RESUMEN
[Purpose] This study investigated the effects of lengthwise postural taping on a patient having lumbar spine rotation with flexion syndrome during prolonged periods of sitting. [Subject and Methods] The subject was a 22-year-old woman who had developed transient low back pain in the lumbo-pelvic region. The subject was asked to sit in a chair during 30 minutes of computer work under three conditions: no taping, extensive lumbo-pelvic region taping, and lengthwise lumbo-pelvic region taping. The center of force and mean peak gluteal pressure were measured using a TekScan system. [Results] With extensive taping, the AP center of force progressively decreased after 10, 20, and 30â min, while the ML center of force differed only slightly by time point. With lengthwise taping, the ML and AP center of force decreased after 20â min. [Conclusion] These findings suggest that lengthwise taping is a useful method for patients having lumbar rotation with flexion syndrome to prevent slumped sitting posture and excessive pressure on the gluteal muscles.
RESUMEN
BACKGROUND: Altered gait patterns with lumbar-flexed posture threaten the quality of life in patients with lumbar spinal stenosis; however, few studies have developed management strategies to improve gait patterns and lumbo-pelvic posture. The present study investigated the effects of lumbo-pelvic postural taping on pelvic tilt, spatiotemporal gait parameters, and pain during walking in patients with lumbar spinal stenosis. METHODS: The pelvic tilt and gait parameters were assessed in 20 patients with lumbar spinal stenosis before sustained walking using a palpation meter and GAITRite system, respectively. Next, the participants were asked to walk on the ground for 20 min or until they complained of symptoms of neurogenic claudication. Pelvic tilt and gait parameters were measured immediately after the manifestation of neurogenic claudication followed by the application of lumbo-pelvic postural taping. The participants rated the pain intensity using a visual analog scale. Changes in dependent variables among the conditions were analyzed using a one-way repeated-measures analysis of variance. FINDINGS: The results show a decreased pelvic anterior tilt, walking velocity, and step and stride lengths, as well as an increased base of support and pain after severe symptoms of neurogenic claudication (P<0.05). However, a greater pelvic anterior tilt, faster walking velocity with a longer step and stride length, and decreased base of support and pain were found after the application of postural taping (P≤0.001). INTERPRETATION: These findings suggest that lumbo-pelvic postural taping can provide beneficial management for improving gait patterns and lumbo-pelvic posture in patients with lumbar spinal stenosis.