Serbest Sancar, Tiftikci Uğur, Durgut Erdoğan, Vergili Özge, Yalın Kılınc Cem
Faculty of Medicine, Department of Orthopaedics and Traumatology, Kırıkkale University, Kırıkkale, Turkey.
Faculty of Health Sciences, Department of Physical Therapy and Rehabilitation, Kırıkkale University, Kırıkkale, Turkey.
J Invest Surg. 2020 Apr;33(4):375-380. doi: 10.1080/08941939.2018.1521485. Epub 2019 Jan 15.
Due to the continual increase in the number of children engaging in sports today, physicians encounter finger injuries at an increasing frequency. This study sought to investigate the effectiveness of the method of Kinesio taping versus classic finger splint technique on pediatric patients with PIP (proximal interphalangeal) joint sprains of the fingers. This is a retrospective cohort study. Forty-nine pediatric patients with PIP joint sprains were included in the study. The patients were divided into two groups, Group 1 being those treated with Kinesio taping and Group 2, those treated with splints. The area around the PIP joint was measured before and after treatment. Visual analog scale (VAS) evaluation: nighttime pain, numbness, pain at rest, and pain during activity were each separately evaluated before and after treatment. Also, flexion was measured at rest and in active motion before and after treatment. The patients' periarticular measurements of the affected joint were statistically significant in both groups after treatment ( < 0.001). In the comparison between the groups, it was found that the group treated with Kinesio taping displayed a better outcome ( < 0.021). According to the VAS for PIP joint pain, it was observed that in both groups, pain at rest, pain during activity, nighttime pain, and numbness were statistically significant after treatment ( < 0.001). In the comparison of the groups, it was seen that the difference was statistically significant only in terms of nighttime pain ( < 0.013). The study conducted supported the literature that Kinesio taping method does not restrict the function of the extremity to which it is applied and also does not produce the complications reported in other treatment techniques. Kinesio taping was found to have a higher patient compliance and the outcomes were better in terms of edema and joint range of motion as well as night time pain when compared to the group treated with splint.
由于如今参与体育运动的儿童数量不断增加，医生遇到手指损伤的频率也日益上升。本研究旨在调查肌内效贴布法与传统手指夹板技术对患有手指近端指间（PIP）关节扭伤的儿科患者的疗效。这是一项回顾性队列研究。49例患有PIP关节扭伤的儿科患者被纳入研究。患者被分为两组，第1组采用肌内效贴布法治疗，第2组采用夹板治疗。在治疗前后测量PIP关节周围区域。视觉模拟量表（VAS）评估：分别在治疗前后对夜间疼痛、麻木、静息痛和活动时疼痛进行评估。此外，在治疗前后测量静息和主动活动时的屈曲度。两组患者治疗后患关节的关节周围测量值均具有统计学意义（<0.001）。在两组比较中，发现采用肌内效贴布法治疗的组效果更好（<0.021）。根据PIP关节疼痛的VAS评分，观察到两组治疗后静息痛、活动时疼痛、夜间疼痛和麻木均具有统计学意义（<0.001）。在两组比较中，发现仅在夜间疼痛方面差异具有统计学意义（<0.013）。该研究支持了相关文献，即肌内效贴布法不会限制其应用肢体的功能，也不会产生其他治疗技术中报道的并发症。与夹板治疗组相比，发现肌内效贴布法具有更高的患者依从性，在水肿、关节活动范围以及夜间疼痛方面的效果更好。
