Tani Klejda, Kola Irena, Shpata Vjollca, Dhamaj Fregen
Faculty of Medical Technical Sciences, University of Medicine, Tirana, Albania.
Open Access Maced J Med Sci. 2018 Aug 15;6(8):1394-1398. doi: 10.3889/oamjms.2018.273. eCollection 2018 Aug 20.
Knee osteoarthritis is a chronic degenerative disease, known as the most common cause of difficulty walking in older adults and subsequently is associated with slow walking. Functional decline, increased risk of falls and the presence of pain are, in many studies, related to the muscle weakness caused by osteoarthritis especially weakness of the quadriceps muscles. Many studies have shown that the strength of the quadriceps femoris muscle can affect gait, by improving or weakening it. Kinesio Tape is a physiotherapeutic technique, which reduces pain and increases muscular strength by irritating the skin receptors.
This study aimed to verify if the application of Kinesio Tape on quadriceps femoris muscle increases gait speed while decreasing the time needed to accomplish the 10-meter walk test in patients with knee osteoarthritis and also in subjects without knee osteoarthritis.
In this study, we observed the change of gait speed with the help of the 10-meter walk test before, one day and three days after the application of Kinesio Tape in quadriceps femoris muscle. We compared the results of the time needed to perform the 10-meter walk in two groups. In the first group, the Patients group, participated 102 out-patients with a clinical diagnosis of primary knee osteoarthritis, while in the second group, the Control group, participated 73 subjects with a main excluding criterion a clinical diagnosis of primary knee osteoarthritis.
Our results indicated that there was a significant decrease of time needed to perform the 10-meter walk test in both groups three days after application of Kinesio Tape on quadriceps femoris muscle. However, there was not a significant change one day after the application of Kinesio Tape compared before its application in both groups.
Our results indicated that there was a significant decrease in time needed to accomplish the 10-meter walk test. Kinesio Tape is a technique that can be used especially when changing walking stereotypes is a long-term goal of the treatment.
膝关节骨关节炎是一种慢性退行性疾病,是老年人行走困难的最常见原因,随后与行走缓慢有关。在许多研究中,功能下降、跌倒风险增加和疼痛的存在与骨关节炎引起的肌肉无力有关,尤其是股四头肌无力。许多研究表明,股四头肌的力量可以通过增强或减弱来影响步态。肌内效贴布是一种物理治疗技术,通过刺激皮肤感受器来减轻疼痛并增强肌肉力量。
本研究旨在验证在股四头肌上应用肌内效贴布是否能提高膝关节骨关节炎患者以及无膝关节骨关节炎受试者的步态速度,同时减少完成10米步行测试所需的时间。
在本研究中,我们借助10米步行测试观察了在股四头肌上应用肌内效贴布之前、应用后一天和三天时步态速度的变化。我们比较了两组完成10米步行所需时间的结果。第一组为患者组,有102名临床诊断为原发性膝关节骨关节炎的门诊患者参与;第二组为对照组,有73名主要排除标准为临床诊断原发性膝关节骨关节炎的受试者参与。
我们的结果表明,在股四头肌上应用肌内效贴布三天后,两组完成10米步行测试所需的时间均显著减少。然而,在应用肌内效贴布一天后,与应用前相比,两组均无显著变化。
我们的结果表明,完成10米步行测试所需的时间显著减少。肌内效贴布是一种可使用的技术,尤其是当改变行走模式是治疗的长期目标时。