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肌内效贴布对健康人群和跟腱炎人群的功能、疼痛和运动神经元兴奋性的影响。

The effect of kinesiotape on function, pain, and motoneuronal excitability in healthy people and people with Achilles tendinopathy.

机构信息

Department of Physiotherapy, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, England, UK.

出版信息

Clin J Sport Med. 2010 Nov;20(6):416-21. doi: 10.1097/JSM.0b013e3181f479b0.

DOI:10.1097/JSM.0b013e3181f479b0
PMID:21079436
Abstract

OBJECTIVE

To investigate the effect of kinesiotape on hop distance, pain, and motoneuronal excitability in healthy people and people with Achilles tendinopathy (AT).

DESIGN

Within-subject design.

SETTING

An academic health science center, which is an acute London National Health Service trust.

PARTICIPANTS

With ethical approval and informed consent, a convenience sample of 26 healthy people and 29 people with AT were recruited. Seven participants were lost after functional testing, leaving 24 participants in each group.

INTERVENTIONS

Kinesiotape applied over the Achilles tendon.

MAIN OUTCOME MEASURES

The single-leg hop test and visual analog scale were measured with and without the tape. Using the Hoffman (H) reflex, change in motoneuronal excitability of calf muscles was measured before tape application, with the tape on and after its removal.

RESULTS

There were no changes to hop distance when tape was applied (P = 0.55). Additionally, there were no changes to pain (P = 0.74). The H reflex amplitude of soleus and gastrocnemius increased in the healthy group after its removal (P = 0.01 and P = 0.03, respectively), whereas the H reflex remained unchanged in people with AT (P = 0.43 and 0.16, respectively).

CONCLUSIONS

Calf muscles were facilitated by kinesiotape in healthy participants. Despite this, there was no change to hop distance. Kinesiotape had no effect on hop distance, pain, or motoneuronal excitability in people with AT. These results do not support the use of kinesiotape applied in this way for this condition.

摘要

目的

研究运动贴布对健康人和跟腱病(AT)患者的跳跃距离、疼痛和运动神经元兴奋性的影响。

设计

自身对照设计。

地点

学术健康科学中心,这是一家伦敦国民保健系统急性信托机构。

参与者

经伦理批准和知情同意后,招募了 26 名健康人和 29 名 AT 患者。在功能测试后,有 7 名参与者失访,每组留下 24 名参与者。

干预措施

在跟腱上贴运动贴布。

主要观察指标

使用单腿跳跃测试和视觉模拟量表进行测量,同时记录有无贴布。使用霍夫曼(H)反射,在贴布应用前、贴布应用中和移除后测量小腿肌肉运动神经元兴奋性的变化。

结果

贴布应用时跳跃距离无变化(P = 0.55)。此外,疼痛也无变化(P = 0.74)。健康组贴布移除后比目鱼肌和腓肠肌的 H 反射幅度增加(P = 0.01 和 P = 0.03),而 AT 患者的 H 反射则保持不变(P = 0.43 和 0.16)。

结论

在健康参与者中,小腿肌肉因运动贴布而得到促进。尽管如此,跳跃距离没有变化。运动贴布对 AT 患者的跳跃距离、疼痛或运动神经元兴奋性没有影响。这些结果不支持以这种方式使用运动贴布治疗这种疾病。

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