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Optimal days of application of Kinesiotaping for the treatment of lumbo-pelvic pain during pregnancy. A systematic review and dose-response meta-analysis [with consumer summary] |
Salazar-Mendez J, Nunez-Cortes R, Cuyul-Vasquez I, Sazo-Rodriguez S, Calatayud J, Guzman-Munoz E, Aguayo A, Carrasco B, Gonzalez A, Suso-Marti L |
Physiotherapy 2024 Dec;125:101418 |
systematic review |
OBJECTIVE: To determine the optimal dose and short-term effectiveness of kinesiotaping (KT) on pain intensity and disability in pregnant women with lumbo-pelvic pain. DATA SOURCES: MEDLINE (via PubMed Central), CINAHL, Epistemonikos, Scopus, and Web of Science from inception to 21st March 2023. STUDY SELECTION: We included randomized controlled trials (RCT) conducted on pregnant women with lumbo-pelvic pain treated with KT. DATA EXTRACTION: The outcomes included pain intensity and disability. ROB-2 and GRADE were used to assess the risk of bias and the certainty of the evidence, respectively. A random effects meta-analysis was performed using the standardized mean difference (SMD) and the corresponding 95% confidence interval (CI). The dose-response association was evaluated using a restricted cubic spline model. DATA SYNTHESIS: Seven RCTs involving 527 patients were included. Meta-analysis revealed a statistically significant effect in favor of KT on pain intensity (SMD -1.71; 95% CI -2.51 to -0.90; p = < 0.001) and on disability (SMD -1.15; 95% CI -2.29 to -0.02; p = < 0.001). The total duration of KT use ranged from 5 to 35 days. It was estimated that a dose of 5 to 10 days exceeded the minimal clinically important difference (MCID) for pain intensity (mean difference at 10 days -2.63; 95% CI -3.05 to -2.22). Low certainty of evidence was identified for both outcomes. CONCLUSIONS: In pregnant women with lumbo-pelvic pain, the use of KT for 5 to 10 days produces a short-term reduction in pain intensity that exceeds the MCID, with a low certainty of evidence. SYSTEMATIC REVIEW REGISTRATION NUMBER: Systematic Review Registration Number PROSPERO CRD42023388174.
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