Devereaux Moira, Velanoski Kinny Quan, Pennings Amanda, Elmaraghy Amr
*Fluid Motion Physiotherapy, Mahone Bay, Nova Scotia, Canada; and †Department of Surgery, St. Joseph's Health Centre, Toronto, Ontario, Canada.
Clin J Sport Med. 2016 Jan;26(1):24-32. doi: 10.1097/JSM.0000000000000187.
To compare the short-term effectiveness of precut kinesiology tape (PCT) to a nonsteroidal anti-inflammatory drug (NSAID) as adjuvant treatment to exercise physiotherapy in improving pain and function in patients with shoulder impingement.
Randomized, controlled assessor-blind parallel-design trial with 3 groups.
Academic-community hospital.
One hundred patients (mean age: 48 ± 12.3, 61 men, 39 women) with a diagnosis of subacromial impingement (SAI) syndrome were randomized to a treatment group from October 2009 to June 2012. Eighty-one patients completed the study.
Patients were randomized to one of the 3 treatment groups: PCT and Exercise (n = 33), NSAID and Exercise (n = 29), or Exercise only (n = 38) for a 4 session 2-week intervention with a registered physiotherapist.
Numeric pain rating scales for pain at rest and pain with arm elevation, the Simple Shoulder Test (SST), and the Constant Score were assessed pretreatment and post-treatment.
A statistically significant reduction in pain at rest and pain with arm elevation, as well as improvement in SST and Constant Score were observed in all 3 treatment groups, with minimal clinically important differences shown on pain with elevation and SST scores. Between-group differences on all outcome measures were not statistically significant or clinically meaningful.
The improvements in pain and function observed with an NSAID or PCT as adjuvant treatments were no greater than with rehabilitation exercise alone. If adjuvant treatment is desired, PCT seems to be better tolerated than an NSAID, although the difference did not reach significance.
The routine addition of adjuvant treatment is not supported by the results of this study. As adjuvant therapy, PCT seems to be better tolerated than an NSAID. If desired, clinicians may consider incorporating PCT along with an exercise component in the conservative treatment of SAI syndrome.
比较预切肌动学贴布（PCT）与非甾体抗炎药（NSAID）作为运动物理治疗辅助手段，在改善肩部撞击综合征患者疼痛和功能方面的短期疗效。
随机、对照、评估者盲法平行设计试验，分为3组。
学术社区医院。
2009年10月至2012年6月，100例诊断为肩峰下撞击（SAI）综合征的患者（平均年龄：48±12.3岁，男性61例，女性39例）被随机分配至治疗组。81例患者完成研究。
患者被随机分为3个治疗组之一：PCT与运动组（n = 33）、NSAID与运动组（n = 29）或仅运动组（n = 38），由注册物理治疗师进行为期4节、为期2周的干预。
在治疗前和治疗后评估静息痛和手臂抬高时疼痛的数字疼痛评分量表、简易肩部测试（SST）和常数评分。
所有3个治疗组静息痛和手臂抬高时疼痛均有统计学意义的降低，SST和常数评分均有改善，手臂抬高时疼痛和SST评分的临床重要差异最小。所有观察指标的组间差异无统计学意义或临床意义。
NSAID或PCT作为辅助治疗观察到的疼痛和功能改善并不比单纯康复运动更大。如果需要辅助治疗，PCT似乎比NSAID耐受性更好，尽管差异未达到显著水平。
本研究结果不支持常规添加辅助治疗。作为辅助治疗，PCT似乎比NSAID耐受性更好。如果需要，临床医生可考虑在SAI综合征的保守治疗中将PCT与运动成分结合使用。
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