Atici Yunus, Aydin Canan Gonen, Atici Aysegul, Buyukkuscu Mehmet Ozbey, Arikan Yavuz, Balioglu Mehmet Bulent
Department of Orthopaedics and Traumatology, Okan University Medical Faculty, Istanbul, Turkey.
Metin Sabanci Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey.
Acta Orthop Traumatol Turc. 2017 May;51(3):191-196. doi: 10.1016/j.aott.2017.01.002. Epub 2017 Mar 19.
This study investigated the short-term effects of KT on back pain (BP) in patients with Lenke Type 1 adolescent idiopathic scoliosis (AIS).
We chosen Lenke Type 1 scoliosis who have had only back pain (the localization of the pain: the only in the apical convex edge). Forty patients suffering from BP with Lenke Type 1 AIS were randomly separated into two groups, Group 1 (20 patients) and Group 2 (20 patients). Group 1 was given KT with tension and home exercises and Group 2 was given KT without tension and home exercises. KT and home exercises was applied to the thoracic area of the patients in both groups for four weeks. Pain intensity was measured using a visual analog scale (VAS) and SRS-22 (subtotal SRS-20) before and after treatment.
Mean age of both groups was 16.1 years. Mean Cobb angle of the thoracic scoliosis was 31.8° (range: 17°-44°) in Group 1 and 32.8° (range: 19°-43°) in Group 2 before the treatment. The decrease in VAS score of Group 1 after taping was higher than that of Group 2. The difference between the pre- and post-treatment VAS scores of both groups was statistically significant (p < 0.05). The increase in mean SRS-20 score of Group 1 following taping application was significantly higher than the increase in the control group (p < 0.05).
Results demonstrated that KT application with tension effectively leads to back pain relief shortly after application. In addition, KT has a positive impact on quality of life. Thus, KT may be a suitable intervention in treating back pain of patients with AIS.
Level 1, Therapeutic study.
本研究调查了肌内效贴扎（KT）对Lenke 1型青少年特发性脊柱侧凸（AIS）患者背痛（BP）的短期影响。
我们选取了仅患有背痛（疼痛部位：仅在顶椎凸侧边缘）的Lenke 1型脊柱侧凸患者。40例患有Lenke 1型AIS背痛的患者被随机分为两组，第1组（20例患者）和第2组（20例患者）。第1组接受有张力的KT和家庭锻炼，第2组接受无张力的KT和家庭锻炼。两组患者均在胸部区域进行KT和家庭锻炼，为期四周。在治疗前后使用视觉模拟量表（VAS）和SRS-22（SRS-20总分）测量疼痛强度。
两组的平均年龄均为16.1岁。治疗前，第1组胸段脊柱侧凸的平均Cobb角为31.8°（范围：17°-44°），第2组为32.8°（范围：19°-43°）。贴扎后第1组VAS评分的降低高于第2组。两组治疗前后VAS评分的差异具有统计学意义（p<0.05）。第1组贴扎后平均SRS-20评分的增加显著高于对照组（p<0.05）。
结果表明，有张力的KT应用在应用后不久能有效减轻背痛。此外，KT对生活质量有积极影响。因此，KT可能是治疗AIS患者背痛的合适干预措施。
1级，治疗性研究。
