Puerma-Castillo María Carmen, García-Ríos María Carmen, Pérez-Gómez Marta Eloisa, Aguilar-Ferrándiz María Encarnación, Peralta-Ramírez María Isabel
Castilla la Mancha Health Service, Toledo, Spain.
Department of Physical Therapy, University of Granada, Spain.
J Back Musculoskelet Rehabil. 2018;31(3):453-464. doi: 10.3233/BMR-170835.
Kinesio taping (KT) is a new taping modality frequently used in the clinical setting. However there is contradictory evidence about its effectiveness in patients with neck pain.
To determine the effectiveness of KT as a supplementary treatment in addition to conventional rehabilitation in patients with neck pain.
Forty-five subjects with neck pain were included in this controlled trial and were assigned to the following groups: Kinesio Taping, placebo (P), and conventional rehabilitation control (CR). A daily self-assessment record of perceived pain, medication intake, quality of life and range of motion was registered at baseline, posttreatment and follow-up.
Cohen's coefficient showed large effects in terms of reducing pain perception in all three groups. ANOVAs showed that the course of treatment differed across groups only for neck flexion (p= 0.043). We found significant differences in neck flexion when comparing baseline and one-month follow-up values and neck flexion significantly increased in all three groups: KT (p= 0.05); P (p= 0.01); and CR (p= 0.04). Between-group analyses showed no significant differences for any of the measurements.
A protocol of manual therapy and physical exercises, significantly improved pain and mobility in patients with neck pain. We obtained no evidence of additional benefits from the use of KT in this population.
肌内效贴布（KT）是临床中常用的一种新型贴布疗法。然而，关于其对颈部疼痛患者疗效的证据存在矛盾。
确定KT作为颈部疼痛患者常规康复治疗之外的辅助治疗方法的有效性。
45名颈部疼痛患者纳入该对照试验，并被分为以下几组：肌内效贴布组、安慰剂组（P）和常规康复对照组（CR）。在基线、治疗后和随访时记录每日自我评估的疼痛感知、药物摄入、生活质量和活动范围。
科恩系数显示，三组在减轻疼痛感知方面均有显著效果。方差分析表明，仅在颈部前屈方面，各组治疗过程存在差异（p = 0.043）。比较基线和1个月随访值时，我们发现颈部前屈存在显著差异，且三组颈部前屈均显著增加：肌内效贴布组（p = 0.05）；安慰剂组（p = 0.01）；常规康复对照组（p = 0.04）。组间分析显示，各项测量指标均无显著差异。
手法治疗和体育锻炼方案显著改善了颈部疼痛患者的疼痛和活动能力。我们没有获得在该人群中使用KT有额外益处的证据。
