Lumbar Core Muscle Stability Training Combined with Kinesiology Taping Technique in Rehabilitation Treatment of Lumbar Disc Herniation

Abstract

Objective: This study mainly explored the therapeutical efficacy of kinesiology taping alone or in combination with lumbar core muscle stability rehabilitation in the rehabilitation of lumbar disc herniation (LDH), with the hope to provide references for the clinical rehabilitation treatment of this disease. Methods: A total of 99 eligible LDH patients admitted to Yinzhou Second Hospital of Ningbo from January 2018 to January 2020 were enrolled and randomly divided into control group (n = 49) and observation group (n = 50) using a random number table. In control group, patients received kinesiology taping treatment, while in observation group, patient underwent the combined treatment of kinesiology taping and lumbar core muscle stability rehabilitation training. The clinical efficacy, lumbar function and pain levels before and after treatment, surface electromyography (sEMG) values of lumbar and thoracic extensor muscles, lumbar functional activity, and incidence of skin allergies were compared between the two groups. Results: After 4 weeks of treatment, the Visual Analog Scale (VAS) score and Oswestry Disability Index (ODI) score in the observation group were significantly lower than those in the control group (p < 0.05), while the Japanese Orthopaedic Association (JOA) score, mean power frequency (MPF) and integrated electromyography (iEMG) of back extensor muscles, and lumbar functional activity scores were significantly higher than those in the control group (p < 0.05). During treatment, there was no significant difference in complication rates between the two groups (p > 0.05). After 4 weeks of treatment, the recurrence rate in the observation group was significantly lower than that in the control group (p < 0.05). Conclusion: The combined therapy of lumbar core muscle stability training and kinesiology taping technique can more effectively relieve muscle fatigue, contribute to alleviate lumbar pain and enhance lumbar functional activity, therefore it is superior to kinesiology taping technique alone in treating LDH.