Miccinilli Sandra, Bravi Marco, Morrone Michelangelo, Santacaterina Fabio, Stellato Lugi, Bressi Federica, Sterzi Silvia
Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy.
Radiology Department, Campus Bio-Medico University, Rome, Italy.
Ortop Traumatol Rehabil. 2018 Dec 31;20(6):499-505.
Rotator cuff tendinopathy (RoCT) is a common pathology among adults. Kinesio-taping (KT) represents a possible rehabilitative treatment. The aim of the present study is to investigate the efficacy of a combination of three different applications of KT combined with a standardized protocol of rehabilitative exercises in reducing pain and in functional recovery in patients affected by RoCT.
21 patients were enrolled in a real group (RG) and 19 in a sham group (SG). RG received a real KT application and SG received a sham KT application. Both groups received the same rehabilitative protocol. A Numeric Rating Scale (NRS) for shoulder pain, Medical Research Council (MRC) Scales for shoulder strength assessment and Costant Murley Score (CMS) were administered before (T0) and at the end of treatment (T1).
Within-group analysis for RG at T1 showed significant improvement in: NRS at-rest (p=0.002), during-movement (p<0.001); CMS (p<0.001); MRC shoulder flexion (p=0.003), extension (p=0.005), abduction (p=0.003), adduction (p=0.007), external rotation (p=0.011), internal rotation (p=0.002), elbow flexion (p=0.008) and extension strength (p=0.011). Within-group analysis for SG at T1 showed significant improvement in: during-movement NRS (p=0.010); CMS (p<0.001).
肩袖肌腱病（RoCT）是成年人中的常见病症。肌内效贴布（KT）是一种可能的康复治疗方法。本研究的目的是探讨三种不同的KT应用方法与标准化康复训练方案相结合，在减轻RoCT患者疼痛和促进功能恢复方面的疗效。
21例患者纳入真实组（RG），19例纳入假手术组（SG）。RG接受真正的KT贴扎，SG接受假的KT贴扎。两组接受相同的康复方案。在治疗前（T0）和治疗结束时（T1）使用肩部疼痛数字评定量表（NRS）、用于肩部力量评估的医学研究委员会（MRC）量表和Constant Murley评分（CMS）。
RG在T1时的组内分析显示，静息时NRS（p = 0.002）、运动时NRS（p < 0.001）、CMS（p < 0.001）、MRC肩部前屈（p = 0.003）、后伸（p = 0.005）、外展（p = 0.003）、内收（p = 0.007）、外旋（p = 0.011）、内旋（p = 0.002）、肘部屈曲（p = 0.008）和伸展力量（p = 0.011）均有显著改善。SG在T1时的组内分析显示，运动时NRS（p = 0.010）、CMS（p < 0.001）有显著改善。
