Biomechanical Taping on Low Back Pain With Increased Foot Pronation

Istanbul University - Cerrahpasa (IUC)

Status: Invitation-only

Conditions: Functional Mitral Regurgitation; Foot Posture; Taping; Low Back Pain

Treatments: Other: Taping

Study type: Interventional

Funder types: Other

Identifiers

NCT04776798

05.SKHEK

Details and patient eligibility

About

It is stated that abnormal lower extremity posture and biomechanics are effective in the development and progression of Low Back Pain (LBP). Exercise, electrotherapy, insoles, and orthoses are used for the prevention and treatment of low back pain.The use of orthosis, insoles, and taping techniques stands out in the correction of foot posture and dysfunctions, which are stated to cause LBP. In studies examining the application of taping to improve foot posture and biomechanics, it is stated that taping is effective in improving foot posture and biomechanics in the short term.

Biomechanical taping has been used in the treatment of musculoskeletal disorders in recent years. It is aimed to correct the impaired joint biomechanics by reducing the load on the joint, supporting strength, and providing movement modification.

Full description

In this study, it is assumed that correction of "increased foot pronation" with dynamic taping will result in the recovery of increased internal rotation and decreased shock absorption during weight-bearing, which is stated to cause pain. The study aims to investigate the effects of biomechanical tapping in combination with a home exercise program on LBP.

Participants with a diagnosis of LBP and bilateral increased flexible foot pronation will divide into two groups (Biomechanical Taping (BT) group or Placebo Taping (PT) group). Tape applications will repeat twice per week, for 4 weeks. And also a home-based exercise program will apply to both groups.

Enrollment: 50 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Mechanical low back pain for at least 6 months
• Age between 18-65 years
• Increased, bilateral, flexible pronation of the feet (Foot Posture Index-6 score> 0)

Exclusion criteria

• Rigid pes planus, pes cavus, equinus deformity, hallux valgus, hallux rigid or calcaneal epin in the feet
• Lower extremity injury or surgery in the last 6 months
• Radicular type back pain (patients with leg pain> low back pain)
• Body Mass Index (BMI)> 30,
• Use of analgesics
• Pregnancy
• Presence of symptoms related to a history of spinal surgery in the last 5 years.
• Neurological impairment or cognitive dysfunction (stroke, dementia, etc.)
• Rheumatological diseases
• Peripheral vascular diseases
• Difference in length between extremities

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Double Blind

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50 participants in 2 patient groups, including a placebo group

Biomechanical Taping

Experimental group

Description:

Anti pronation taping will apply bilaterally with Dynamic Tape®. The tape will attach to the dorsal aspect of the foot. A home-based exercise program will apply in the first session. Printouts showing the exercises will give to the patients. Exercises will be done at home for 4 weeks, 5 d/w.

Treatment:

Other: Taping

Placebo Taping

Placebo Comparator group

Description:

Placebo Taping will apply bilaterally to each individual in the control group by the same physiotherapist, without any effect on increased pronation. A home-based exercise program will apply in the first session. Printouts showing the exercises will give to the patients. Exercises will be done at home for 4 weeks, 5 d/w.

Treatment:

Other: Taping