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研究KINESIO®贴扎空间矫正法对健康成年人髌股关节和皮下空间的有效性。

INVESTIGATING THE EFFECTIVENESS OF KINESIO® TAPING SPACE CORRECTION METHOD IN HEALTHY ADULTS ON PATELLOFEMORAL JOINT AND SUBCUTANEOUS SPACE.

作者信息

Lyman Katie J, Keister Kassiann, Gange Kara, Mellinger Christopher D, Hanson Thomas A

机构信息

North Dakota State University, Fargo, ND, USA.

Walsh University, North Canton, OH, USA.

出版信息

Int J Sports Phys Ther. 2017 Apr;12(2):250-257.

Abstract

BACKGROUND

Limited quantitative, physiological evidence exists regarding the effectiveness of Kinesio® Taping methods, particularly with respect to the potential ability to impact underlying physiological joint space and structures. To better understand the impact of these techniques, the underlying physiological processes must be investigated in addition to the examination of more subjective measures related to pain in unhealthy tissues.

HYPOTHESIS/PURPOSE: The purpose of this study was to determine whether the Kinesio® Taping Space Correction Method created a significant difference in patellofemoral joint space, as quantified by diagnostic ultrasound.

STUDY DESIGN

Pre-test/post-test prospective cohort study.

METHODS

Thirty-two participants with bilaterally healthy knees and no past history of surgery took part in the study. For each participant, diagnostic ultrasound was utilized to collect three measurements: the patellofemoral joint space, the distance from the skin to the superficial patella, and distance from the skin to the patellar tendon. The Kinesio® Taping Space Correction Method was then applied. After a ten-minute waiting period in a non-weight bearing position, all three measurements were repeated. Each participant served as his or her own control.

RESULTS

Paired tests showed a statistically significant difference (mean difference = 1.1 mm,  = 2.823,  = 0.008,  = .465) between baseline and taped conditions in the space between the posterior surface of the patella to the medial femoral condyle. Neither the distance from the skin to the superficial patella nor the distance from the skin to the patellar tendon increased to a statistically significant degree.

CONCLUSIONS

The application of the Kinesio® Taping Space Correction Method increases the patellofemoral joint space in healthy adults by increasing the distance between the patella and the medial femoral condyle, though it does not increase the distance from the skin to the superficial patella nor to the patellar tendon.

LEVEL OF EVIDENCE

摘要

背景

关于肌内效贴扎技术有效性的定量生理证据有限,尤其是其对潜在生理关节间隙和结构的影响能力方面。为了更好地理解这些技术的影响,除了检查与不健康组织疼痛相关的更主观指标外,还必须研究潜在的生理过程。

假设/目的:本研究的目的是确定肌内效贴扎空间矫正法是否能使髌股关节间隙产生显著差异,通过诊断性超声进行量化。

研究设计

测试前/测试后前瞻性队列研究。

方法

32名双侧膝关节健康且无手术史的参与者参与了本研究。对每位参与者,使用诊断性超声收集三项测量数据:髌股关节间隙、皮肤至髌骨表面的距离以及皮肤至髌腱的距离。然后应用肌内效贴扎空间矫正法。在非负重位等待10分钟后,重复所有三项测量。每位参与者自身作为对照。

结果

配对t检验显示,髌骨后表面至股骨内侧髁之间的间隙在基线和贴扎后条件下存在统计学显著差异(平均差异 = 1.1毫米,t = 2.823,p = 0.008,Cohen's d = 0.465)。皮肤至髌骨表面的距离以及皮肤至髌腱的距离均未增加到具有统计学显著意义的程度。

结论

肌内效贴扎空间矫正法的应用通过增加髌骨与股骨内侧髁之间的距离,使健康成年人的髌股关节间隙增大,尽管它并未增加皮肤至髌骨表面或至髌腱的距离。

证据水平

3级。

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本文引用的文献

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Facilitatory and inhibitory effects of Kinesio tape: Fact or fad?肌内效贴布的促进和抑制作用:事实还是时尚?
J Sci Med Sport. 2016 Feb;19(2):109-12. doi: 10.1016/j.jsams.2015.01.010. Epub 2015 Feb 7.

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