Thelen Mark D, Dauber James A, Stoneman Paul D
Physical Therapy Service, Winn Army Community Hospital, Fort Stewart, GA, USA.
J Orthop Sports Phys Ther. 2008 Jul;38(7):389-95. doi: 10.2519/jospt.2008.2791. Epub 2008 May 29.
Prospective, randomized, double-blinded, clinical trial using a repeated-measures design.
To determine the short-term clinical efficacy of Kinesio Tape (KT) when applied to college students with shoulder pain, as compared to a sham tape application.
Tape is commonly used as an adjunct for treatment and prevention of musculoskeletal injuries. A majority of tape applications that are reported in the literature involve nonstretch tape. The KT method has gained significant popularity in recent years, but there is a paucity of evidence on its use.
Forty-two subjects clinically diagnosed with rotator cuff tendonitis/impingement were randomly assigned to 1 of 2 groups: therapeutic KT group or sham KT group. Subjects wore the tape for 2 consecutive 3-day intervals. Self-reported pain and disability and pain-free active ranges of motion (ROM) were measured at multiple intervals to assess for differences between groups.
The therapeutic KT group showed immediate improvement in pain-free shoulder abduction (mean +/- SD increase, 16.9 degrees +/- 23.2 degrees ; P = .005) after tape application. No other differences between groups regarding ROM, pain, or disability scores at any time interval were found.
KT may be of some assistance to clinicians in improving pain-free active ROM immediately after tape application for patients with shoulder pain. Utilization of KT for decreasing pain intensity or disability for young patients with suspected shoulder tendonitis/impingement is not supported.
Therapy, level 1b-.
采用重复测量设计的前瞻性、随机、双盲临床试验。
与假胶带应用相比,确定肌内效贴布(KT)应用于肩部疼痛大学生时的短期临床疗效。
胶带通常用作治疗和预防肌肉骨骼损伤的辅助手段。文献报道的大多数胶带应用涉及非弹性胶带。近年来,KT方法越来越受欢迎,但关于其使用的证据很少。
42名临床诊断为肩袖肌腱炎/撞击综合征的受试者被随机分为两组之一:治疗性KT组或假KT组。受试者连续2个3天的时间段佩戴胶带。在多个时间点测量自我报告的疼痛和功能障碍以及无痛主动活动范围(ROM),以评估组间差异。
治疗性KT组在应用胶带后无痛肩部外展立即改善(平均±标准差增加,16.9°±23.2°;P = 0.005)。在任何时间点,两组在ROM、疼痛或功能障碍评分方面均未发现其他差异。
对于肩部疼痛患者,KT在应用胶带后可立即帮助临床医生改善无痛主动ROM。不支持使用KT降低疑似肩袖肌腱炎/撞击综合征年轻患者的疼痛强度或功能障碍。
治疗,1b-级。