Karabicak Gul Oznur, Bek Nilgun, Tiftikci Ugur
Lecturer, Faculty of Health Sciences, Physiotherapy and Rehabilitation Department, Baskent University, Ankara, Turkey.
Professor, Faculty of Health Sciences, Prosthetics and Orthotics Department, Hacettepe University, Ankara, Turkey.
J Manipulative Physiol Ther. 2015 Oct;38(8):564-71. doi: 10.1016/j.jmpt.2015.09.001. Epub 2015 Oct 3.
The main aim of this study was to measure short-term effects of kinesiotaping on pain and joint alignment in the conservative treatment of hallux valgus.
Twenty-one female patients diagnosed with a total of 34 feet with hallux valgus (13 bilateral, 6 right, and 2 left) participated in this study. Kinesiotaping was implemented after the first assessment and renewed in days 3, 7, and 10. The main outcome measures were pain, as assessed using visual analog scale, and hallux adduction angle, as measured by goniometry. Secondary outcome measure was patients' functional status, as measured by Foot Function Index and the hallux valgus scale of the American Orthopaedic Foot and Ankle Society (AOFAS). The radiographic results were also measured before and after 1 month of treatment. The Wilcoxon test was used to compare the differences between initial and final scores of AOFAS, as well as FFI scales and hallux valgus angle assessment scores.
There was a significant reduction in goniometric measurement of hallux valgus angle (P = .001). There was a significant reduction in pain intensity (P = .001) and AOFAS and Foot Function Index scores at the end of the treatment (P = .001 and P = .001, respectively). There was a significant difference between radiographic results in 1-month control (P = .009).
For this group of female patients, pain and joint alignment were improved after a 10-day kinesiotape implementation in patients with hallux valgus. The findings showed short-term decreased pain and disability in hallux valgus deformity.
本研究的主要目的是测量肌内效贴布在拇外翻保守治疗中对疼痛和关节对线的短期影响。
21名被诊断患有拇外翻的女性患者(共34只脚,其中13例为双侧,6例为右侧,2例为左侧)参与了本研究。在首次评估后实施肌内效贴布,并在第3天、第7天和第10天更换。主要结局指标为使用视觉模拟量表评估的疼痛,以及通过测角法测量的拇内收角。次要结局指标为患者的功能状态,通过足功能指数和美国矫形足踝协会(AOFAS)的拇外翻量表进行测量。在治疗1个月前后也测量了影像学结果。采用Wilcoxon检验比较AOFAS、FFI量表和拇外翻角度评估分数的初始和最终得分之间的差异。
拇外翻角的测角测量有显著降低(P = .001)。治疗结束时疼痛强度(P = .001)、AOFAS和足功能指数得分均有显著降低(分别为P = .001和P = .001)。1个月对照的影像学结果有显著差异(P = .009)。
对于这组女性拇外翻患者,在实施10天肌内效贴布后,疼痛和关节对线得到改善。研究结果显示拇外翻畸形的疼痛和残疾在短期内有所减轻。