, 2019. The included studies were evaluated according to the method recommended by the Cochrane Collaboration. RevMan 5.3 software was used to analyze the extracted data. Results Finally, nine RCTs involving 545 patients were included. Meta-analysis showed that the effect of Kinesio taping was significantly different in the improvement of pain compared with the non-stimulated group (MD = -0.76, 95%CI: -1.43 to -0.08, P = 0.03), the difference might be significant compared with the sham stimulation group (MD = -1.10, 95%CI: -2.22 to 0.02, P = 0.05); For improving dysfunction, the Oswestry Disability Index (ODI) scores were better in the Kinesio taping group than in the non-stimulation group (MD = -6.02, 95%CI: -8.63 to -3.41, P < 0.001) and the sham stimulation group (MD = -4.11, 95%CI: -5.82 to -2.41, P < 0.001), however, their was no significant difference in Roland Morris Disability Questionnaire (RMDQ) score between the Kinesio taping group and the non-stimulated group (MD = 0.69, 95%CI: -2.35 to 3.74, P = 0.66), and between the Kinesio taping group and the sham stimulation group (MD = -0.17, 95%CI: -1.43 to 1.08, P = 0.78). Conclusion For the patients with CNLBP, the intervention of Kinesio taping could alleviate pain and improve function.
1 黄墩兵,周凡萍,黄赛娥. 悬吊运动疗法治疗慢性非特异性腰痛疗效的Meta分析[J]. 中国康复理论与实践, 2017, 23(12): 1435-1442.
2 HoyD, BainC, WilliamsG, et al. A systematic review of the global prevalence of low back pain [J]. Arthritis Rheum, 2012, 64(6): 2028-2037.
3 Luz JúniorM A, SousaM V, NevesL A, et al. Kinesio Taping? is not better than placebo in reducing pain and disability in patients with chronic non-specific low back pain: a randomized controlled trial [J]. Braz J Phys Ther, 2015, 19(6): 482-490.
4 AddedM A, CostaL O, FukudaT Y, et al. Efficacy of adding the Kinesio taping method to guideline-endorsed conventional physiotherapy in patients with chronic nonspecific low back pain: a randomised controlled trial [J]. BMC Musculoskelet Disord, 2013, 14: 301.
5 ParreiraP C, CostaL C, TakahashiR, et al. Kinesio taping to generate skin convolutions is not better than sham taping for people with chronic non-speci?c low back pain: a randomised trial [J]. J Physiother, 2014, 60(2): 90-96.
6 Toprak CelenayS, Ozer KayaD. Immediate effects of Kinesio taping on pain and postural stability in patients with chronic low back pain [J]. J Bodyw Mov Ther, 2019, 23(1): 206-210.
7 Parreira PdoC, Costa LdaC, LC Jr.Hespanhol, et al. Current evidence does not support the use of Kinesio Taping in clinical practice: a systematic review [J]. J Physiother, 2014, 60(1): 31-39.
8 HigginsJ P, GreenS. Cochrane Handbook for Systematic Reviews of Interventions [M]. New Jersey: Wiley-Blackwell, 2008.
9 AddedM A, CostaL O, de FreitasD G, et al. Kinesio Taping does not provide additional benefits in patients with chronic low back pain who receive exercise and manual therapy: a randomized controlled trial [J]. J Orthop Sports Phys Ther, 2016, 46(7): 506-513.
10 Al-ShareefA T, OmarM T, IbrahimA H. Effect of Kinesio taping on pain and functional disability in chronic nonspecific low back pain: a randomized clinical trial [J]. Spine, 2016, 41(14): 821-828.
11 BaeS H, LeeJ H, OhK A, et al. The effects of Kinesio taping on potential in chronic low back pain patients anticipatory postural control and cerebral cortex [J]. J Phys Ther Sci, 2013, 25(11): 1367-1371.
12 Castro-SanchezA M, Lara-PalomoI C, Mataran-PenarrochaG A, et al. Kinesio Taping reduces disability and pain slightly in chronic non-specific low back pain: a randomised trial [J]. J Physiother, 2012, 58(2): 89-95.
13 KachanathuS J, AlenaziA M, SeifH E, et al. Comparison between Kinesio taping and a traditional physical therapy program in treatment of nonspecific low back pain [J]. J PhysTher Sci, 2014, 26(8): 1185-1188.
14 KamaliF, SinaeiE, TaherkhaniE. Comparing spinal manipulation with and without Kinesio Taping? in the treatment of chronic low back pain [J]. J Bodyw Mov Ther, 2018, 22(2): 540-545.
15 K?ro?luF, ?olakT K, PolatM G. The effect of Kinesio? taping on pain, functionality, mobility and endurance in the treatment of chronic low back pain: a randomized controlled study [J]. J Back Musculoskelet Rehabil, 2017, 30(5): 1087-1093.
16 张素侠,钟宝权. 肌内效贴治疗慢性非特异性下背痛的疗效研究[J]. 中国康复医学杂志, 2015, 30(7): 688-691.
17 毛晶,吴建贤. 腰背痛患者康复功能评估方法学的研究和进展[J]. 安徽医药, 2010, 14(5): 497-500.
18 MostafavifarM, WertzJ, BorchersJ. A systematic review of the effectiveness of Kinesio taping for musculoskeletal injury [J]. Phys Sportsmed, 2012, 40(4): 33-40.
19 张安邦,王铁刚,董敏,等. 针灸结合肌内效贴布治疗慢性非特异性下腰痛60例[J]. 中国中医药现代远程教育, 2018, 16(17): 123-124.
20 陈文华. 软组织贴扎技术临床应用精要[M]. 上海:上海浦江教育出版社, 2012: 2-13.
