肌内效贴布对肩峰撞击综合征患者疼痛及无痛肩部活动范围的临床疗效：一项随机、双盲、安慰剂对照试验。
Clinical effectiveness of kinesiological taping on pain and pain-free shoulder range of motion in patients with shoulder impingement syndrome: a randomized, double blinded, placebo-controlled trial.
作者信息
Shakeri Hassan, Keshavarz Roshanak, Arab Amir Massoud, Ebrahimi Ismaeil
机构信息
Department of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iran University of Medical Sciences, Tehran, Iran.
出版信息
Int J Sports Phys Ther. 2013 Dec;8(6):800-10.
BACKGROUND
Kinesiological taping (KT) is commonly used to improve symptoms associated with musculoskeletal disorders. However, review of the literature revealed minimal evidence to support the use of KT in treatment of shoulder disorders and controversy exists regarding the effect of KT in patients with shoulder impingement syndrome (SIS).
OBJECTIVE
The purpose of this study was to investigate the effect of KT on pain intensity during movement, pain experienced during the night (nocturnal pain), and pain-free shoulder range of motion (ROM) immediately after taping, after three days and after one week, in patients with SIS.
DESIGN
Randomized, Double blinded, Placebo-controlled design.
PARTICIPANTS
A total of 30 patients with SIS participated in this study. Patients were assigned randomly to a control (N = 15) and an experimental group (N = 15).
METHODS
The patients in the experimental group received a standardized therapeutic KT. The standardized, placebo neutral KT was applied for control group. KT was applied two times with a three day interval, remaining on during the 3 day interval. Both groups followed the same procedures. Pain-free active ROM during shoulder abduction, flexion, and elevation in the scapular plane was measured. Visual analogue scale (VAS) for pain intensity during movement or nocturnal pain and was assessed at baseline, immediately after KT, after three days, and one week after KT.
RESULTS
The result of repeated measures ANOVA showed a significant change in pain level during movement, nocturnal pain, and pain-free ROM (p = 0.000) after KT in the experimental group. In the ANCOVA, controlling for pre-test scores, change in pain level at movement (p = 0.009) and nocturnal pain (p = 0.04) immediately after KT was significantly greater in the experimental group than in control group. There was no significant difference in ROM measures (p > 0.05) between groups immediately after KT. No significant differences were found between the two groups in the after one week measurements of pain intensity and shoulder ROM.
CONCLUSION
The KT produces an immediate improvement in the pain intensity at movement and nocturnal pain in patients with SIS.
LEVEL OF EVIDENCE
背景
肌内效贴布（KT）常用于改善与肌肉骨骼疾病相关的症状。然而，文献回顾显示，支持使用KT治疗肩部疾病的证据极少，且对于KT对肩峰撞击综合征（SIS）患者的疗效存在争议。
目的
本研究旨在调查KT对SIS患者在贴布后即刻、三天后和一周后运动时的疼痛强度、夜间疼痛（夜间痛）以及无痛肩部活动范围（ROM）的影响。
设计
随机、双盲、安慰剂对照设计。
参与者
共有30例SIS患者参与本研究。患者被随机分为对照组（N = 15）和实验组（N = 15）。
方法
实验组患者接受标准化的治疗性KT。对照组应用标准化的、安慰剂中性的KT。KT每隔三天应用两次，在这三天期间一直保留。两组遵循相同的程序。测量肩外展、前屈和肩胛平面上举时的无痛主动ROM。采用视觉模拟量表（VAS）评估运动时或夜间疼痛的疼痛强度，并在基线、KT后即刻、三天后和KT后一周进行评估。
结果
重复测量方差分析结果显示，实验组在KT后运动时的疼痛水平、夜间疼痛和无痛ROM有显著变化（p = 0.000）。在协方差分析中，控制预测试分数后，实验组在KT后即刻运动时的疼痛水平变化（p = 0.009）和夜间疼痛变化（p = 0.04）显著大于对照组。KT后即刻两组之间的ROM测量无显著差异（p > 0.05）。在疼痛强度和肩部ROM的一周后测量中，两组之间未发现显著差异。
结论
KT可使SIS患者运动时的疼痛强度和夜间疼痛立即得到改善。
证据水平
1级。
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