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前交叉韧带断裂后膝关节肌内效贴布对本体感觉的影响

Effects on proprioception by Kinesio taping of the knee after anterior cruciate ligament rupture.

作者信息

Bischoff Lars, Babisch Christian, Babisch Jürgen, Layher Frank, Sander Klaus, Matziolis Georg, Pietsch Stefan, Röhner Eric

机构信息

Department of Orthopedics, Jena University Hospital, Campus Eisenberg, Klosterlausnitzer Straße 81, 07607, Eisenberg, Germany.

Department of Rehabilitation and Sports Medicine, MEDICA-Hospital, Leipzig, Germany.

出版信息

Eur J Orthop Surg Traumatol. 2018 Aug;28(6):1157-1164. doi: 10.1007/s00590-018-2167-1. Epub 2018 Mar 10.

Abstract

INTRODUCTION

The use of Kinesio tape (KT) to improve proprioception is a matter of considerable debate. In comparison, the rupture of the anterior cruciate ligament is a sufficiently well-investigated injury with a proven compromise of proprioception. The objective of the present study was to assess a supportive effect on proprioception after KT application, taking the anterior cruciate ligament (ACL) rupture as an example.

MATERIALS AND METHODS

Forty-eight patients who had suffered an ACL rupture, confirmed clinically and by magnetic resonance imaging, and who were treated conservatively or were awaiting surgery were included in this study. In all patients, a gait analysis was performed on the affected leg before and after KT application. In addition, the IKDC score, the Lysholm score, stability using the Rolimeter, and the angle reproduction test were determined.

RESULTS

Thirty-nine men and nine women who had had an ACL rupture for at least 3 weeks were included in the study. Significant improvements were achieved on the affected knee joint for the gait analysis parameters touchdown and unrolling, cadence, stability and stance phase as well as an extension of the hip joint. The Lysholm score improved from 79.3 to 85.8 (p < 0.001) and the IKDC score from 60.2 to 71.3 points (p < 0.001). Significant improvements were achieved in the Rolimeter and angle reproduction test.

CONCLUSIONS

The use of KT has a positive effect on proprioception in patients with an anterior cruciate ligament rupture. Therefore, the application may improve gait pattern as well as the subjective function of the affected knee joint.

摘要

引言

使用肌内效贴布(KT)来改善本体感觉是一个备受争议的问题。相比之下,前交叉韧带断裂是一种研究充分的损伤,其本体感觉受损已得到证实。本研究的目的是以前交叉韧带(ACL)断裂为例,评估应用KT后对本体感觉的支持作用。

材料与方法

本研究纳入了48例经临床和磁共振成像确诊为ACL断裂、接受保守治疗或等待手术的患者。对所有患者在应用KT前后对患侧下肢进行步态分析。此外,还测定了IKDC评分、Lysholm评分、使用Rolimeter测量的稳定性以及角度再现试验。

结果

研究纳入了39名男性和9名女性,他们的ACL断裂至少已有3周。患膝关节在步态分析参数着地和展开、步频、稳定性和站立期以及髋关节伸展方面均取得了显著改善。Lysholm评分从79.3提高到85.8(p<0.001),IKDC评分从60.2提高到71.3分(p<0.001)。Rolimeter和角度再现试验也取得了显著改善。

结论

应用KT对前交叉韧带断裂患者的本体感觉有积极影响。因此,这种应用可能会改善步态模式以及患膝关节的主观功能。

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