Halski Tomasz, Ptaszkowski Kuba, Słupska Lucyna, Paprocka-Borowicz Małgorzata, Dymarek Robert, Taradaj Jakub, Bidzińska Gabriela, Marczyński Daniel, Cynarska Aleksandra, Rosińczuk Joanna
Department of Physiotherapy, Opole Medical School, Katowicka 68, 45-060 Opole, Poland.
Department of Obstetrics, Faculty of Health Science, Wroclaw Medical University, K. Bartla 5, 51-618 Wroclaw, Poland.
Evid Based Complement Alternat Med. 2015;2015:191925. doi: 10.1155/2015/191925. Epub 2015 Sep 29.
Kinesio taping (KT) may be a new treatment in patients with myofascial trigger points (MTrPs). A new method available for taping practitioners is cross taping (CT). The main objective was to determine how CT, KT, and medical adhesive tape (sham group) affect the subjective assessment of resting bioelectrical activity and pain of the upper trapezius muscle (UT) in patients with MTrPs. 105 volunteers were recruited to participate. The primary outcome was resting bioelectrical activity of UT muscle as assessed by surface electromyography (sEMG) in each group and pain intensity on a visual analog scale (VAS). Assessments were collected before and after intervention and after the 24-hours follow-up. No significant differences were observed in bioelectrical activity of UT between pre-, post-, and follow-up results. In three groups patients had significantly lower pain VAS score after the intervention (CT-p < 0.001, KT-p < 0.001, and sham-p < 0.01). The Kruskal-Wallis ANOVA showed no significant differences in almost all measurements between groups. The application of all three types of tapes does not influence the resting bioelectrical activity of UT muscle and may not lead to a reduction in muscle tone in the case of MTrPs.
肌内效贴布(KT)可能是治疗肌筋膜触发点(MTrP)患者的一种新方法。一种可供贴扎从业者使用的新方法是交叉贴扎(CT)。主要目的是确定交叉贴扎、肌内效贴布和医用胶带(假治疗组)如何影响MTrP患者斜方肌上部(UT)静息生物电活动和疼痛的主观评估。招募了105名志愿者参与。主要结局是通过每组表面肌电图(sEMG)评估UT肌肉的静息生物电活动以及视觉模拟量表(VAS)上的疼痛强度。在干预前、干预后和24小时随访后收集评估数据。在UT的生物电活动方面,干预前、干预后和随访结果之间未观察到显著差异。三组患者在干预后疼痛VAS评分均显著降低(交叉贴扎组-p<0.001,肌内效贴布组-p<0.001,假治疗组-p<0.01)。Kruskal-Wallis方差分析显示,各组之间几乎所有测量值均无显著差异。所有三种类型的胶带应用均不影响UT肌肉的静息生物电活动,并且在MTrP的情况下可能不会导致肌张力降低。