Chan Mark Ci-En, Wee Justin Wen-Jie, Lim Mui-Hong
Departments of *Physiotherapy; and †Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.
Clin J Sport Med. 2017 May;27(3):260-265. doi: 10.1097/JSM.0000000000000345.
The efficacy of kinesiology taping in arthroscopic knee surgery has not been reported. The objective of this study is to investigate the efficacy of kinesiology taping in the early postoperative phase after anterior cruciate ligament reconstruction (ACLR). We hypothesized that kinesiology taping reduces knee pain and swelling and improves knee range of movement and functional outcome.
Randomized controlled study.
Primary Institutional Hospital.
Sixty subjects who underwent an elective ACLR with or without concurrent meniscectomy were randomized into intervention (with kinesiology taping postsurgery) and control groups.
Subjects from both groups received standardized postoperative physiotherapy. Subjects from the intervention group received additional kinesiology taping on the first and second weeks postsurgery, each application lasting 5 days.
Pain visual analogue score (VAS), total range of motion (ROM) of the knee, Lysholm-Tegner scale, and mid patella circumferential girth were measured before the surgery and at the first, second, and sixth week postsurgery.
Within each group, statistically significant differences were found in all study parameters in both groups. Comparison of the study parameters between both groups revealed no statistical significance at various time points except the reduction of pain in the taping group in the early postoperative phase (between the first and second week) (P < 0.05).
This is the first randomized controlled study investigating the efficacy of kinesiology taping in arthroscopic knee surgery. Our study showed that kinesiology taping reduced pain in the early postoperative period after ACLR. There was no statistical significance in the reduction of swelling or improvement of knee score and total range of motion with kinesiology taping.
尚未有关于肌内效贴布在膝关节镜手术中疗效的报道。本研究的目的是探讨肌内效贴布在前交叉韧带重建术（ACLR）术后早期的疗效。我们假设肌内效贴布可减轻膝关节疼痛和肿胀，并改善膝关节活动范围和功能结局。
随机对照研究。
一级机构医院。
60例行择期ACLR且有或无同期半月板切除术的受试者被随机分为干预组（术后使用肌内效贴布）和对照组。
两组受试者均接受标准化的术后物理治疗。干预组受试者在术后第一周和第二周额外使用肌内效贴布，每次贴敷持续5天。
在手术前以及术后第一周、第二周和第六周测量疼痛视觉模拟评分（VAS）、膝关节总活动范围（ROM）、Lysholm-Tegner量表以及髌骨中部周径。
每组内，两组所有研究参数均存在统计学显著差异。两组间研究参数的比较显示，除了术后早期（第一周和第二周之间）贴布组疼痛减轻外（P<0.05），在各个时间点均无统计学显著差异。
这是第一项研究肌内效贴布在膝关节镜手术中疗效的随机对照研究。我们的研究表明，肌内效贴布可减轻ACLR术后早期的疼痛。使用肌内效贴布在减轻肿胀或改善膝关节评分及总活动范围方面无统计学显著差异。
