Palmer Shea, Barnett Sue, Cramp Mary, Berry Alice, Thomas Amanda, Clark Emma M
Department of Allied Health Professions, University of the West of England, Bristol, UK.
Musculoskeletal Research Unit, University of Bristol, Southmead Hospital, Bristol, UK.
Musculoskeletal Care. 2018 Sep;16(3):345-352. doi: 10.1002/msc.1350. Epub 2018 May 28.
Osteoporotic vertebral fractures (OVFs) are common and present a significant burden to patients and healthcare services. Poor posture can increase vertebral pressure, pain and the risk of further fractures. The aim of the present study was to investigate the effects of postural taping on pain, function and quality of life when used in addition to usual care.
A feasibility randomized, controlled trial was carried out in men and women with at least one clinically diagnosed painful OVF. Participants were randomly allocated to use an adhesive postural taping device at home for 4 weeks or to continue with usual care. Outcomes assessed at baseline and 4 weeks included pain at rest and on movement (visual analogue scales [VASs]), and function and quality of life (Quality of Life Questionnaire of the European Foundation for Osteoporosis [QUALEFFO]). Health resource use and acceptability were explored using a specifically designed questionnaire.
Twenty-four participants completed the trial (taping, n = 13; control, n = 11). Groups were comparable in age, although the control group contained more men (n = 3 versus n = 0) and scored slightly lower on most outcome measures at baseline. Descriptive analysis favoured the taping group for most outcome measures. Effect sizes were small to medium (0.37, 0.45 and 0.66 for VAS rest, VAS movement and QUALEFFO, respectively).
The taping device demonstrated potential to improve pain and function. However, the findings need to be replicated in an appropriately powered study. The study procedures were largely acceptable. A more extensive pilot trial is recommended prior to a definitive trial.
骨质疏松性椎体骨折（OVF）很常见，给患者和医疗服务带来了沉重负担。不良姿势会增加椎体压力、疼痛以及进一步骨折的风险。本研究的目的是调查姿势贴扎在常规护理基础上使用时对疼痛、功能和生活质量的影响。
对至少有一处临床诊断为疼痛性OVF的男性和女性进行了一项可行性随机对照试验。参与者被随机分配在家中使用粘性姿势贴扎装置4周或继续接受常规护理。在基线和4周时评估的结果包括静息和活动时的疼痛（视觉模拟量表[VAS]）、功能和生活质量（欧洲骨质疏松症基金会生活质量问卷[QUALEFFO]）。使用专门设计的问卷探讨健康资源利用情况和可接受性。
24名参与者完成了试验（贴扎组，n = 13；对照组，n = 11）。两组年龄相当，尽管对照组男性更多（3例对0例），且在基线时大多数结果指标得分略低。描述性分析显示，大多数结果指标贴扎组更具优势。效应大小为小到中等（静息VAS、活动VAS和QUALEFFO的效应大小分别为0.37、0.45和0.66）。
贴扎装置显示出改善疼痛和功能的潜力。然而，这些发现需要在一项有足够样本量的研究中得到重复验证。该研究程序在很大程度上是可接受的。建议在进行确定性试验之前进行更广泛的试点试验。
