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肌内效贴布有效性的系统评价——事实还是时尚?

A systematic review of the effectiveness of Kinesio Taping--fact or fashion?

机构信息

Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel -

出版信息

Eur J Phys Rehabil Med. 2013 Oct;49(5):699-709. Epub 2013 Apr 5.

Abstract

In this systematic review article, we assessed the effects of therapeutic Kinesio Taping (KT) on pain and disability in participants suffering from musculoskeletal, neurological and lymphatic pathologies. Four online databases (CINAHL, Cochrane Library, MEDLINE, PEDro) were comprehensively searched from their inception through March 2012. The initial literature search found 91 controlled trials. Following elimination procedures, 26 studies were fully screened. Subsequently, 12 met our inclusion criteria. The final 12 articles were subdivided according to the basic pathological disorders of the participants' musculoskeletal (N.=9), neurological (N.=1) and lymphatic (N.=2) systems. As to the effect on musculoskeletal disorders, moderate evidence was found supporting an immediate reduction in pain while wearing the KT. In 3 out of 6 studies, reduction of pain was superior to that of the comparison group. However, there is no support indicating any long-term effect. Additionally, no evidence was found connecting the KT application to elevated muscle strength or long-term improved range of movement. No evidence to support the effectiveness of KT for neurological conditions. As to lymphatic disorders, inconclusive evidence was reported. Although KT has been shown to be effective in aiding short-term pain, there is no firm evidence-based conclusion of the effectiveness of this application on the majority of movement disorders within a wide range of pathologic disabilities. More research is clearly needed.

摘要

在这篇系统评价文章中,我们评估了治疗性肌内效贴布(KT)对患有肌肉骨骼、神经和淋巴系统疾病的患者的疼痛和残疾的影响。我们全面检索了四个在线数据库(CINAHL、Cochrane 图书馆、MEDLINE、PEDro),检索时间从建库开始至 2012 年 3 月。最初的文献检索发现了 91 项对照试验。经过排除程序,有 26 项研究被全面筛选。随后,有 12 项符合我们的纳入标准。最后 12 篇文章根据参与者的肌肉骨骼(N=9)、神经(N=1)和淋巴(N=2)系统的基本病理障碍进行了细分。至于对肌肉骨骼疾病的影响,有中等证据支持在佩戴 KT 时立即减轻疼痛。在 6 项研究中的 3 项中,疼痛的减轻优于对照组。然而,没有证据表明有任何长期效果。此外,没有证据表明 KT 的应用与肌肉力量的提高或运动范围的长期改善有关。没有证据支持 KT 对神经疾病的有效性。至于淋巴系统疾病,报告了不确定的证据。尽管 KT 已被证明在缓解短期疼痛方面有效,但没有确凿的循证结论表明这种应用对广泛病理残疾范围内的大多数运动障碍有效。显然需要更多的研究。

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