Kinesio Taping in Patients After Lumbar Disc Surgery
Condition: Lumbar Disc Surgery; Post Operative Pain
MeSH terms: Pain, Postoperative
Study type: Interventional

Summary: 
      In this study, it will be determined whether Kinesio-tape is an effective and reliable
      application in reducing pain and maintaining functionality after lumbar disc surgery, and its
      effect on the rehabilitation process will be evaluated.
    

Detailed description: 
      According to the 2019 Global Burden of Disease Survey published by the World Health
      Organization, the problems that contribute most to disability at the global level are
      musculoskeletal problems. Approximately 1.71 billion people in the world have musculoskeletal
      diseases (MSD), and low back pain is among the leading causes of disability in 160 countries.
      According to Turkey's 2019 Global Burden of Disease results, low back pain ranks first among
      the top ten causes of life years lost due to disability.

      Low back pain is also the most common symptom of lumbar disc herniation. Pharmacological,
      non-pharmacological, and surgical treatment methods can be applied according to the nature of
      the damage in lumbar disc herniation. Mild to moderate back and leg pain, disability,
      limitation of function, and decrease in work performance are among the most common problems
      encountered by patients after surgical intervention for lumbar disc herniation. It is
      important to reduce low back pain and increase functionality after surgery. Numerous
      treatments have been researched for low back pain. Kinesio-tape application is gaining
      popularity around the world and has recently been seen as a preferred option for low back
      pain.

      Kinesio-tape is a rehabilitation technique, designed to facilitate the natural healing
      process after trauma/inflammation by providing stability and support to muscles and joints.
      In recent years, its use has been increasing in musculoskeletal problems, neurological,
      rheumatic, vascular, and lymphatic problems. The Kinesio-tape is easy to apply, it can stay
      on the skin for a week; It is thought that it can be easily used by patients because it does
      not require constant effort and time, as in other physical therapy methods such as exercise.
      Although it has been suggested that Kinesio taping can be used together with traditional
      analgesic methods to reduce low back pain, no research has been found on the use of Kinesio
      tape after lumbar disc surgery. This study, it was aimed to determine whether Kinesio-taping
      is an effective and safe application in reducing post-operative lumbar pain and preserving
      functionality and to evaluate its effect on the rehabilitation process.

      The study, planned as a randomized controlled experimental study, will be conducted with 80
      patients (40 Kinesio and 40 placebo groups) who underwent lumbar disc surgery between 25 july
      2022-30 december, 2022. Data will be collected with Introductory Information Form, Visual
      Comparison Scale, Oswestry Disability Index, Functional Low Back Pain Scale, Medication
      Tracking Form, Tape Tracking Form, Gait Tracking Form, "Healing Process After Lumbar Hernia
      Surgery".

      The taping process will be done by the researcher Gülşah Bilgin, who has attended the course
      after receiving training on this subject.

      All participants in the study will be informed about the study on the first day of their
      hospitalization, and the Introductory Information Form, Visual Comparison Scale, and Oswestry
      Disability Index will be filled by the patients, and the researcher will assist the patients
      who are illiterate or have difficulty in understanding the questions. 24 hours after the
      operation, a brochure will be given to the patients and their relatives, included in the
      study by the sampling inclusion and exclusion criteria, to provide a 20-minute education and
      reminder about the use of a pedometer and home care during the rehabilitation process after
      herniated disc surgery. Visual Analogue Scale, Oswestry Disability Index, and Functional Low
      Back Pain Scale for the first follow-up will be filled and all medications taken by the
      patient, including analgesics, will be recorded on the Medication Tracking Form.

      During the treatment and follow-up periods, the use of drugs will not be restricted and they
      will be asked to record the drugs used. The individuals participating in the study will not
      be informed about which group they belong to. After the Kinesio/placebo tape application, the
      patients and their relatives will be shown how to fill out the Medication Follow-up Form and
      the Walking Follow-up Form.

      It is designed by the nurse to facilitate the natural healing process after
      trauma/inflammation by providing stability and support to the muscles and joints in patients
      who may experience moderate pain, disability and loss of functionality after lumbar disc
      surgery.

      The aim of this study was to examine the efficacy and safety of the kinesio tape to be
      applied in reducing pain and maintaining functionality.

      Tape will be applied to the placebo and kinesio groups four times and for five days each
      time. In both groups, the application days and durations of the kinesio tape will be the
      same, only the application method of the tape will differ. The application will be made in
      the surgical clinic of a public hospital. exercise to work Patients who do not have a
      disability, who do not have chronic diseases such as neurological problems, respiratory heart
      failure, diabetes, and who have undergone standard discectomy will participate. Patients who
      underwent standard discectomy in the first 24 hours post-op were randomized to one of the two
      groups.

      will be made. In the study, band application will be performed 4 times in 30 days and pain
      and functionality assessment will be made.

      Evaluation of the data: Evaluation of the data will be done in the computer environment, and
      parametric and nonparametric tests will be used according to the number, percentage, mean,
      median, and normality distribution from introductory statistics. p ≤ 0.05 will be considered
      statistically significant.
    

Intervention name(s): Kinesio taping; placebo taping
Intervention type(s): Other; Other
Intervention description(s): Patients will be informed about the study on the first day of their hospitalization and the Introductory Information Form, Visual Analogue Scale, and Oswestry Disability Index will be filled in by the patients. 24 hours after the operation, 20 minutes of training will be given to the patient and their relatives on the use of a pedometer and home care, and the first tape will be applied. After discharge, the renewal of the bands will be carried out on the postoperative 1th- 5th-10th-15th days when the patients come to the hospital for post-op evaluation. The clinical recovery of the operation area will be done by the investigative physician. In the follow-ups, evaluations will be made with the Visual Analog Scale, Medication Tracking Form, Oswestry Disability Index,Functional Low Back Pain Scale, Kinesio Tracking Form, and Gait Tracking Form.; Patients will be informed about the study on the first day of their hospitalization and the Introductory Information Form, Visual Analogue Scale, and Oswestry Disability Index will be filled in by the patients. 24 hours after the operation, 20 minutes of training will be given to the patient and their relatives on the use of a pedometer and home care, and the first tape will be applied. After discharge, the renewal of the bands will be carried out on the postoperative 1th-5th-10th-15th days when the patients come to the hospital for post-op evaluation. The clinical recovery of the operation area will be done by the investigative physician. In the follow-ups, evaluations will be made with the Visual Analog Scale, Medication Tracking Form, Oswestry Disability Index,Functional Low Back Pain Scale, Kinesio Tracking Form, and Gait Tracking Form.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: In this study, which was designed as a randomized controlled study (pretest-posttest control group design), Kinesio and placebo groups were formed as the experimental and control groups.
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Other
Keywords: Lumbar Disc Surgery; Post Operative Pain; Functionality; Rehabilitation