Comparison of Pilates exercises versus muscle energy technique with Kinesio taping in non-specific low back pain: a randomized controlled trial
Article Sidebar
Main Article Content
Abstract
OBJECTIVE: To compare the effects of Pilates exercise versus muscle energy technique (MET) along with Kinesio Taping (KT) in non-specific low back pain (LBP).
METHODS: This randomized controlled clinical trial was conducted from March 22 to September 14, 2022, at Chaudhry Muhammad Akram Research and Teaching Hospital, Johar Medicare Complex in Johar Town, Lahore, and Mayo Hospital and Jinnah Hospital in Lahore, Pakistan. Study involved 42 non-specific LBP patients randomly assigned to group A (MET with KT) and group B (Pilates exercise with KT) over eight weeks after interventions. Pain, disability index, and range of motion (ROM) were assessed at baseline, 2 weeks, and 8 weeks. Sessions were held twice a week, lasting 30-40 minutes each.
RESULTS: Among 42 participants, 14 (33.3%) were male, and 28 (66.7%) were female, aged 18-40 years. Group B showed greater pain reduction than Group A (p<0.05). In Group A, lumbar extension (p=0.10), lumbar rotation (0.18), right side flexion (0.02), and left side flexion (0.16) did not significantly improve. However, Group B demonstrated improvements in flexion (0.04), extension (0.00), rotation (0.06), right side flexion (0.04), and left side flexion (0.08). The pain and disability improvement between groups exhibited a significant difference (p<0.05). ROM improvement also differed between groups (p<0.05), with Group B showing dominant improvement.
CONCLUSION: Pilates exercise, combined with Kinesio Taping, demonstrated superior reduction in pain and improved range of motion compared to muscle energy technique with Kinesio Taping in non-specific low back pain.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
Work published in KMUJ is licensed under a
Creative Commons Attribution 4.0 License
Authors are permitted and encouraged to post their work online
(e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
References
Sun G, Lou Q. The efficacy of kinesio taping as an adjunct to physical therapy for chronic low back pain for at least two weeks: A systematic review and meta-analysis of randomized controlled trials. Medicine 2021;100(49):e28170. https://doi.org/10.1097/MD.0000000000028170.
Dhargalkar P, Kulkarni A, Ghodey S. Added effect of muscle energy technique for improving functional ability in patients with chronic nonspecific low back pain. Int J Physiother Res 2017;5(3):2082-7. https://doi.org/10.16965/ijpr.2017.144
Elshinnawy AM, Elrazik RK, Elatief EE. The effect of muscle energy techniques versus cross (X) technique Kinesio taping to treat chronic low back dysfunction. Int J Ther Rehabil 2019;26 (2):1-8. https://doi.org/10.12968/ijtr.2017.0038
Manikandan P, Kumar GM, Rajalaxmi V, Priya C, Yuvarani G, Tharani G, Kamatchi K, Raj GM. Effectiveness of Pilates exercises on non-specific low back pain to determine pain and disability. Biomed 2021;41(4):825-9.
Arslan SA, Hadian MR, Olyaei G, Bagheri H, Yekaninejad MS, Ijaz S, et al. Prevalence and risk factors of low back pain among the office workers of King Edward Medical University Lahore, Pakistan. Phys Treat 2016;6(3):161-8. https://doi.org/10.18869/nrip.ptj.6.3.161
Yang CY, Tsai YA, Wu PK, Ho SY, Chou CY, Huang SF. Pilates-based core exercise improves health-related quality of life in people living with chronic low back pain: A pilot study. J Body Mov Ther 2021;27:294-9. https://doi.org/10.1016/j.jbmt.2021.03.006.
Alves MC, de Souza Neto RJ, Barbosa RI, Marcolino AM, Kuriki HU. Effects of a Pilates protocol in individuals with non-specific low back pain compared with healthy individuals: Clinical and electromyographic analysis. Clin Biomech 2020;72:172-8. https://doi.org/10.1016/j.clinbiomech.2019.12.009
González-Gálvez N, Marcos-Pardo PJ, Carrasco-Poyatos M. Functional improvements after a pilates program in adolescents with a history of back pain: A randomized controlled trial. Complement Ther Clin Pract 2019;35:1-7. https://doi.org/10.1016/j.ctcp.2019.01.006
Kwok BC, Lim JXL, Kong PW. The theoretical framework of the clinical pilates exercise method in managing non-specific chronic low back pain: A Narrative Review. Biology 2021;10(11):1096. https://doi.org/10.3390/biology10111096
Abbasi S, Hadian MR, Olyaei G, Ghotbi N, Bozorgmehr A, Rasouli O. Application of various methods of lumbar kinesio taping on pain and disability in patients with chronic low back pain: Narrative review. Arch Neurosci 2020;7(2). https://doi.org/10.5812/ans.99982
Kim H-H, Kim K-H. Effects of Kinesio Taping with squat exercise on the muscle activity, muscle strength, muscle tension, and dynamic stability of softball players in the lower extremities: A randomized controlled study. Int J Environ Res Public Health 2022;19:276. https://doi.org/10.3390%2Fijerph19010276
Grase M, Elhafez HM, Abdellatif MM, Genedi AF, Mahmoud MA. Effect of instrument assisted soft tissue mobilization versus kinesio tape for chronic mechanical low back pain: a randomized controlled trial. Physiother 2023;31(2):27-33. https://doi.org/10.5114/pq.2023.125742
Jung K-s, Jung J-h, In T-s, Cho H-y. Influences of Kinesio taping with therapeutic exercise in patients with low back pain. Healthcare 2021;9(8):927. https://doi.org/10.3390%2Fhealthcare9080927
Thomas E, Cavallaro AR, Mani D, Bianco A, Palma A. The efficacy of muscle energy techniques in symptomatic and asymptomatic subjects: a systematic review. Chiropr Man Therap 2019;27:35. https://doi.org/10.1186/s12998-019-0258-7
Sakpal TV. Sample size estimation in clinical trial. Perspect Clin Res 2010;1(2):67-9.
Boonstra AM, Schiphorst Preuper HR, Reneman MF, Posthumus JB, Stewart RE. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int J Rehabil Res 2008;31(2):165-9. https://doi.org/10.1097/MRR.0b013e3282fc0f93
Grönblad M, Hupli M, Wennerstrand P, Järvinen E, Lukinmaa A, Kouri JP, et.al. Intercorrelation and test-retest reliability of the Pain Disability Index (PDI) and the Oswestry Disability Questionnaire (ODQ) and their correlation with pain intensity in low back pain patients. Clin J Pain 1993;9(3):189-95. https://doi.org/10.1097/00002508-199309000-00006
Fitzgerald GK, Wynveen KJ, Rheault W, Rothschild B. Objective assessment with establishment of normal values for lumbar spinal range of motion. Phys Ther 1983;63(11):1776-81. https://doi.org/10.1093/ptj/63.11.1776
Suresh AM, Kashyap D, Behera TP, Tarsolia KA. Effect of muscle energy technique in patients with non-traumatic lumbo-pelvic pain in the age group of 30-40 years. J Phy Med Rehab Stud Rep 2021;3(2):1-9 https://doi.org/SRC/JPMRS/138.2021:3
Patel VD, Eapen C, Ceepee Z, Kamath R. Effect of muscle energy technique with and without strain-counterstrain technique in acute low back pain - A randomized clinical trial. Hong Kong Physiother J 2018;38(1):41-51. https://doi.org/10.1142/S1013702518500051
Sheng Y, Duan Z, Qu Q, Chen W, Yu B. Kinesio taping in treatment of chronic non-specific low back pain: a systematic review and meta-analysis. J Rehabil Med 2019;51(10):734-40. https://doi.org/10.2340/16501977-2605
Ashtiani AA, Askari A. Effects of modified pilates exercises on pain, disability, and lumbopelvic motor control in patients with chronic low back pain. Phys Ther J 2020;10(4):195-204. http://dx.doi.org/10.32598/ptj.10.4.72.5
Mahmood T, Hafeez M, Ghauri MW, Salam A. Instrument assisted soft tissue mobilization-an emerging trend for soft tissue dysfunction. J Pak Med Assoc 2021;71(3):977-81. https://doi.org/10.47391/JPMA.1168
Mahmood T, Afzal W, Ahmad U, Arif MA, Ahmad A. Instrument soft tissue mobilization integrated with exercise for musculoskeletal disorders. Rawal Med J 2021;46(3):749-52.
Cruz-Díaz D, Romeu M, Velasco-González C, Martínez-Amat A, Hita-Contreras F. The effectiveness of 12 weeks of Pilate’s intervention on disability, pain and kinesiophobia in patients with chronic low back pain: a randomized controlled trial. Clin Rehab 2018;32(9):1249-57. https://doi.org/10.1177/0269215518768393
El Gendy MH, Hekal HN, Kadah MA, Hussein HM, Ewais NF. Pilate mat exercise versus muscle energy technique on chronic non specific low back pain. Int J Health Sci 2022;6(S5):3570-83. https://doi.org/10.53730/ijhs.v6nS5.9429