Effect of Kinesio Taping and Soft Orthosis Application on Thepain and Functional Disability in Lumbar Region Pathologies without Neurological Deficits: A Randomized Controlledexperimental Study

Background:The technique of Kinesio-Taping is a method of adhesive bandage exerting traction on the skin which would favorably influence the muscular and articular systems by reducing the pressure exerted on the subcutaneous mechanoreceptors thus reducing pain and muscle tension.Objectives:The aim of this study is to assess the effectiveness of Kinesio-Taping in the short and medium term on pain and function in patients with chronic nonspecific low back pain compared to a placebo.Methods:We conducted a double-blind, two-arm randomized clinical trial. The study should include a total of 70 patients randomized into 2 groups: Kinesio-Taping (n = 35) and control group (n = 35). To this date we have included 46 patients.All patients receives four I-shaped adhesive strips arranged in a star-like shape and applied to the most painful region of the lower back with a tension between 25% to 30% in the taping group. The placebo group received a taping procedure with no tension.Taping is applied three times (at baseline, fourth and eighth day). Patients are assessed at baseline, on day 14 and at 4 weeks by the Arabic version of the Oswestry Physical and Functional Disability Index (ODI) which is the primary outcome. The secondary outcomes are the assessment of pain and functional disability according to the visual analog scale (VAS) evaluated on a scale of 0 to 10, as well as Rolland-Morris score.Results:Both groups were comparable at baseline concerning the demographical and clinical characteristics (P > 0.05) (table 1). The result of repeated measures ANOVA showed a significant change in ODI score and in VAS for pain and functional disability as well as Rolland-Morris score in both groups. Using the ANCOVA, controlling for pre-test scores, a significant difference was found between the two groups (table 2).Table 1. Clinical characteristics of study population.Conclusion:Our clinical trial offers preliminary evidence on the superiority of Kinesio-Taping in the treatment chronic back pain compared to placebo concerning the reduction of pain and disability. Thus, it can be used as a complementary method in chronic non-specific low back pain.Table 2. Primary and secondary outcomes in the Kinesio-Taping and placebo group.Disclosure of Interests:None declared

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Symptomatic epidural lipomatosis in ectopic Cushing's syndrome

Acta Endocrinologica ◽

10.1530/eje.0.1510765 ◽

2004 ◽

pp. 765-769 ◽

Cited By ~ 27

Author(s):

AG Bodelier ◽

W Groeneveld ◽

AN van der Linden ◽

HR Haak

Keyword(s):

Cushing’S Syndrome ◽

Cushing's Syndrome ◽

Neurological Symptoms ◽

Neurological Deficits ◽

Pathophysiological Mechanism ◽

Lumbar Region ◽

Epidural Lipomatosis ◽

Ectopic Cushing’S Syndrome ◽

Initial Symptoms ◽

Epidural Fat

We report a case of spinal epidural lipomatosis (SEL) caused by ectopic Cushing's syndrome and give a review of the literature. The most common cause of SEL is prolonged therapy with glucocorticoids, only a very few cases are related to endogenous Cushing's syndrome. The pathophysiological mechanism is not clear but there is a possible role for the autonomic nervous system in the stimulation of growth of epidural fat. Severe neurological symptoms which indicate myelopathy and radiculopathy can occur, but there is often a delay in diagnosis because the non-specific initial symptoms are not recognized. The epidural fat is mostly located in the thoracic and lumbar region. Magnetic resonance imaging can establish the diagnosis rapidly. In patients with severe neurological symptoms, surgical decompression of the myelum and removal of the epidural fat is the treatment of choice. Most patients have partial or complete recovery of neurological deficits after surgical treatment or after discontinuing glucocorticoid therapy; mild cases can also be treated conservatively. Routine imaging for the detection of epidural-located lipomatosis in patients at risk is probably useful.

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BMS-986020, a Specific LPA1 Antagonist, Provides Neuroprotection against Ischemic Stroke in Mice

Antioxidants ◽

10.3390/antiox9111097 ◽

2020 ◽

Vol 9 (11) ◽

pp. 1097

Author(s):

Bhakta Prasad Gaire ◽

Arjun Sapkota ◽

Ji Woong Choi

Keyword(s):

Ischemic Stroke ◽

Survival Rate ◽

Cell Apoptosis ◽

Functional Disability ◽

Brain Infarction ◽

Tissue Loss ◽

Neurological Deficits ◽

Neuroprotective Effects ◽

Acute Injuries

Stroke is a leading cause of death. Stroke survivors often suffer from long-term functional disability. This study demonstrated neuroprotective effects of BMS-986020 (BMS), a selective lysophosphatidic acid receptor 1 (LPA1) antagonist under clinical trials for lung fibrosis and psoriasis, against both acute and sub-acute injuries after ischemic stroke by employing a mouse model with transient middle cerebral artery occlusion (tMCAO). BMS administration immediately after reperfusion significantly attenuated acute brain injuries including brain infarction, neurological deficits, and cell apoptosis at day 1 after tMCAO. Neuroprotective effects of BMS were preserved even when administered at 3 h after reperfusion. Neuroprotection by BMS against acute injuries was associated with attenuation of microglial activation and lipid peroxidation in post-ischemic brains. Notably, repeated BMS administration daily for 14 days after tMCAO exerted long-term neuroprotection in tMCAO-challenged mice, as evidenced by significantly attenuated neurological deficits and improved survival rate. It also attenuated brain tissue loss and cell apoptosis in post-ischemic brains. Mechanistically, it significantly enhanced neurogenesis and angiogenesis in injured brains. A single administration of BMS provided similar long-term neuroprotection except survival rate. Collectively, BMS provided neuroprotection against both acute and sub-acute injuries of ischemic stroke, indicating that BMS might be an appealing therapeutic agent to treat ischemic stroke.

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The Management and Rehabilitation of the Stroke Patient

Scottish Medical Journal ◽

10.1177/003693308002500443 ◽

1980 ◽

Vol 25 (4) ◽

pp. S41-S43

Author(s):

J. Marshall

Keyword(s):

Stroke Patient ◽

Functional Disability ◽

Neurological Deficits ◽

Sensory Loss ◽

Clinical Context ◽

Neurological Defect

The residual neurological deficits after stroke are discussed in this article. The main problems are weakness, spasticity and rigidity. Weakness may be amenable to help with a variety of physical aids and mobility maintained with a wheelchair. Spasticity is defined in terms of the neurological defect and its consequences examined in the clinical context of the stroke patient. The place of antispastic drugs and their method of use is described. The importance of sensory loss in the production of functional disability is also discussed.

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Effect of Kinesio Taping on Pain and Functional Disability in Chronic Nonspecific Low Back Pain

Spine ◽

10.1097/brs.0000000000001447 ◽

2016 ◽

Vol 41 (14) ◽

pp. E821-E828 ◽

Cited By ~ 19

Author(s):

Amal T. Al-Shareef ◽

Mohammed T.A. Omar ◽

Amal H.M. Ibrahim

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Functional Disability ◽

Low Back ◽

Kinesio Taping

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A Rare Case of Spinal Subdural Hematoma Complicating Minimally Invasive Lumbar Micro Discectomy and Decompression for Recurrent Lumbar Disc Herniation

Journal of Clinical Review & Case Reports ◽

10.33140/jcrc.04.03.02 ◽

2019 ◽

Vol 4 (3) ◽

Keyword(s):

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Failed Back Surgery Syndrome ◽

Neurological Deficits ◽

Unusual Complication ◽

Lumbar Region ◽

Failed Back Surgery ◽

Spinal Subdural Hematoma ◽

Recurrent Lumbar Disc Herniation

Spinal subdural hematomas is a very rare and unusual complication of spinal interventions. We present a case of subacute SSDH in the lumbar region of a 60 year-old woman following microdiscectomy for recurrent lumbar disc herniation. By presenting this rarely seen case of postoperative subacute SSDH, we want to bring attention to the possible postoperative complications like spinal hematomas in the differential diagnosis of failed back surgery syndrome in patients who do not respond to conservative treatment or develop neurological deficits and to the importance of radiological imaging in such cases.

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Prospective assessment of concomitant lumbar and chronic subdural hematoma: is migration from the intracranial space involved in their manifestation?

Journal of Neurosurgery Spine ◽

10.3171/2013.10.spine13346 ◽

2014 ◽

Vol 20 (2) ◽

pp. 157-163 ◽

Cited By ~ 17

Author(s):

Rinko Kokubo ◽

Kyongsong Kim ◽

Masahiro Mishina ◽

Toyohiko Isu ◽

Shiro Kobayashi ◽

...

Keyword(s):

Chronic Subdural Hematoma ◽

Neurological Deficits ◽

Hemorrhagic Diathesis ◽

Lumbar Region ◽

Major Mechanism ◽

Lumbar Area ◽

Key Factor ◽

Prospective Assessment ◽

Lumbar Mri ◽

A Prospective Study

Object Spinal subdural hematomas (SDHs) are rare and some are concomitant with intracranial SDH. Their pathogenesis and etiology remain to be elucidated although their migration from the intracranial space has been suggested. The authors postulated that if migration plays a major role, patients with intracranial SDH may harbor asymptomatic lumbar SDH. The authors performed a prospective study on the incidence of spinal SDH in patients with intracranial SDH to determine whether migration is a key factor in their concomitance. Methods The authors evaluated lumbar MR images obtained in 168 patients (125 males, 43 females, mean age 75.6 years) with intracranial chronic SDH to identify cases of concomitant lumbar SDH. In all cases, the lumbar MRI studies were performed within the 1st week after surgical irrigation of the intracranial SDH. Results Of the 168 patients, 2 (1.2%) harbored a concomitant lumbar SDH; both had a history of trauma to both the head and the hip and/or lumbar area. One was an 83-year-old man with prostate cancer and myelodysplastic syndrome who suffered trauma to his head and lumbar area in a fall from his bed. The other was a 70-year-old man who had hit his head and lumbar area in a fall. Neither patient manifested neurological deficits and their hematomas disappeared under observation. None of the patients with concomitant lumbar SDH had sustained head trauma only, indicating that trauma to the hip or lumbar region is significantly related to the concomitance of SDH (p < 0.05). Conclusions As the incidence of concomitant lumbar and intracranial chronic SDH is rare and both patients in this study had sustained a direct impact to the head and hips, the authors suggest that the major mechanism underlying their concomitant SDH was double trauma. Another possible explanation is hemorrhagic diathesis and low CSF syndrome.

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Management of Plasmacytomas of the Spine

Neurosurgery ◽

10.1227/00006123-198307000-00005 ◽

1983 ◽

Vol 13 (1) ◽

pp. 30-36 ◽

Cited By ~ 18

Author(s):

Christopher M. Loftus ◽

Christopher B. Michelsen ◽

Frederick Rapoport ◽

J. Lobo Antunes

Keyword(s):

Symptomatic Relief ◽

Neurological Deficits ◽

Lumbar Region ◽

Medical Work ◽

Systemic Involvement ◽

Neurological Improvement ◽

Definition Of ◽

Work Up

Abstract Epidural plasmacytoma often reflects systemic myelomatous involvement and usually has a poor prognosis. The isolated spinal plasmacytoma, however, is a lesion with the potential for long term remission or even cure in some cases. We report six patients with isolated plasmacytoma of the low thoracic or lumbar region, all of whom presented with pain and minimal neurological deficits. Our approach to such cases included a complete medical work-up and radiographic definition of the lesion with a bone scan, a skeletal survey, myelography, computed tomography, and, in some instances, spinal angiography. All of these patients underwent laminectomy and spinal fusion with autologous bone and harrington rods. There was no morbidity associated with the procedure, which was designed to prevent possible collapse during subsequent radiotherapy or chemotherapy, with its attendant potential for neurological catastrophe. Several patients have developed systemic involvement necessitating chemotherapy, but in follow-up extending now to 4 years all patients remain ambulatory and pain-free. We are encouraged by the potential for symptomatic relief and neurological improvement of patients with isolated spinal plasmacytomas who are treated with an aggressive medical and surgical approach.

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Topacheous gout as a rare cause of spinal stenosis in the lumbar region

Journal of Neurosurgery Spine ◽

10.3171/spi.2005.2.2.0215 ◽

2005 ◽

Vol 2 (2) ◽

pp. 215-217 ◽

Cited By ~ 21

Author(s):

Joseph Kelly ◽

Chris Lim ◽

Mahmoud Kamel ◽

Catherine Keohane ◽

Michael O'Sullivan

Keyword(s):

Spinal Stenosis ◽

Metabolic Disorder ◽

Axial Skeleton ◽

Neurological Deficits ◽

Lumbar Region ◽

Pathological Features ◽

Content Type ◽

History Of ◽

Lumbar Spinal ◽

Fine Print

✓ Despite the fact that gout is a common metabolic disorder, because its involvement of the axial skeleton is rare the diagnosis is often delayed, even in patients with long-standing gout who present with neurological deficits. The authors report the case of a woman with a history of extensive gout, emphasizing the clinical, radiological, and pathological features of a lumbar spinal stenosis.

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A Comparison of 6 Weeks of Aquatic Exercise and Kinesio Taping in Patients With Chronic Nonspecific Low Back Pain

Journal of Sport Rehabilitation ◽

10.1123/jsr.2019-0185 ◽

2021 ◽

Vol 30 (1) ◽

pp. 37-42

Author(s):

Yaser Alikhajeh ◽

Elyas Barabadi ◽

Gholam Rasul Mohammad Rahimi

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Functional Disability ◽

Controlled Trial ◽

Aquatic Exercise ◽

Control Group ◽

Low Back ◽

Kinesio Taping ◽

The Impact

Context: In many societies, although chronic low back pain (LBP) is a significant problem, there is no consensus on the optimal therapeutic intervention. Objective: To compare the impact of aquatic exercise (AE) and kinesio taping (KT) on the pain intensity and functional incapacity in women with chronic nonspecific LBP. Design: Randomized controlled trial. Setting: Outpatient clinic. Participants: Thirty-six women with chronic nonspecific LBP (mean [SD]: age = 50.69 [4.187] y) participated. Interventions: Participants randomly assigned to AE (n = 12), KT (n = 12), and nontreatment control (n = 12) groups for 6 weeks. Main Outcome Measures: Pain intensity and functional disability were evaluated at baseline and the end of the intervention. Results: Pain intensity decreased more in the AE group than in the KT group (5.9–0.5 cm [91.6% decrease] vs 5.7–2.4 cm [58.1% decrease], respectively; P < .001 for both after Bonferroni post hoc test); the values decreased more in the 2 treatment groups than in the control group (P < .001 for between-group comparisons). Disability decreased more in the AE group (43.2%–18.8% [55.6% decrease]) than the KT group (37.8%–19.3% [48.3% decrease]) (P < .001 for both comparisons), but increased in the control group (38.7%–41.2% [6.5% increase]; P = .045). Conclusion: These results suggest AE and KT treatment methods provide pain intensity and disability improvements in women with chronic nonspecific LBP. Nevertheless, AE was more effective than KT.

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