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肌内效贴与姿势矫正练习对机械性颈部功能障碍患者颈部功能障碍及肩颈肌肉疲劳的疗效:一项随机双盲临床试验

Efficacy of kinesiology tape versus postural correction exercises on neck disability and axioscapular muscles fatigue in mechanical neck dysfunction: A randomized blinded clinical trial.

作者信息

El-Abd Aliaa M, Ibrahim Abeer R, El-Hafez Haytham M

机构信息

Department of Basic Science, Faculty of Physical Therapy, Pharos University, Alexandria, Egypt.

Department of Basic Science, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.

出版信息

J Bodyw Mov Ther. 2017 Apr;21(2):314-321. doi: 10.1016/j.jbmt.2016.07.008. Epub 2016 Jul 26.

DOI:10.1016/j.jbmt.2016.07.008
PMID:28532874
Abstract

BACKGROUND

Mechanical neck dysfunction (MND), with axioscapular muscles fatigue, is highly prevalent worldwide. While postural correction is commonly used for its treatment, efficacy of kinesiology tape (KT) has received considerable attention.

OBJECTIVES

To determine the effectiveness of KT versus correction exercises on neck disability, and axioscapular muscles fatigue in MND patients.

METHODS

46 MND patients were randomly assigned into 1 of 2 groups receiving 4 weeks treatment of either KT or correction exercises. Neck disability and axioscapular muscles fatigue as median frequency of electromyography (EMG-MF) were measured pre and post treatment.

RESULTS

Group-by-time interaction was not significant in the multivariable test. Post hoc tests revealed that KT produced more disability reduction than the postural exercises. However, there was no significant interaction for EMG-MF.

CONCLUSIONS

KT has been found to be more effective than postural exercises to reduce neck disability. However, both modalities have similar effects to reduce axioscapular muscles fatigue.

摘要

背景

机械性颈部功能障碍(MND)伴肩胛轴肌肉疲劳在全球范围内高度普遍。虽然姿势矫正常用于其治疗,但肌内效贴布(KT)的疗效受到了相当多的关注。

目的

确定KT与矫正运动对MND患者颈部功能障碍和肩胛轴肌肉疲劳的有效性。

方法

46例MND患者被随机分为两组,分别接受为期4周的KT或矫正运动治疗。在治疗前后测量颈部功能障碍和肩胛轴肌肉疲劳,以肌电图中位频率(EMG-MF)表示。

结果

在多变量测试中,组间时间交互作用不显著。事后检验显示,KT比姿势运动更能减少功能障碍。然而,EMG-MF没有显著的交互作用。

结论

已发现KT在减少颈部功能障碍方面比姿势运动更有效。然而,两种方式在减少肩胛轴肌肉疲劳方面具有相似的效果。

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