Use of a non-medicated tape in non-specific low back pain: A single-blind, randomized, placebo-controlled trial
Keywords:
lumbar, patch, LBP, RMDQ, disabilityAbstract
Background and aim: Low back pain (LBP) is prevalent and often non-specific disease. Kinesiology taping shows mixed evidence, and far-infrared (FIR)–reflecting tapes are promising. To evaluate the efficacy of an FIR-reflecting tape (FT) versus standard kinesiology tape (KT) and placebo for chronic non-specific LBP.
Methods: A single-blind trias was conducted evaluating adults patients (aged 30–60 years) with chronic LBP >6 months, NRS 6–10, no radiculopathy or red flags; n=240 randomized (FT, n=80; KT, n=80; placebo, n=80). Tapes were applied to the lumbar region for two 5-day applications separated by a 3-day interval (total 14 days). Outcomes at T0, T1 (day 5), T2 (day 8), and T3 (day 14) included pain (NRS), disability (Roland-Morris Disability Questionnaire, RMDQ), and lumbar range of motion (ROM). Non-parametric analyses (Shapiro–Wilk; Kruskal–Wallis; Friedman) with α=0.05.
Results: All participants completed the protocol with no adverse events. Groups were comparable at baseline. Between-group differences favored FT at all post-baseline time points for NRS, RMDQ, and ROM (p<0.05). FT reduced NRS from 8.09±0.89 to 2.19±0.92 at T3 (p<0.001), versus KT 8.15±0.84→4.00±1.21 (p<0.01) and placebo 7.95±0.83→6.54±1.40 (p<0.05). RMDQ improved to 12.13±2.72 with FT (p<0.001) vs 15.26±2.75 (KT, p<0.01) and 18.33±2.75 (placebo, ns). ROM gains were greatest with FT (p<0.001).
Conclusions: FT tape produced superior pain relief, disability reduction, and mobility gains over 14 days compared with standard kinesiology and placebo tapes. FT tape offers a safe, drug-free adjunct to outpatient LBP care, potentially accelerating pain reduction and functional recovery.
References
Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet (London, England). 2017 Feb;389(10070):736–47. doi: 10.1016/S0140-6736(16)30970-9.
2. Knezevic NN, Candido KD, Vlaeyen JWS, et al. Low back pain. Lancet (London, England). 2021 Jul;398(10294):78–92. doi: 10.1016/S0140-6736(21)00733-9.
3. Urits I, Burshtein A, Sharma M, et al. Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment. Curr Pain Headache Rep. 2019 Mar;23(3):23. doi: 10.1007/s11916-019-0757-1.
4. Chou R. Low Back Pain. Ann Intern Med. 2021 Aug;174(8):ITC113–28. doi: 10.7326/AITC202108170.
5. Chenot J-F, Greitemann B, Kladny B, et al. Non-Specific Low Back Pain. Dtsch Arztebl Int. 2017 Dec;114(51–52):883–90. doi: 10.3238/arztebl.2017.0883.
6. Corp N, Mansell G, Stynes S, et al. Evidence-based treatment recommendations for neck and low back pain across Europe: A systematic review of guidelines. Eur J Pain. 2021 Feb;25(2):275–95. doi: 10.1002/ejp.1679.
7. Gibbs D, McGahan BG, Ropper AE, et al. Back Pain: Differential Diagnosis and Management. Neurol Clin. 2023 Feb;41(1):61–76. doi: 10.1016/j.ncl.2022.07.002. Epub 2022 Oct 29.
8. Hayden JA, Ellis J, Ogilvie R, et al. Exercise therapy for chronic low back pain. Cochrane database Syst Rev. 2021 Sep;9(9):CD009790. doi: 10.1002/14651858.CD009790.pub2.
9. Rubinstein SM, Terwee CB, Assendelft WJJ, et al. Spinal manipulative therapy for acute low-back pain. Cochrane database Syst Rev. 2012 Sep;2012(9):CD008880. doi: 10.1002/14651858.CD008880.pub2.
10. Santos LF, Correia IJ, Silva AS, et al. Biomaterials for drug delivery patches. Eur J Pharm Sci Off J Eur Fed Pharm Sci. 2018 Jun;118:49–66. doi: 10.1016/j.ejps.2018.03.020.
11. Predel H-G, Connolly MP, Bhatt A, et al. Efficacy and safety assessment of acute sports-related traumatic soft tissue injuries using a new ibuprofen medicated plaster: results from a randomized controlled clinical trial. Phys Sportsmed. 2017 Nov;45(4):418–25. doi: 10.1080/00913847.2017.1382305.
12. Yarlas A, Miller K, Wen W, et al. Buprenorphine transdermal system compared with placebo reduces interference in functioning for chronic low back pain. Postgrad Med. 2015 Jan;127(1):38–45. doi: 10.1080/00325481.2014.992715.
13. Nelson NL. Kinesio taping for chronic low back pain: A systematic review. J Bodyw Mov Ther. 2016 Jul;20(3):672–81. doi: 10.1016/j.jbmt.2016.04.018.
14. Sheng Y, Duan Z, Qu Q, et al. Kinesio taping in treatment of chronic non-specific low back pain: a systematic review and meta-analysis. J Rehabil Med. 2019 Oct;51(10):734–40. doi: 10.2340/16501977-2605.
15. Kaplan Ş, Alpayci M, Karaman E, et al. Short-Term Effects of Kinesio Taping in Women with Pregnancy-Related Low Back Pain: A Randomized Controlled Clinical Trial. Med Sci Monit Int Med J Exp Clin Res. 2016 Apr;22:1297–301. doi: 10.12659/msm.898353.
16. Palmieri B, Vadalà M, Laurino C. The FIT therapy for the treatment of musculoskeletal and neurological disorders related symptoms: A retrospective observational study. Asian J Med Sci. 2019;10(5):6–12. doi: 10.3126/ajms.v10i5.21230
17. Ricci M, Mulone A, Elena N, et al. Use of a non-medicated plaster in chronic lumbar back pain: a randomized controlled trial. Acta Biomed. 2022 Aug;93(4):e2022260. doi: 10.23750/abm.v93i4.12931.
18. Wang Y-H, Cheng F-Y, Chao Y-FC, et al. Effects of Far-Infrared Therapy on Foot Circulation Among Hemodialysis Patients With Diabetes Mellitus. Biol Res Nurs. 2020 Jul;22(3):403–11. doi: 10.1177/1099800420923730.
19. Li K, Zhang Z, Liu NF, et al. Efficacy and safety of far infrared radiation in lymphedema treatment: clinical evaluation and laboratory analysis. Lasers Med Sci. 2017 Apr;32(3):485–94. doi: 10.1007/s10103-016-2135-0.
20. Lai Y-T, Chan H-L, Lin S-H, et al. Far-infrared ray patches relieve pain and improve skin sensitivity in myofascial pain syndrome: A double-blind randomized controlled study. Complement Ther Med. 2017 Dec;35:127–32. doi: 10.1016/j.ctim.2017.10.007.
21. Lai C-H, Leung T-K, Peng C-W, et al. Effects of far-infrared irradiation on myofascial neck pain: a randomized, double-blind, placebo-controlled pilot study. J Altern Complement Med. 2014 Feb;20(2):123–9. doi: 10.1089/acm.2013.0122.
22. Bagnato GL, Miceli G, Atteritano M, et al. Far infrared emitting plaster in knee osteoarthritis: a single blinded, randomised clinical trial. Reumatismo. 2012 Dec;64(6):388–94. doi: 10.4081/reumatismo.2012.388.
23. Roland M, Fairbank J. The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine (Phila Pa 1976). 2000 Dec;25(24):3115–24. doi: 10.1097/00007632-200012150-00006.
24. Vatansever F, Hamblin MR. Far infrared radiation (FIR): its biological effects and medical applications. Photonics Lasers Med. 2012 Nov 1;4:255-266. doi: 10.1515/plm-2012-0034.
25. Qin B, Fu SJ, Xu XF, et al. Far-infrared radiation and its therapeutic parameters: A superior alternative for future regenerative medicine? Pharmacol Res. 2024 Oct;208:107349. doi: 10.1016/j.phrs.2024.107349.
26. Nunes RFH, Cidral-Filho FJ, Flores LJF, et al. Effects of Far-Infrared Emitting Ceramic Materials on Recovery During 2-Week Preseason of Elite Futsal Players. J Strength Cond Res. 2020 Jan;34(1):235-248. doi: 10.1519/JSC.0000000000002733.
27. Park JH, Lee S, Cho DH, et al. Far-infrared radiation acutely increases nitric oxide production by increasing Ca2+ mobilization and Ca2+/calmodulin-dependent protein kinase II-mediated phosphorylation of endothelial nitric oxide synthase at serine 1179. Biochem Biophys Res Commun. 2013 Jul 12;436(4):601-6. doi: 10.1016/j.bbrc.2013.06.003.
28. Pastore D, Pacifici F, Ciao G, et al. Far Infrared Technology (FIT) Therapy Patches, Protects from Inflammation, Oxidative Stress and Promotes Cellular Vitality. Curr Pharm Des. 2020;26(34):4323-4329. doi: 10.2174/1381612826666200427112023.
29. van Kraaij SJW, Hamblin MR, Pickering G, et al. A Phase 1 randomized, open-label clinical trial to evaluate the effect of a far-infrared emitting patch on local skin perfusion, microcirculation and oxygenation. Exp Dermatol. 2024; 33:e14962. doi:10.1111/exd.14962
30. Ricci M, Micheloni GM, Perusi F, et al. Use of a non-medicated plaster in shoulder tendinopathies. Acta Biomed. 2016 Apr 15;87 Suppl 1:90-4. PMID: 27104326.
31. Ervolino F, Gazze R. Far infrared wavelength treatment for low back pain: Evaluation of a non-invasive device. Work. 2015;53(1):157-62. doi: 10.3233/WOR-152152.
32. Pacifici F, Chiereghin F, D'Orazio M, et al. Patch-Based Far-Infrared Radiation (FIR) Therapy Does Not Impact Cell Tracking or Motility of Human Melanoma Cells In Vitro. Curr Issues Mol Biol. 2024 Sep 11;46(9):10026-10037. doi: 10.3390/cimb46090599.
33. Luz Júnior MA Da, Almeida MO De, Santos RS, et al. Effectiveness of Kinesio Taping in Patients With Chronic Nonspecific Low Back Pain: A Systematic Review With Meta-analysis. Spine (Phila Pa 1976). 2019 Jan;44(1):68–78. doi: 10.1097/BRS.0000000000002756.
34. Owen PJ, Miller CT, Mundell NL, et al. Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. Br J Sports Med. 2020 Nov;54(21):1279–87. doi: 10.1136/bjsports-2019-100886.
35. Will JS, Bury DC, Miller JA. Mechanical Low Back Pain. Am Fam Physician. 2018 Oct;98(7):421–8.
36. Abbasi S, Rasanani MRH, Ghotbi N, et al. The effect of kinesio taping on pain, functional disability, and trunk range of motion in people with nonspecific chronic low back pain: A single-group pretest-posttest trial. J Mod Rehabil. 2020;14(1):47–54. doi: https://doi.org/10.32598/JMR.14.1.6.
37. Castro-Sánchez AM, Lara-Palomo IC, Matarán-Peñarrocha GA, et al. Kinesio Taping reduces disability and pain slightly in chronic non-specific low back pain: a randomised trial. J Physiother. 2012;58(2):89–95. doi: 10.1016/S1836-9553(12)70088-7.
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