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肌内效贴布治疗肌肉骨骼损伤有效性的系统评价。

A systematic review of the effectiveness of kinesio taping for musculoskeletal injury.

机构信息

Department of Family Medicine, The Ohio State University, Columbus, OH, USA.

出版信息

Phys Sportsmed. 2012 Nov;40(4):33-40. doi: 10.3810/psm.2012.11.1986.

Abstract

OBJECTIVE

Kinesio taping (KT) is used to prevent and treat musculoskeletal injuries. This systematic review examines the evidence for the effectiveness of KT in improving patient outcomes following musculoskeletal injury.

MATERIALS AND METHODS

A literature search (October 2011) was performed using PubMed, CINAHL, Scopus, SportsDiscus, and Cochrane databases. The literature search employed the keywords "kinesio tap*" or "kinesiotap*" or "athletic tap*" and "performance" or "function" or "strength" or "activity" or "pain" or "muscle" and "athlet*" or "sport*." These searches yielded a total of 727 articles, which were reviewed thoroughly to identify suitable articles.

RESULTS

Six studies met our criteria and were included in this systematic review. Two of these studies examined musculoskeletal injuries in the lower extremity and reported that the use of KT did not affect outcome measures. Two studies examined musculoskeletal injuries involving the spine. Treatment with KT significantly improved pain levels and range of motion in patients with acute whiplash-associated disorders of the cervical spine both immediately and 24 hours after injury; however, the long-term results did not differ between the 2 groups. Subjects with chronic low back pain treated with KT and exercise, KT alone, or exercise alone experienced significant improvement in short-term pain, while the exercise-only group also showed significantly less long-term disability. Two studies examined musculoskeletal injuries in the shoulder. The first of these found insufficient evidence to indicate that KT decreases pain and disability in young patients with shoulder impingement/tendinitis, while the second suggested that KT may provide short-term pain relief for patients with shoulder impingement. This systematic review found insufficient evidence to support the use of KT following musculoskeletal injury, although a perceived benefit cannot be discounted. There are few high-quality studies examining the use of KT following musculoskeletal injury.

摘要

目的

运动贴扎(Kinesio taping,KT)用于预防和治疗肌肉骨骼损伤。本系统评价旨在研究 KT 在改善肌肉骨骼损伤患者预后方面的有效性证据。

材料与方法

检索 2011 年 10 月前 PubMed、CINAHL、Scopus、SportsDiscus 和 Cochrane 数据库中有关 KT 的文献,关键词包括“kinesio tap*”或“kinesiotap*”或“athletic tap*”和“performance”或“function”或“strength”或“activity”或“pain”或“muscle”和“athlet*”或“sport*”。共检索到 727 篇文献,详细阅读以确定合适的文献。

结果

符合纳入标准的 6 篇文献进入系统评价。其中 2 篇研究了下肢肌肉骨骼损伤,结果显示 KT 对结局指标无影响。2 篇研究了脊柱肌肉骨骼损伤,KT 治疗急性颈源性挥鞭样损伤即刻和损伤后 24 小时可显著改善疼痛和运动范围,但两组间长期结果无差异。KT 联合运动疗法、KT 单独疗法或运动单独疗法治疗慢性下腰痛患者短期内疼痛明显改善,而运动组长期残疾程度较轻。2 篇研究了肩部肌肉骨骼损伤,一篇研究显示 KT 对青少年肩峰下撞击/肌腱炎患者的疼痛和残疾无明显影响,另一篇提示 KT 可在短期内缓解肩峰下撞击患者的疼痛。本系统评价结果显示,目前尚缺乏支持 KT 在肌肉骨骼损伤后应用的证据,但也不能排除 KT 的潜在获益。仅有少数高质量研究探讨了 KT 在肌肉骨骼损伤后的应用。

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