Suppr超能文献

膝骨关节炎患者在步行步态期间进行治疗性膝关节贴扎后的生物力学、神经肌肉及膝关节疼痛影响

Biomechanical, neuromuscular and knee pain effects following therapeutic knee taping among patients with knee osteoarthritis during walking gait.

作者信息

Edmonds David W, McConnell Jenny, Ebert Jay R, Ackland Tim R, Donnelly Cyril J

机构信息

School of Sport Science, Exercise and Health, The University of Western Australia, Perth, Australia.

Centre for Sports Medicine Research and Education, School of Physiotherapy, University of Melbourne, Melbourne, Australia.

出版信息

Clin Biomech (Bristol). 2016 Nov;39:38-43. doi: 10.1016/j.clinbiomech.2016.09.003. Epub 2016 Sep 13.

Abstract

BACKGROUND

Knee osteoarthritis is one of the most debilitating diseases associated with aging, and is estimated to affect 9% of men and 18% of women over 65years of age. Knee osteoarthritis affects the condylar surfaces of the joint and if left untreated generally leads to the slow and painful degeneration of the joint and surrounding structures. With few non-invasive treatment options for osteoarthritis patients, this study investigated the effect of therapeutic taping on knee pain in combination with spatiotemporal, kinematic, kinetic and muscle activation measures.

METHODS

Fifteen participants (10 male, 5 female) with radiographic diagnosed knee osteoarthritis attended a single testing session and walked along at a self-selected pace under three different conditions (no tape, sham tape, therapeutic tape). The conditions were randomised within each testing session. Knee pain, lower limb biomechanics and muscle activation were analysed using a one-way repeated measures ANOVA to determine if any differences existed between the three taping conditions (α=0.05).

FINDINGS

Therapeutic knee taping was shown to significantly reduce the self-reported levels of knee joint pain during straight line walking. No significant differences in spatiotemporal, knee kinetic, knee kinematic or lower limb muscle activation variables were observed between the taping conditions.

INTERPRETATION

There is evidence supporting the use of therapeutic knee taping for the management of osteoarthritis related knee pain. Future research is recommended to better understand the complex acute neuro-musculoskeletal adaptations that explain these positive knee pain findings.

摘要

背景

膝关节骨关节炎是与衰老相关的最使人衰弱的疾病之一,据估计,65岁以上的男性中有9%、女性中有18%受其影响。膝关节骨关节炎会影响关节的髁表面,如果不进行治疗,通常会导致关节及周围结构缓慢而疼痛的退变。由于骨关节炎患者的非侵入性治疗选择很少,本研究调查了治疗性贴扎结合时空、运动学、动力学和肌肉激活指标对膝关节疼痛的影响。

方法

15名经影像学诊断为膝关节骨关节炎的参与者(10名男性,5名女性)参加了一次测试,在三种不同条件下(不贴扎、假贴扎、治疗性贴扎)以自己选择的速度行走。每种测试条件在每次测试中随机安排。使用单向重复测量方差分析来分析膝关节疼痛、下肢生物力学和肌肉激活情况,以确定三种贴扎条件之间是否存在差异(α=0.05)。

结果

治疗性膝关节贴扎在直线行走过程中能显著降低自我报告的膝关节疼痛水平。在贴扎条件之间,未观察到时空、膝关节动力学、膝关节运动学或下肢肌肉激活变量有显著差异。

解读

有证据支持使用治疗性膝关节贴扎来管理与骨关节炎相关的膝关节疼痛。建议未来开展研究,以更好地理解解释这些膝关节疼痛阳性结果的复杂急性神经肌肉骨骼适应性变化。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验