Camerota Filippo, Galli Manuela, Cimolin Veronica, Celletti Claudia, Ancillao Andrea, Blow David, Albertini Giorgio
Physical Medicine and Rehabilitation Division, Orthopaedic Department, Umberto I Hospital, Sapienza University, Rome, Italy.
Department of Electronics, Information and Bioengineering Department, Politecnico di Milano, Milano, Italy and Gait Analysis Lab IRCCS 'San Raffaele Pisana', Tosinvest Sanità, Roma, Italy.
Ther Adv Musculoskelet Dis. 2015 Feb;7(1):3-10. doi: 10.1177/1759720X14564561.
In this case study, biomechanical alterations induced by neuromuscular taping (NMT) were quantified, during walking, in a patient with joint hypermobility syndrome/Ehlers-Danlos syndrome hypermobility type (JHS/EDS-HT).
A female JHS/EDS-HT patient underwent NMT applications over the low back spine and bilaterally to the knee. Quantitative gait analyses were collected before the NMT application and at the end of the treatment (2 weeks after the first application of NMT).
At the end of treatment following the NMT application, left step length showed improvements in cadence and velocity, the left knee showed a reduction in its flexed position at initial contact, and the right ankle joint improved its position at initial contact and in the swing phase. Improvements were also found in kinetics, in terms of the ankle moment and power.
Results show that NMT seems to be a promising low-cost intervention for improving gait strategy in patients with JHS/EDS-HT. Further investigations are needed to assess the effects of this treatment intervention on pathological symptoms.
在本病例研究中,对一名关节活动过度综合征/埃勒斯-当洛综合征活动过度型(JHS/EDS-HT)患者在行走过程中神经肌肉贴扎(NMT)引起的生物力学改变进行量化。
一名JHS/EDS-HT女性患者在腰椎和双侧膝关节处进行了NMT贴扎。在进行NMT贴扎前以及治疗结束时(首次应用NMT两周后)收集定量步态分析数据。
在应用NMT治疗结束时,左侧步长在步频和速度方面有所改善,左膝在初始接触时的屈曲位置有所降低,右踝关节在初始接触和摆动期的位置有所改善。在动力学方面,踝关节力矩和功率也有改善。
结果表明,NMT似乎是一种有前景的低成本干预措施,可改善JHS/EDS-HT患者的步态策略。需要进一步研究来评估这种治疗干预对病理症状的影响。