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一项随机、单盲的初步研究评估了运动贴扎联合运动疗法治疗先天性肌性斜颈的疗效,以及不同贴扎技术的影响。

A randomized, single-blinded pilot study evaluating the effects of kinesiology taping and the tape application techniques in addition to therapeutic exercises in the treatment of congenital muscular torticollis.

机构信息

Department of Physical Medicine and Rehabilitation, Marmara University School of Medicine, Istanbul, Turkey.

出版信息

Clin Rehabil. 2017 Aug;31(8):1098-1106. doi: 10.1177/0269215516673885. Epub 2016 Oct 12.

Abstract

OBJECTIVE

To investigate the effects of kinesiology taping and different types of application techniques of kinesiology taping in addition to therapeutic exercises in the treatment of congenital muscular torticollis.

DESIGN

Prospective, single blind, randomized controlled trial.

SETTING

An outpatient rehabilitation clinic in a tertiary university hospital.

SUBJECTS

Infants with congenital muscular torticollis aged 3-12 months.

INTERVENTIONS

Group 1 included 11 infants who only received exercises, Group 2 included 12 infants who received kinesiology taping applied on the affected side by using inhibition technique in addition to exercises. Group 3 included 10 infants who additionally received kinesiology taping applied on the unaffected side by using facilitation technique and on the affected side by using inhibition technique.

MAIN MEASURES

Range of motion in lateral flexion and rotation of the neck, muscle function and degree of craniofacial changes were assessed at pretreatment, post treatment and, 1 month and 3 months' post treatment.

RESULTS

Friedman analysis of within-group changes over time revealed significant differences for all of the outcome variables in all groups except cervical rotation in Group 3 ( P<0.05). No significant differences were found between groups at any of the follow-up time points for any of the outcome variables ( P>0.05).

CONCLUSIONS

There is no any additive effect of kinesiology taping to exercises for the treatment of congenital muscular torticollis. Also different techniques of applying kinesiology taping resulted in similar clinical outcomes.

摘要

目的

探讨运动贴扎结合运动疗法与不同贴扎技术治疗先天性肌性斜颈的效果。

设计

前瞻性、单盲、随机对照试验。

地点

一家三级大学医院的门诊康复诊所。

对象

年龄为 3-12 个月的先天性肌性斜颈婴儿。

干预措施

第 1 组 11 例患儿仅接受运动疗法,第 2 组 12 例患儿在接受运动疗法的同时于患侧使用抑制贴扎技术,第 3 组 10 例患儿在患侧使用抑制贴扎技术和健侧使用促通贴扎技术的同时接受运动疗法。

主要观察指标

治疗前、治疗后及治疗后 1 个月和 3 个月时的颈部侧屈和旋转活动度、肌肉功能和颅面改变程度。

结果

各组内随时间的变化的 Friedman 分析显示,除第 3 组的颈部旋转外( P<0.05),所有组的所有结局变量均存在显著差异。在任何随访时间点,各组间的任何结局变量均无显著差异( P>0.05)。

结论

运动贴扎对运动疗法治疗先天性肌性斜颈没有附加作用。不同的贴扎技术在治疗先天性肌性斜颈的临床疗效方面相似。

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