Öğüt Halil, Güler Hayal, Yildizgören Mustafa Turgut, Velioğlu Onur, Turhanoğlu Ayşe Dicle
Department of Physical Medicine and Rehabilitation, Mustafa Kemal University Medical School, Hatay, Turkey.
Arch Rheumatol. 2018 Jan 18;33(3):335-343. doi: 10.5606/ArchRheumatol.2018.6598. eCollection 2018 Sep.
This study aims to evaluate the efficacy of kinesiology taping (KT) on pain, movement restriction, walking speed, daily living activities, and isokinetic muscle performance in female patients with knee osteoarthritis.
The study included 61 female patients (mean age 53.5±3.5 years; range 50 to 60 years) who were admitted to Physical Medicine and Rehabilitation Outpatient Clinic with complaints of mechanical knee pain. Knee osteoarthritis was diagnosed according to the clinical/ radiological criteria of the American College of Rheumatology and patients with Kellgren-Lawrence grade 2 and 3 were included. Patients were randomly divided into two groups. Both groups received transcutaneous electrical nerve stimulation for 30 minutes, hot pack for 30 minutes, and therapeutic ultrasound for 10 minutes in a day for three weeks (five days in a week). Also, one group was treated with KT (KT group, n=31) while the other group was treated with sham-KT (sham-KT group, n=30) one time a week for three weeks. A home program of around the knee strengthening exercises was recommended for all patients. All patients were evaluated with visual analog scale, Western Ontario and McMaster Osteoarthritis Index (WOMAC) values, goniometric measurement of active knee range of motion, 50-meter walking distance, and isokinetic knee extensor muscle peak torque measurements before treatment, at the end of treatment, and at one month and three months after treatment.
There was a significant improvement in after treatment and first month visual analog scale values in the KT group compared to the sham-KT group (p<0.05). In the KT group, the WOMAC pain and WOMAC total scores decreased significantly after treatment compared to the sham-KT group (p<0.05). Visual analog scale values were significantly decreased after treatment in both groups (p<0.05). In both groups; WOMAC pain, stiffness, physical function, and total values decreased significantly after treatment (p<0.05). In both groups, isokinetic quadriceps peak torque measurements were increased after treatment (p<0.05).
The application of KT to females with knee osteoarthritis appears to be a method that may be effective on pain and functional capacity.
本研究旨在评估肌内效贴布(KT)对女性膝骨关节炎患者的疼痛、活动受限、步行速度、日常生活活动能力和等速肌肉性能的疗效。
本研究纳入了61名女性患者(平均年龄53.5±3.5岁;年龄范围50至60岁),她们因膝关节机械性疼痛而入住物理医学与康复门诊。根据美国风湿病学会的临床/放射学标准诊断膝骨关节炎,纳入Kellgren-Lawrence分级为2级和3级的患者。患者被随机分为两组。两组均接受为期三周(每周五天)的每日30分钟经皮电神经刺激、30分钟热敷和10分钟治疗性超声。此外,一组接受KT治疗(KT组,n = 31),另一组接受假KT治疗(假KT组,n = 30),每周一次,共三周。建议所有患者进行一项围绕膝关节强化锻炼的家庭计划。在治疗前、治疗结束时、治疗后1个月和3个月,使用视觉模拟量表、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)值、主动膝关节活动范围的角度测量、50米步行距离以及等速膝关节伸肌峰值扭矩测量对所有患者进行评估。
与假KT组相比,KT组治疗后及治疗后第一个月的视觉模拟量表值有显著改善(p<0.05)。在KT组中,与假KT组相比,治疗后WOMAC疼痛和WOMAC总分显著降低(p<0.05)。两组治疗后视觉模拟量表值均显著降低(p<0.05)。在两组中;治疗后WOMAC疼痛、僵硬、身体功能和总分均显著降低(p<0.05)。两组治疗后等速股四头肌峰值扭矩测量值均增加(p<0.05)。
对女性膝骨关节炎患者应用KT似乎是一种可能对疼痛和功能能力有效的方法。