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肌内效贴布在踝关节的应用与皮质脊髓兴奋性

Kinesio-Taping Application and Corticospinal Excitability at the Ankle Joint.

作者信息

Tremblay Francois, Karam Siobhan

机构信息

School of Rehabilitation Sciences, University of Ottawa, ON, Canada.

Clinical Neuroscience laboratory, Bruyère Research Institute, Ottawa, ON, Canada.

出版信息

J Athl Train. 2015 Aug;50(8):840-6. doi: 10.4085/1062-6050-50.5.08. Epub 2015 Jun 19.

DOI:10.4085/1062-6050-50.5.08
PMID:26090708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4629941/
Abstract

CONTEXT

Physiotherapists and athletic trainers often use Kinesio Taping (KT) to prevent and treat musculoskeletal injuries in athletes, yet evidence about its effects on neuromuscular performance is conflicting.

OBJECTIVE

To investigate the influence of a KT application directed at the ankle joint on measures of corticospinal excitability with transcranial magnetic stimulation.

DESIGN

Controlled laboratory study.

SETTING

Research laboratory.

PATIENTS OR OTHER PARTICIPANTS

Twelve healthy young women (age = 23.1 ± 1.9 years; range, 19-26 years).

INTERVENTION(S): Participants were tested under no-tape and KT conditions according to a random sequence order. The KT was applied to the skin overlying the dorsiflexor and plantar-flexor muscles of the ankle.

MAIN OUTCOME MEASURE(S): We assessed changes in the amplitude of motor-evoked potentials elicited at rest and during movement and changes in the silent period and background muscle activity during movement.

RESULTS

Taping conditions had no effect on motor-evoked potential amplitude at rest or during movement or on the silent-period duration and background muscle activity.

CONCLUSIONS

Our results concur with other recent reports, showing KT applications have little influence at the neuromuscular level. Alterations in sensory feedback ascribed to elastic taping are likely insufficient to modulate corticospinal excitability in a functionally meaningful manner.

摘要

背景

物理治疗师和运动训练师经常使用肌内效贴布(KT)来预防和治疗运动员的肌肉骨骼损伤,但关于其对神经肌肉性能影响的证据存在矛盾。

目的

通过经颅磁刺激研究针对踝关节的KT应用对皮质脊髓兴奋性指标的影响。

设计

对照实验室研究。

地点

研究实验室。

患者或其他参与者

12名健康年轻女性(年龄 = 23.1 ± 1.9岁;范围19 - 26岁)。

干预措施

参与者按照随机顺序在无贴布和KT条件下进行测试。将KT贴于踝关节背屈肌和跖屈肌上方的皮肤。

主要观察指标

我们评估了静息和运动时诱发的运动诱发电位幅度的变化,以及运动时静息期和背景肌肉活动的变化。

结果

贴布条件对静息或运动时的运动诱发电位幅度、静息期持续时间和背景肌肉活动均无影响。

结论

我们的结果与其他近期报告一致,表明KT应用在神经肌肉水平上影响很小。归因于弹性贴布的感觉反馈改变可能不足以以功能上有意义的方式调节皮质脊髓兴奋性。

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本文引用的文献

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Kinesio Taping(®) does not alter neuromuscular performance of femoral quadriceps or lower limb function in healthy subjects: randomized, blind, controlled, clinical trial.肌内效贴布对健康受试者股四头肌的神经肌肉性能或下肢功能无影响:随机、盲法、对照临床试验。
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Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness.运动损伤治疗和预防中的肌内效贴布:对其有效性证据的荟萃分析。
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Effects of kinesio tape compared with nonelastic sports tape and the untaped ankle during a sudden inversion perturbation in male athletes.运动贴布与非弹性运动贴布和未贴布踝关节在男性运动员突然内翻扰动中的效果比较。
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The effect of kinesiotape on function, pain, and motoneuronal excitability in healthy people and people with Achilles tendinopathy.肌内效贴布对健康人群和跟腱炎人群的功能、疼痛和运动神经元兴奋性的影响。
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