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前臂疼痛,诊断为交叉综合征,通过贴扎治疗:病例系列研究。

Forearm pain, diagnosed as intersection syndrome, managed by taping: a case series.

机构信息

Shinoro Orthopedic, Hokkaido, Japan.

出版信息

J Orthop Sports Phys Ther. 2011 Jul;41(7):514-9. doi: 10.2519/jospt.2011.3569. Epub 2011 Apr 6.

Abstract

STUDY DESIGN

Case series.

BACKGROUND

Intersection syndrome is an overuse injury of the forearm. Taping has been described for the management of soft tissue injuries, yet there has been no report for the management of intersection syndrome using this method. The purpose of this case series was, therefore, to describe the efficacy of taping for the management of intersection syndrome.

CASE DESCRIPTION

Five patients with intersection syndrome were managed by taping, in an effort to reduce crepitus induced by thumb movements. Nonstretch sports tape was applied, with an ulnarly directed tension force across the dorsal aspect of the forearm. Taping was performed daily for 3 weeks. Follow-up took place at 1, 2, 3, and 4 weeks, and at 1 year from the initial consultation.

OUTCOMES

All patients demonstrated complete elimination of crepitus with the application of tape. Crepitus induced by wrist movements, tenderness over the dorsal forearm, and swelling were no longer present at 3-week follow-up. Disability identified by the disability/symptom subscale of the Disabilities of the Arm, Shoulder and Hand questionnaire decreased at 3-week follow-up, and this reduction was maintained at 4-week and 1-year follow-ups.

DISCUSSION

Taping improved symptoms and function in this small case series. One possible explanation for this improvement may be the alteration of soft tissue alignment.

LEVEL OF EVIDENCE

Therapy, level 4.

摘要

研究设计

病例系列。

背景

交界综合征是前臂的一种过度使用损伤。已经有报道称胶带固定可用于软组织损伤的治疗,但尚未有报道称使用这种方法治疗交界综合征。因此,本病例系列的目的是描述胶带固定治疗交界综合征的疗效。

病例描述

五例交界综合征患者通过胶带固定来减轻拇指活动引起的弹响声。使用非弹性运动胶带,在腕背部施加向尺侧的张力。每天进行胶带固定治疗,持续 3 周。在初始咨询后的第 1、2、3 和 4 周以及 1 年进行随访。

结果

所有患者在应用胶带后均完全消除了弹响声。在 3 周随访时,腕部活动引起的弹响声、前臂背侧的压痛和肿胀均消失。由上肢功能障碍问卷的残疾/症状子量表确定的残疾程度在 3 周随访时下降,在 4 周和 1 年随访时保持下降。

讨论

胶带固定在这个小病例系列中改善了症状和功能。这种改善的一个可能解释是软组织排列的改变。

证据水平

治疗,4 级。

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