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动态关节松动术与肌内效贴布对髌股关节疼痛患者疼痛、功能及平衡短期影响的比较

Comparison of short-term effects of mobilization with movement and Kinesiotaping on pain, function and balance in patellofemoral pain.

作者信息

Demirci Serdar, Kinikli Gizem Irem, Callaghan Michael J, Tunay Volga Bayrakci

机构信息

Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.

Manchester Metropolitan University, Department of Health Professions, Manchester, United Kingdom.

出版信息

Acta Orthop Traumatol Turc. 2017 Dec;51(6):442-447. doi: 10.1016/j.aott.2017.09.005. Epub 2017 Oct 17.

Abstract

OBJECTIVE

The aim of this study was to compare the short-term effects of Mobilization with movement (MWM) and Kinesiotaping (KT) on patients with patellofemoral pain (PFP) respect to pain, function and balance.

METHODS

Thirty-five female patients diagnosed with unilateral PFP were assigned into 2 groups. The first group (n = 18) received two techniques of MWM intervention (Straight Leg-Raise with Traction and Tibial Gliding) while KT was applied to the other group (n = 17). Both groups received 4 sessions of treatment twice a week for a period of 2 weeks with a 6-week-home exercise program. Pain severity, knee range of motion, hamstring flexibility, and physical performance (10-step stair climbing test, timed up and go test), Kujala Patellofemoral Pain Scoring and Y-Balance test were assessed. These outcomes were evaluated before the treatment, 45 min after the initial treatment, at the end of the 4-session-treatment during 2-week period and 6 weeks later in both groups.

RESULTS

Both treatment groups had statistically significant improvements on pain, function and balance (p < 0.05). Pain at rest (p = 0.008) and the hamstring muscle flexibility (p = 0.027) were demonstrated significant improvements in favor of MWM group.

CONCLUSIONS

Our results demonstrated similar results for both treatment techniques in terms of pain, function and balance. The MWM technique with exercise had a short-term favorable effect on pain at rest and hamstring muscle flexibility than the KT technique with exercise in patients with PFP.

LEVEL OF EVIDENCE

Level I, therapeutic study.

摘要

目的

本研究旨在比较动态关节松动术(MWM)和肌内效贴扎(KT)对髌股疼痛(PFP)患者在疼痛、功能和平衡方面的短期影响。

方法

35名被诊断为单侧PFP的女性患者被分为两组。第一组(n = 18)接受两种MWM干预技术(牵引直腿抬高和胫骨滑动),而另一组(n = 17)应用KT。两组均接受每周两次、为期2周的4次治疗,并进行为期6周的家庭锻炼计划。评估疼痛严重程度、膝关节活动范围、腘绳肌柔韧性和身体表现(10级楼梯攀爬测试、计时起立行走测试)、库贾拉髌股疼痛评分和Y平衡测试。在治疗前、初始治疗后45分钟、2周内4次治疗结束时以及两组治疗6周后评估这些结果。

结果

两个治疗组在疼痛、功能和平衡方面均有统计学意义的改善(p < 0.05)。静息时疼痛(p = 0.008)和腘绳肌柔韧性(p = 0.027)在MWM组有显著改善。

结论

我们的结果表明,两种治疗技术在疼痛、功能和平衡方面的效果相似。在PFP患者中,与运动结合的KT技术相比之下,与运动结合的MWM技术对静息时疼痛和腘绳肌柔韧性有短期有利影响。

证据水平

I级,治疗性研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1151/6197466/a7da09a4c4a4/gr1.jpg

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