Lai Chih-Chin, Chen Shiau-Yee, Yang Jing-Lan, Lin Jiu-Jenq
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
Department of Physical Medicine and Rehabilitation, Taipei Medical University-Wan Fang Hospital, Taipei, Taiwan; School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Phys Ther Sport. 2019 Nov;40:19-26. doi: 10.1016/j.ptsp.2019.08.003. Epub 2019 Aug 9.
Shortness of the pectoralis minor (PM) is a potential mechanism underlying shoulder impingement syndrome. Few studies have examined the effects of kinesiotaping and stretching exercise on PM length or index. This systematic review and network meta-analysis investigated the effects of stretching exercise and kinesiotaping on PM length and index in adults.
This study followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Randomised controlled trials including adults with or without symptomatic shoulders were included. Heterogeneity between studies was assessed using I2 statistics, and publication bias was evaluated by constructing a funnel plot.
We extracted data from six randomised controlled trials that included 263 participants (age range: 18-50 years). Compared with usual care, kinesiotaping resulted in greater improvement in PM length (mean difference, 1.15 cm; 95% confidence interval [CI]: 0.20-2.10 cm). Compared with usual care and kinesiotaping, proprioceptive neuromuscular facilitation (PNF) stretching increased PMI significantly, with a mean difference of 1.40 (95% CI: 1.17-1.63) and 1.08 (95% CI: 0.29-1.87) cm, respectively.
Compared with no intervention, kinesiotaping is beneficial for lengthening the PM. Intervention with static stretching alone has no effect on PM length. Compared with kinesiotaping alone and no intervention, PNF stretching increases PMI.
胸小肌（PM）缩短是肩部撞击综合征的潜在机制。很少有研究探讨肌内效贴布和伸展运动对PM长度或指数的影响。本系统评价和网状Meta分析研究了伸展运动和肌内效贴布对成年人PM长度和指数的影响。
本研究遵循系统评价和Meta分析的首选报告项目指南。纳入了包括有或无症状肩部的成年人的随机对照试验。使用I²统计量评估研究之间的异质性，并通过构建漏斗图评估发表偏倚。
我们从六项随机对照试验中提取了数据，这些试验包括263名参与者（年龄范围：18至50岁）。与常规护理相比，肌内效贴布使PM长度有更大改善（平均差异，1.15厘米；95%置信区间[CI]：0.20至2.10厘米）。与常规护理和肌内效贴布相比，本体感觉神经肌肉促进法（PNF）伸展分别使PMI显著增加，平均差异为1.40（95%CI：1.17至1.63）和1.08（95%CI：0.29至1.87）厘米。
与不干预相比，肌内效贴布有利于延长PM。单独进行静态伸展干预对PM长度没有影响。与单独使用肌内效贴布和不干预相比，PNF伸展增加PMI。
