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运动前后麦康奈尔贴扎法的动态磁共振成像评估

Kinematic MRI assessment of McConnell taping before and after exercise.

作者信息

Pfeiffer Ronald P, DeBeliso Mark, Shea Kevin G, Kelley Lorrie, Irmischer Bobbie, Harris Chad

机构信息

Center for Orthopaedic and Biomechanics Research, Boise State University, Boise, Idaho, 83725, USA.

出版信息

Am J Sports Med. 2004 Apr-May;32(3):621-8. doi: 10.1177/0363546503261693.

DOI:10.1177/0363546503261693
PMID:15090376
Abstract

BACKGROUND

The authors assessed the effectiveness of McConnell medial glide taping after exercise using an MRI extremity scanner.

HYPOTHESIS

McConnell taping would not be effective in maintaining medial glide of the patella after exercise.

METHODS

Eighteen healthy women (mean age 22.28 +/- 2.02 years) participated in the study. The patellofemoral joint was imaged at 4 knee flexion angles (0 degrees, 12 degrees, 24 degrees, and 36 degrees ) in 3 conditions (no tape, with McConnell taping-medial glide, and with tape after exercise). Effectiveness was determined by measuring lateral patellar displacement. ANOVA and post hoc paired t tests were used to test for changes in lateral patellar displacement at each knee angle and condition.

RESULTS

Statistical analysis revealed significant differences in lateral patellar displacement at all test angles, between the tape and no tape and between tape and tape after exercise conditions.

CONCLUSIONS

McConnell medial glide taping resulted in significant medial glide of the patellofemoral joint at all 4 knee angles before but not after exercise. However, McConnell medial glide taping may be effective under controlled rehabilitation conditions in which exercise is less intense.

CLINICAL RELEVANCE

Beneficial effects of McConnell medial glide taping may be related to factors other than altered patellar alignment.

摘要

背景

作者使用MRI肢体扫描仪评估了运动后麦康奈尔内侧滑动贴扎的效果。

假设

麦康奈尔贴扎在运动后维持髌骨内侧滑动方面无效。

方法

18名健康女性(平均年龄22.28±2.02岁)参与了该研究。在3种情况下(不贴扎、使用麦康奈尔内侧滑动贴扎、运动后贴扎),于4个膝关节屈曲角度(0度、12度、24度和36度)对髌股关节进行成像。通过测量髌骨外侧移位来确定有效性。采用方差分析和事后配对t检验来检测每个膝关节角度和情况下髌骨外侧移位的变化。

结果

统计分析显示,在所有测试角度,贴扎与不贴扎以及贴扎与运动后贴扎情况之间,髌骨外侧移位存在显著差异。

结论

麦康奈尔内侧滑动贴扎在运动前的所有4个膝关节角度均能使髌股关节显著内侧滑动,但运动后则不然。然而,在运动强度较小的可控康复条件下,麦康奈尔内侧滑动贴扎可能有效。

临床意义

麦康奈尔内侧滑动贴扎的有益效果可能与髌骨排列改变以外的因素有关。

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