Greig Alison M, Bennell Kim L, Briggs Andrew M, Hodges Paul W
Centre for Health, Exercise and Sports Medicine, School of Physiotherapy, University of Melbourne, Victoria 3010, Australia.
Man Ther. 2008 Jun;13(3):249-57. doi: 10.1016/j.math.2007.01.011. Epub 2007 Apr 12.
Greater thoracic kyphosis is associated with increased biomechanical loading of the spine which is potentially problematic in individuals with osteoporotic vertebral fractures. Conservative interventions that reduce thoracic kyphosis warrant further investigation. This study aimed to investigate the effects of therapeutic postural taping on thoracic posture. Secondary aims explored the effects of taping on trunk muscle activity and balance.
Fifteen women with osteoporotic vertebral fractures participated in this within-participant design study. Three taping conditions were randomly applied: therapeutic taping, control taping and no taping. Angle of thoracic kyphosis was measured after each condition. Force plate-derived balance parameters and trunk muscle electromyographic activity (EMG) were recorded during three static standing tasks of 40s duration.
There was a significant main effect of postural taping on thoracic kyphosis (p=0.026), with a greater reduction in thoracic kyphosis after taping compared with both control tape and no tape. There were no effects of taping on EMG or balance parameters.
The results of this study demonstrate that the application of postural therapeutic tape in a population with osteoporotic vertebral fractures induced an immediate reduction in thoracic kyphosis. Further research is needed to investigate the underlying mechanisms associated with this decrease in kyphosis.
胸椎后凸增加与脊柱生物力学负荷增加相关,这在骨质疏松性椎体骨折患者中可能存在问题。减少胸椎后凸的保守干预措施值得进一步研究。本研究旨在探讨治疗性姿势贴扎对胸椎姿势的影响。次要目的是探究贴扎对躯干肌肉活动和平衡的影响。
15名患有骨质疏松性椎体骨折的女性参与了这项自身对照设计研究。随机应用三种贴扎情况:治疗性贴扎、对照贴扎和不贴扎。每种情况后测量胸椎后凸角度。在持续40秒的三项静态站立任务期间记录力板得出的平衡参数和躯干肌肉肌电图活动(EMG)。
姿势贴扎对胸椎后凸有显著的主效应(p = 0.026),与对照贴扎和不贴扎相比,贴扎后胸椎后凸的减少幅度更大。贴扎对EMG或平衡参数没有影响。
本研究结果表明,在患有骨质疏松性椎体骨折的人群中应用姿势治疗贴扎可使胸椎后凸立即降低。需要进一步研究以探究与后凸减少相关的潜在机制。