It is well recognised that low back pain is a significant public health problem and engagement in... more It is well recognised that low back pain is a significant public health problem and engagement in moderate levels of physical activity is associated with positive outcomes. Conservative active care, such as exercise, is effective in reducing pain and disability associated with chronic low back pain. However, a rapid decline in clinical outcomes is commonly seen after discharge from treatment. We will conduct a randomised controlled trial to investigate the effectiveness of a mobile health supported physical activity intervention (compared to standard care) in care-seeking, pain and disability in people with chronic low back pain after discharge from treatment. We will recruit 68 patients with chronic low back pain following discharge from an outpatient hospital program, who will be randomly allocated to the physical activity intervention (n = 34) or the standard care group (n = 34) and monitored for 6 months. The physical activity intervention will involve a physical activity advice booklet, a face-to-face health coaching session and 12 fortnightly follow-up telephone-based health coaching sessions. This intervention will be supported by provision of a specifically designed web app and a physical activity monitoring device (FitBit). The standard care group will receive the physical activity advice booklet only. This pilot trial will investigate a new model to prevent clinical decline in people following conservative treatment for chronic low back pain. If proven to be effective, this approach will constitute a major advance in the management of low back pain. Chronic patients who experience recurrent pain and disability after treatment are prone to seek additional care in the form of physiotherapy, medication, emergency department attendance, specialist consultation or spinal surgery. This model aims to maintain functional levels and reduce care-seeking empowering patients to self-manage their low back pain by offering them a contemporary patient-centred physical activity program with the support of mobile health technology. The outcomes of this trial will have immediate implications for clinical practice. ACTRN12615000189527 (26-02-2015).
This Provisional PDF corresponds to the article as it appeared upon acceptance. Fully formatted P... more This Provisional PDF corresponds to the article as it appeared upon acceptance. Fully formatted PDF english version will be made available soon. O Kinesio Taping ® não altera o senso de posição articular em sujeitos saudáveis: ensaio clínico, randomizado.
Introduction: The Kinesio Taping ® is an elastic functional tape with specific characteristics th... more Introduction: The Kinesio Taping ® is an elastic functional tape with specific characteristics that, when applied on muscles, aims to assist and functionally support them. Its effect on proprioception, a component of the somatosensory system, is still poorly understood. Objective: To assess the immediate effects of the application of Kinesio Taping ® (KT) on knee joint position sense (JPS) of healthy subjects. Method: This is a controlled, randomized-blinded clinical trial. Sixty females volunteers (age: 23.3 ± 2.5 years, BMI: 22.2 ± 2.1 kg/m 2 ) were randomly divided into 3 groups with 20 members each, and they performed one of three protocols: control -10 minutes of resting; nonelastic adhesive tapeapplication over the rectus femoris (RF), vastus lateralis (VL) and vastus medialis (VM) muscles; and KT -application of KT over the same muscles. All were subjected to knee JPS evaluation on an isokinetic dynamometer, in which the analyzed variable was the absolute error, before and after interventions. Results: There were no significant changes in knee JPS in the assessed groups, using absolute error (control group p=0,14; nonelastic adhesive tape group p=0,32; KT group p=0,91). Conclusion: The application of KT on the RF, VL and VM muscles was not able to significantly improve the knee JPS of healthy women.
The aim of this study was to analyze the immediate effects of applying Kinesio Taping Ò (KT) on t... more The aim of this study was to analyze the immediate effects of applying Kinesio Taping Ò (KT) on the neuromuscular performance of femoral quadriceps, postural balance and lower limb function in healthy subjects. This is a randomized, blind, controlled, clinical trial, where sixty female volunteers (age: 23.3 AE 2.5 years; BMI: 22.2 AE 2.1 kg/m 2 ) were randomly assigned to three groups of 20 subjects each: control (10 min at rest); nonelastic adhesive tape (application over the rectus femoris, vastus lateralis and vastus medialis muscles); and KT (KT application over the same muscles). All individuals were assessed for single and triple hops, postural balance (by baropodometry), peak concentric and eccentric torque and electromyographic activity of vastus lateralis, before and after interventions. No significant differences in electromyographic activity of the VL or concentric and eccentric knee peak torque were recorded, between groups and initial and final assessment in any of the three groups. We also observed no significant alteration in single and triple-hop distance and one-footed static balance between the three groups. Application of KT to RF, VL and VM muscles did not significantly change lower limb function, postural balance, knee extensor peak torque or electromyographic activity of VL muscle in healthy women.
It is well recognised that low back pain is a significant public health problem and engagement in... more It is well recognised that low back pain is a significant public health problem and engagement in moderate levels of physical activity is associated with positive outcomes. Conservative active care, such as exercise, is effective in reducing pain and disability associated with chronic low back pain. However, a rapid decline in clinical outcomes is commonly seen after discharge from treatment. We will conduct a randomised controlled trial to investigate the effectiveness of a mobile health supported physical activity intervention (compared to standard care) in care-seeking, pain and disability in people with chronic low back pain after discharge from treatment. We will recruit 68 patients with chronic low back pain following discharge from an outpatient hospital program, who will be randomly allocated to the physical activity intervention (n = 34) or the standard care group (n = 34) and monitored for 6 months. The physical activity intervention will involve a physical activity advice booklet, a face-to-face health coaching session and 12 fortnightly follow-up telephone-based health coaching sessions. This intervention will be supported by provision of a specifically designed web app and a physical activity monitoring device (FitBit). The standard care group will receive the physical activity advice booklet only. This pilot trial will investigate a new model to prevent clinical decline in people following conservative treatment for chronic low back pain. If proven to be effective, this approach will constitute a major advance in the management of low back pain. Chronic patients who experience recurrent pain and disability after treatment are prone to seek additional care in the form of physiotherapy, medication, emergency department attendance, specialist consultation or spinal surgery. This model aims to maintain functional levels and reduce care-seeking empowering patients to self-manage their low back pain by offering them a contemporary patient-centred physical activity program with the support of mobile health technology. The outcomes of this trial will have immediate implications for clinical practice. ACTRN12615000189527 (26-02-2015).
This Provisional PDF corresponds to the article as it appeared upon acceptance. Fully formatted P... more This Provisional PDF corresponds to the article as it appeared upon acceptance. Fully formatted PDF english version will be made available soon. O Kinesio Taping ® não altera o senso de posição articular em sujeitos saudáveis: ensaio clínico, randomizado.
Introduction: The Kinesio Taping ® is an elastic functional tape with specific characteristics th... more Introduction: The Kinesio Taping ® is an elastic functional tape with specific characteristics that, when applied on muscles, aims to assist and functionally support them. Its effect on proprioception, a component of the somatosensory system, is still poorly understood. Objective: To assess the immediate effects of the application of Kinesio Taping ® (KT) on knee joint position sense (JPS) of healthy subjects. Method: This is a controlled, randomized-blinded clinical trial. Sixty females volunteers (age: 23.3 ± 2.5 years, BMI: 22.2 ± 2.1 kg/m 2 ) were randomly divided into 3 groups with 20 members each, and they performed one of three protocols: control -10 minutes of resting; nonelastic adhesive tapeapplication over the rectus femoris (RF), vastus lateralis (VL) and vastus medialis (VM) muscles; and KT -application of KT over the same muscles. All were subjected to knee JPS evaluation on an isokinetic dynamometer, in which the analyzed variable was the absolute error, before and after interventions. Results: There were no significant changes in knee JPS in the assessed groups, using absolute error (control group p=0,14; nonelastic adhesive tape group p=0,32; KT group p=0,91). Conclusion: The application of KT on the RF, VL and VM muscles was not able to significantly improve the knee JPS of healthy women.
The aim of this study was to analyze the immediate effects of applying Kinesio Taping Ò (KT) on t... more The aim of this study was to analyze the immediate effects of applying Kinesio Taping Ò (KT) on the neuromuscular performance of femoral quadriceps, postural balance and lower limb function in healthy subjects. This is a randomized, blind, controlled, clinical trial, where sixty female volunteers (age: 23.3 AE 2.5 years; BMI: 22.2 AE 2.1 kg/m 2 ) were randomly assigned to three groups of 20 subjects each: control (10 min at rest); nonelastic adhesive tape (application over the rectus femoris, vastus lateralis and vastus medialis muscles); and KT (KT application over the same muscles). All individuals were assessed for single and triple hops, postural balance (by baropodometry), peak concentric and eccentric torque and electromyographic activity of vastus lateralis, before and after interventions. No significant differences in electromyographic activity of the VL or concentric and eccentric knee peak torque were recorded, between groups and initial and final assessment in any of the three groups. We also observed no significant alteration in single and triple-hop distance and one-footed static balance between the three groups. Application of KT to RF, VL and VM muscles did not significantly change lower limb function, postural balance, knee extensor peak torque or electromyographic activity of VL muscle in healthy women.
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