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颈椎运动贴布对甲状腺切除术后患者颈部疼痛、活动度和残疾的影响:一项随机、双盲、假对照临床试验。

The effects of cervical kinesiotaping on neck pain, range of motion, and disability in patients following thyroidectomy: a randomized, double-blind, sham-controlled clinical trial.

机构信息

Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ankara University, Ankara, Turkey

Clinic of General Surgery, Gülhane Training and Research Hospital, Ankara, Turkey

出版信息

Turk J Med Sci. 2019 Aug 8;49(4):1185-1191. doi: 10.3906/sag-1812-55.

Abstract

BACKGROUND/AIM: This was a randomized, double-blind, sham-controlled study.Thyroidectomy is a frequently performed surgical procedure and head and neck extension during this operation facilitates surgery. Patients may experience postoperative neck pain and cervical range of motion (ROM) limitation due to the surgical position following thyroidectomy. It was aimed herein to investigate the short-term effects of kinesiotaping(KT) applied to the cervical spine on neck pain, ROM, and disability in patients following thyroidectomy.

MATERIALS AND METHODS

A total of 74 patients were randomly assigned to be treated with either KT (Group 1, n = 37) or sham taping (Group 2, n = 37) using a computer-generated random number list. Neck pain, cervical ROM, and neck disability were evaluated with a visual analog scale (VAS), inclinometer, and the Neck Disability Index (NDI) questionnaire, respectively.

RESULTS

There were no significant differences with respect to age, sex, educational background, or body mass index between the groups.While there were no significant differences with respect to improvement of the VAS and change of the ROM and NDI values between the groups, patients in Group 1 needed less paracetamol than patients in Group 2 (P = 0.011).

CONCLUSION

This study showed that cervical KT application following thyroidectomy does not have a positive effect on neck pain, ROM, or disability, but nonetheless, it reduces analgesic consumption.

摘要

背景/目的:这是一项随机、双盲、假对照研究。甲状腺切除术是一种经常进行的手术,手术过程中头部和颈部的伸展有助于手术进行。由于甲状腺切除术后的手术体位,患者可能会经历术后颈部疼痛和颈椎活动度(ROM)受限。本研究旨在探讨甲状腺切除术后颈部 KT(运动贴扎)对颈部疼痛、ROM 和残疾的短期影响。

材料和方法

共有 74 名患者被随机分配接受 KT(第 1 组,n = 37)或假贴扎(第 2 组,n = 37)治疗,使用计算机生成的随机数列表。使用视觉模拟量表(VAS)、测角仪和颈部残疾指数(NDI)问卷分别评估颈部疼痛、颈椎 ROM 和颈部残疾。

结果

两组在年龄、性别、教育背景或体重指数方面无显著差异。虽然 VAS 的改善以及 ROM 和 NDI 值的变化在两组之间无显著差异,但第 1 组患者比第 2 组患者需要更少的扑热息痛(P = 0.011)。

结论

本研究表明,甲状腺切除术后颈椎 KT 应用对颈部疼痛、ROM 或残疾没有积极影响,但可以减少镇痛药的使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7475/7018358/704d6b5179a9/turkjmedsci-49-1185-fig001.jpg

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