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肌内效贴布改善膝骨关节炎患者的疼痛和功能:一项随机对照试验的荟萃分析。

Kinesio taping improves pain and function in patients with knee osteoarthritis: A meta-analysis of randomized controlled trials.

机构信息

Department of Spinal Surgery, Ganzhou People's Hospital, Jiang Xi, China.

Department of Spinal Surgery, Ganzhou People's Hospital, Jiang Xi, China.

出版信息

Int J Surg. 2018 Nov;59:27-35. doi: 10.1016/j.ijsu.2018.09.015. Epub 2018 Sep 28.

DOI:10.1016/j.ijsu.2018.09.015
PMID:30273684
Abstract

OBJECTIVE

To perform a meta-analysis from randomized controlled trials (RCTs) to evaluate the efficacy of Kinesio Taping in reducing pain and increasing knee function in patients with knee osteoarthritis (OA).

METHODS

The electronic databases include PubMed, Embase, web of science and the Cochrane Library up to August 2018. Studies searched were considered eligible if they met the criteria as follows: Population: patients with knee OA; Intervention: intervention groups received Kinesio Taping for the treatment of knee OA; Comparisons: Control group received sham taping; 3) Outcomes: visual analog scale (VAS), McMaster Universities Arthritis Index (WOMAC) scale, range of motion and muscle strength; Study design: RCTs. The Cochrane Collaboration's tool was used to assess risk of bias. We assessed statistical heterogeneity for each RCT with the use of a standard Chi2 test and the I statistic. STATA statistical software 15.0 was used for meta-analysis.

RESULTS

Five RCTs involving 308 patients were included. The present meta-analysis demonstrated that there were significant differences between Kinesio Taping groups and control groups in terms of visual analog scale (VAS), WOMAC scale and flexion range of motion. No significant difference was found regarding quadriceps femoris muscle between groups.

CONCLUSION

Kinesio Taping is effective in improving for pain and joint function in patients with knee OA. Due to the limited quality of the evidence currently available, the results of our meta-analysis should be treated with caution.

摘要

目的

通过随机对照试验(RCT)的荟萃分析评估运动贴布疗法治疗膝骨关节炎(OA)患者减轻疼痛和改善膝关节功能的疗效。

方法

电子数据库包括 PubMed、Embase、Web of Science 和 Cochrane Library,检索时间截至 2018 年 8 月。符合以下标准的研究被认为是合格的:人群:膝骨关节炎患者;干预措施:干预组接受运动贴布治疗膝骨关节炎;比较:对照组接受假性贴布治疗;结局:视觉模拟评分(VAS)、麦克马斯特大学骨关节炎指数(WOMAC)量表、关节活动度和肌肉力量;研究设计:RCT。使用 Cochrane 协作工具评估偏倚风险。我们使用标准 Chi2 检验和 I 统计量评估每个 RCT 的统计学异质性。使用 STATA 统计软件 15.0 进行荟萃分析。

结果

纳入了 5 项 RCT 共 308 例患者。本荟萃分析表明,运动贴布组与对照组在视觉模拟评分(VAS)、WOMAC 量表和膝关节屈曲活动度方面存在显著差异。两组股四头肌之间没有显著差异。

结论

运动贴布在改善膝骨关节炎患者疼痛和关节功能方面是有效的。由于目前可用证据的质量有限,我们的荟萃分析结果应谨慎对待。

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