Therapeutic Effect Of Extracorporeal Shock Wave Combined With Kinesio Taping On Chronic Low Back Pain

ObjectiveThrough randomized controlled experiments,the clinical efficacy of extracorporeal shock wave therapy(ESWT)combined with the Kinesio Taping(KT)and extracorporeal shock wave therapy for chronic low back pain was compared.Method70 patients with chronic low back pain(CLBP)who met the inclusion criteria were selected from the Department of Rehabilitation and Orthopedics of University Town Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine.They were divided into two groups:experimental group(Groupl n=35)and control group(Group2 n=35).Both groups were treated twice a week for 4 weeks as well as received extracorporeal shock wave treatment,only the groupl added Kinesio Taping on this basis.The Visual Analogue Scale(VAS),The Oswestry Disability Index(ODI),and lumbar Range of motion(ROM)scores were recorded separately before treatment(Timel),after two weeks of treatment(Time2)and after treatment(Time3).The Hamilton Anxiety Scale(HAMA)scores was recorded before and after treatment.Patients were followed for one month after treatment,and VAS scores were recorded.SPSS 20.0 was used for statistical analysis.Results1.Before treatment:the baseline data such as age,sex,disease duration,and VAS,ODI,HAMA,and ROM scores were compared between two groups.There was no significant difference between the two groups(P>0.05).2.After treatment:The results of VAS、ODI and ROM scores at different times in the two groups were:Time1<Time2<Time3(P<0.05).The scores of VAS at the same time in two groups,Groupl was better than Group2(P<0.05).The scores of ODI and ROM at the same time in two groups,Groupl was better than Group2,but both of them only have significant effect at Time3.2.The result of HAMA scores in both groups were:Time3<Timel(P<0.05),and the Groupl was better than the Group2(P<0.05).3.Patients in Groupl,11 cases were cured,22 cases were markedly effective,2 cases were improved,and 0 cases were ineffective,the cure rate was 31.43%and the marked improvement rate was 94.29%.Patients in Group2,3 cases were cured,20 cases were markedly effective,12 cases were improved,and 0 cases were ineffective,the cure rate was 8.57%and the marked improvement rate was 65.71%.The curative effect of Groupl was better than that in Group2(P<0.05).4.There were 6 cases of recurrence in Groupl,the recurrence rate was 17.1%,and 14 cases in the Group2,the recurrence rate was 40%.The recurrence rate in Groupl was lower than that in Group2(P<0.05).ConclusionCompared with pure ESWT,ESWT combined with KT can help the patients with CLBP to relieve the pain and anxiety,restore the function of low back movement and reduce the recurrence rate.It is a worthy combination therapy which can promote in the field of CLBP rehabilitation.