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肌内效贴布治疗持续超过 4 周的肌肉骨骼疼痛和残疾:是时候撕掉贴布,把它和汗水一起扔掉了吗?一项专注于疼痛的系统评价和荟萃分析,以及贴布应用方法。

Kinesio taping in musculoskeletal pain and disability that lasts for more than 4 weeks: is it time to peel off the tape and throw it out with the sweat? A systematic review with meta-analysis focused on pain and also methods of tape application.

机构信息

Department of Physiotherapy, Singapore General Hospital, Singapore.

出版信息

Br J Sports Med. 2015 Dec;49(24):1558-66. doi: 10.1136/bjsports-2014-094151. Epub 2015 Jan 16.

Abstract

INTRODUCTION

In recent years, Kinesio tape has been used to support injured muscle and joints, and relieve pain. We compared the pain and disability in individuals with chronic musculoskeletal pain who were treated with Kinesio taping with those using minimal or other treatment approaches.

METHODS

Searches of eight major electronic databases were conducted. Data for pain and disability scores were extracted. Meta-analyses (wherever possible) with either a fixed or random effect(s) model, standardised mean differences (SMDs) and tests of heterogeneity were performed.

RESULTS

Seventeen clinical-controlled trials were identified and included in the meta-analyses. When compared to minimal intervention, Kinesio taping provided superior pain relief (pooled SMD=-0.36, 95% CI -0.64 to -0.09, p=0.009) but the pooled disability scores were not significantly different (pooled SMD=-0.41, 95% CI -0.83 to 0.01, p=0.05). No significant differences were found when comparing Kinesio taping to other treatment approaches for pain (pooled SMD=-0.44, 95% CI -1.69 to 0.82, p=0.49) and disability (pooled SMD=0.08, 95% CI -0.27 to 0.43, p=0.65).

DISCUSSION

Kinesio taping is superior to minimal intervention for pain relief. Existing evidence does not establish the superiority of Kinesio taping to other treatment approaches to reduce pain and disability for individuals with chronic musculoskeletal pain.

摘要

简介

近年来,肌内效贴布被用于支撑受伤的肌肉和关节,并缓解疼痛。我们比较了慢性肌肉骨骼疼痛患者接受肌内效贴布治疗与接受最小干预或其他治疗方法的疼痛和残疾情况。

方法

对八个主要电子数据库进行了检索。提取疼痛和残疾评分数据。对尽可能采用固定或随机效应模型、标准化均数差(SMD)和异质性检验进行了meta 分析。

结果

确定了 17 项临床对照试验,并纳入了 meta 分析。与最小干预相比,肌内效贴布在缓解疼痛方面更有优势(合并 SMD=-0.36,95%CI-0.64 至-0.09,p=0.009),但残疾评分无显著差异(合并 SMD=-0.41,95%CI-0.83 至 0.01,p=0.05)。与其他治疗方法相比,肌内效贴布在缓解疼痛方面(合并 SMD=-0.44,95%CI-1.69 至 0.82,p=0.49)和残疾方面(合并 SMD=0.08,95%CI-0.27 至 0.43,p=0.65)均未发现显著差异。

讨论

肌内效贴布在缓解疼痛方面优于最小干预。现有证据不能确定肌内效贴布在减轻慢性肌肉骨骼疼痛患者的疼痛和残疾方面优于其他治疗方法。

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