Application of posterior pelvic tilt taping for the treatment of chronic low back pain with sacroiliac joint dysfunction and increased sacral horizontal angle.
OBJECTIVE
Kinesio Taping (KT) is a therapeutic method used by physical therapists and athletic trainers in combination with other treatment techniques for various musculoskeletal and neuromuscular problems. However, no research has evaluated the effect of KT in patients with low back pain (LBP). The purpose of this case was to describe the application of posterior pelvic tilt taping (PPTT) with Kinesio tape as a treatment for chronic LBP and to reduce the anterior pelvic tilt angle.


METHODS
Case report.


METHODS
The patien was a 20-year-old female amateur swimmer with a Cobb's angle (L1-S1) of 68°, a sacral horizontal angle of 45°, and pain in both medial buttock areas and sacroiliac joints. We performed PPTT with Kinesio tape for 2 weeks (six times per week for an average of 9 h each time).


RESULTS
The patient’s radiographs showed that the Cobb's angle (L1-S1) had decreased from 68° to 47° and that the sacral horizontal angle had decreased from 45° to 31°. Reductions in hypomobility or motion asymmetry, as assessed by the motion palpation test, and in pain, as measured by the pain-provocation tests, were observed. On palpation for both medial buttock areas in the prone position, the patient felt no pain. The patient experienced no pain or stiffness in the low back area while performing forward flexion in the standing position with knees fully extended when washing dishes in the sink.


CONCLUSIONS
The case study demonstrated that PPTT intervention favourably affected the pelvic inclination and sacral horizontal angle, leading to beneficial effects on sacroiliac joint dysfunction (SIJD) and medial buttock pain. Additional research on the clinical effects of this taping procedure requires greater numbers of athletes with SIJD or LBP who have inappropriate anterior pelvic tilt angles and hyperlordosis.
Department of Physical Therapy, Inje University Pusan Paik Hospital and Department of Physical Therapy, The Graduate School, Inje University, Republic of Korea.
Jung-hoon
JH
Lee
Won-gyu
WG
Yoo
D055052:Athletic Tape; D001696:Biomechanical Phenomena; D002908:Chronic Disease; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D017116:Low Back Pain / Q000000981:diagnostic imaging / Q000473:pathology / Q000534:rehabilitation*; D010147:Pain Measurement; D010388:Pelvis; D011859:Radiography; D012446:Sacroiliac Joint / Q000000981:diagnostic imaging / Q000473:pathology*; D012447:Sacrum / Q000000981:diagnostic imaging / Q000473:pathology*; D013550:Swimming / Q000293:injuries*; D055815:Young Adult