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Wednesday, January 4, 2012

The Effect of Kinesiotex Taping on Back Muscle Endurance Among Patients with Low Back Pain: A Randomized Controlled Crossover Trial


Dear research participant,

We invite you to participate in a research study looking at the effects of different therapeutic taping procedures on back muscle endurance.

Nature and Purpose of the Study
When treating patents with low back pain, it is common practice among physical therapists and chiropractors to improve back muscle function and endurance.  One way to accomplish this is through the use of therapeutic taping procedures. However, little is known about the effectiveness of different taping procedures. 

Therefore the aim of this study is to compare for differences in back muscle endurance under three treatment conditions: when two different types of tape are applied to the back and when no tape is applied.

If you consent to take part in this research study, it is important that you understand the purpose of the study and the tasks you will be asked to complete. Please make sure that you ask any questions you may have, and that all your questions have been answered to your satisfaction before you agree to participate.

What the Study will Involve
Potential research participants will be considered for inclusion in this study if they are between the ages of 18 and 60 years of age and are currently experiencing low back pain.  You would be excluded from participating in this study if:
1)     Your back pain radiates into the leg and beyond the knee
2)     You exhibit signs or symptoms which may indicate a potentially serious condition
3)     You have had surgery to your lower back
4)     You are currently pregnant
5)     You have a history of tape or adhesive allergy
6)     You do not think that you could tolerate the muscle endurance test.

If you decide to participate in this study, you will be asked to complete the following tasks

·         Complete 4 questionnaires that ask about:
1)     Your demographic information (e.g., age, height, weight), and details about your history of back pain.
2)     The effects of back pain on your daily activities.
3)     The intensity of your back pain.
4)     Your attitudes about the relationship between your back pain and your work related and physical activities.

Perform a back muscle endurance assessment.  This assessment will require you to lay prone (i.e., face down) with your upper body over the end of a padded examination table, and then extend your upper body against gravity until you reach a “neutral position” meaning that your back is straight. We will use three cloth straps to secure your hips and legs to the table.  These straps will be placed over your hips, knees and ankles and towels will be placed at each level to ensure that this set up is comfortable.  Once this is accomplished, you will maintain this position as long as possible while being timed by a research staff member. Before starting this assessment, the research staff member will demonstrate the test for you.  It is estimated that the questionnaires will take approximately 30 minutes to complete and the back muscle endurance assessment will take 5 minutes to complete in addition to your travel time to and from the clinic. 

  
You will be asked to complete the back muscle endurance assessment on three different occasions, each one to three days apart.  Prior to the assessment, you will be treated using one of the previously described options (Kinesiotex tape, athletic tape or no tape).  The tape will be applied to specific muscles on your back and will be removed upon completion of the back muscle endurance assessment.

Voluntary Participation and Withdrawal from the Study
Your participation in this study is entirely voluntary. You may withdraw at any time without discrimination or prejudice. If you elect not to participate or to withdraw from the study, such actions will in no way influence quality of healthcare you receive or the relationship with your healthcare provider(s). All information is treated as confidential and no names or other details that might identify you will be used in any publication arising from the research. If you withdraw, all information you have provided will be destroyed.

Benefits of the Study
It is possible that there may be no direct benefit to you from participation in this study.

While there is no guarantee that you will personally benefit, the knowledge gained from your participation may help others in the future. For example, if one of the taping procedures appears to be more effective, future patients with low back pain may benefit from this understanding.

Possible Risks
We have identified two potential risks which could be associated with your participation in this study.  First, while this type of back muscle assessment is routinely used by clinicians caring for patients with low back pan, it is possible that you may experience some discomfort either during or following the assessment. This type of response is rare, and the discomfort is typically mild and self limiting in nature.  The second risk would be the result of a tape or adhesive allergy which had gone undetected.  This would represent a very remote risk which will be minimized by only keeping the tape in contact with your skin for short durations of time. You will be monitored closely during the study and you are free to withdraw at anytime during the sessions. If you experience any unwelcome symptoms associated with your participation in this study, we will assist you by helping to arrange an appointment with your primary medical provider.

If you have any questions about this project please feel free to contact either myself, Dr. Jeffrey Hebert in Australia on +61 8 93602566 and J.Hebert@Murdoch.edu.au or, Dr Joel Dekanich in Colorado, on 970.479.6262 and Joel@vailhealth.comWe are happy to discuss with you any concerns you may have about this study. 

Once we have analysed the information from this study we will put on our web site (http://vailhealth.com) a summary of our findings.  You can expect to receive this feedback in approximately six months.

If you are willing to consent to participation in this study, please complete the Consent Form.

Thank you for your assistance with this research project.

Sincerely

Jeffrey Hebert, DC, PhD


This study has been approved by the Murdoch University Human Research Ethics Committee (Approval xxxx/xxx).  If you have any reservation or complaint about the ethical conduct of this research, and wish to talk with an independent person, you may contact Murdoch University’s Research Ethics Office (Tel. 08 9360 6677 (for overseas studies, +61 8 9360 6677) or e-mail ethics@murdoch.edu.au). Any issues you raise will be treated in confidence and investigated fully, and you will be informed of the outcome.