Kinesio Taping to generate skin convolutions is not better than sham taping for people with chronic non-specific low back pain: a randomised trial

TLDR

The study examined whether Kinesio Taping that creates skin convolutions reduces pain and disability in chronic low back pain patients more than simple taping without tension. In a randomized trial of 148 chronic low back pain patients, participants received eight weekly Kinesio Taping sessions over four weeks, with the experimental group receiving tape applied at 10–15% tension to produce skin convolutions and the control group receiving tape with no tension. The intervention produced no significant improvement in pain or disability at four weeks, and overall Kinesio Taping with skin convolutions was no more effective than simple taping, although a small advantage was seen in global perceived effect at four weeks. The trial is registered at the Brazilian Registry of Clinical Trials (RBR-7ggfkv).

Abstract

For people with chronic low back pain, does Kinesio Taping, applied according to the treatment manual to create skin convolutions, reduce pain and disability more than a simple application without convolutions?Randomised trial with concealed allocation, intention-to-treat analysis and blinded assessment of some outcomes.148 participants with chronic non-specific low back pain.Experimental group participants received eight sessions (over four weeks) of Kinesio Taping applied according to the Kinesio Taping Method treatment manual (ie, 10 to 15% tension applied in flexion to create skin convolutions in neutral). Control group participants received eight sessions (over four weeks) of Kinesio Taping with no tension, creating no convolutions.The primary outcome measures were pain intensity and disability after the four-week intervention. Secondary outcomes were pain intensity and disability 12 weeks after randomisation, and global perceived effect at both four and 12 weeks after randomisation.Applying Kinesio Tape to create convolutions in the skin did not significantly change its effect on pain (MD-0.4 points, 95% CI-1.3 to 0.4) or disability (MD-0.3 points, 95% CI-1.9 to 1.3) at four weeks. There was a small difference in favour of the experimental group for the secondary outcome of global perceived effect (MD 1.4 points, 95% CI 0.3 to 2.5) at four weeks. No significant between-group differences were observed for the other secondary outcomes.Kinesio Taping applied with stretch to generate convolutions in the skin was no more effective than simple application of the tape without tension for the outcomes measured. These results challenge the proposed mechanism of action of this therapy.Brazilian Registry of Clinical Trials, RBR-7ggfkv.