Bagheri Rasool, Pourahmadi Mohammad Reza, Sarmadi Ali Reza, Takamjani Ismail Ebrahimi, Torkaman Giti, Fazeli Sayyed Hamed
Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences and Health Services, Tehran, Iran; Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation, Semnan University of Medical Sciences and Health Services, Semnan, Iran.
Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences and Health Services, Tehran, Iran.
J Bodyw Mov Ther. 2018 Apr;22(2):266-275. doi: 10.1016/j.jbmt.2017.06.018. Epub 2017 Jun 27.
This study aimed to evaluate the effects of kinesiology tape, anesthesia, and kinesiology tape along with anesthesia, on motor neuron excitability.
Participants included 20 healthy men aged 20-35 years, who were examined over 5 sessions.
The five experimental sessions included: control without applying the kinesiology tape or Eutectic Mixture of Local Anesthetics (EMLA); treatment only with EMLA; only kinesiology tape application; only sham tape application; and treatment with kinesiology tape and EMLA.
The H-reflex recruitment curve of the soleus and lateral gastrocnemius was recorded by a blinded assessor in the 5 separate sessions randomly assigned with 48 h washout periods. The major H-reflex parameters include: the H/M ratio, the H-reflex threshold stimulation intensity (H), the intensity of maximum H-reflex (Intensity), the H-reflex ascending slope (H), and the H-reflex ascending slope fixed into the first three points (first H).
The H-reflex parameters (H slope, first H, H, and Intensity) were facilitated by application of the kinesiology tape with and without EMLA; however, EMLA inhibited the H-reflex parameters (H/M ratio, H, first H, and H) in both the soleus and lateral gastrocnemius. The sham tape did not alter the H-reflex recruitment curve parameters. The statistical model revealed a significant difference between the kinesiology tape and the sham tape and control sessions, between kinesiology tape-EMLA and EMLA, and between kinesiology tape-EMLA and control session.
Results suggest that the kinesiology tape facilitates the muscle activity and the underlying mechanism on the gastrosoleus motor neuron pool involves the cutaneous receptors.
本研究旨在评估肌内效贴布、麻醉剂以及肌内效贴布联合麻醉剂对运动神经元兴奋性的影响。
参与者包括20名年龄在20至35岁之间的健康男性，共接受5次检查。
五次实验环节包括：不使用肌内效贴布或复方利多卡因乳膏（EMLA）的对照；仅使用EMLA治疗；仅使用肌内效贴布；仅使用假贴布；使用肌内效贴布和EMLA治疗。
由一位不知情的评估者在5个独立环节中记录比目鱼肌和腓骨外侧肌的H反射募集曲线，各环节随机分配，且间隔48小时洗脱期。主要的H反射参数包括：H/M比值、H反射阈刺激强度（H）、最大H反射强度（强度）、H反射上升斜率（H）以及前三个点固定的H反射上升斜率（首个H）。
无论是否使用EMLA，应用肌内效贴布均可促进H反射参数（H斜率、首个H、H以及强度）；然而，EMLA抑制了比目鱼肌和腓骨外侧肌的H反射参数（H/M比值、H、首个H以及H）。假贴布未改变H反射募集曲线参数。统计模型显示，肌内效贴布与假贴布及对照环节之间、肌内效贴布 - EMLA与EMLA之间以及肌内效贴布 - EMLA与对照环节之间存在显著差异。
结果表明，肌内效贴布可促进肌肉活动，且对腓肠肌运动神经元池的潜在作用机制涉及皮肤感受器。
