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肌内效贴布®对膝关节骨关节炎疼痛管理的有效性:一项随机、双盲、对照临床试验。

The effectiveness of Kinesio Taping® for pain management in knee osteoarthritis: a randomized, double-blind, controlled clinical trial.

作者信息

Donec Venta, Kubilius Raimondas

机构信息

Rehabilitation Department, Medical Academy, Lithuanian University of Health Sciences, Eivenių 2, LT-50009, Kaunas 44307, Lithuania.

Rehabilitation Department, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.

出版信息

Ther Adv Musculoskelet Dis. 2019 Aug 29;11:1759720X19869135. doi: 10.1177/1759720X19869135. eCollection 2019.

Abstract

BACKGROUND

Kinesio Taping® method is a nonpharmacological alternative for pain management in musculoskeletal disorders. However, the existing evidence is insufficient to assess its full effectiveness for pain management in knee osteoarthritis (KO). Our aim was to evaluate the effectiveness of the Kinesio Taping method in reducing knee pain for KO patients.

METHODS

In this randomized, double blind, controlled trial, we recruited 187 patients with grade I-III KO who were allocated to either the Kinesio Taping or control group. The study was carried out in outpatient facility. Either Kinesio Taping or nonspecific taping was applied on the affected knee area for 4 weeks. Pain evaluation was performed at baseline, after 1 month of taping and after 1 further month without taping. The data on usage of painkillers were collected; Numeric Pain Rating Scale; an algometer, and Knee injury and Osteoarthritis Outcome Scores (KOOS) pain subscale were used to assess pain. Tolerance and subjective opinions toward the effectiveness of taping were evaluated. The chosen level of significance was  < 0.05, ß ⩽ 0.2.

RESULTS

The majority (>70%) of both groups' patients indicated that tapes reduced the knee pain. The reported use of painkillers decreased, in addition to self-reported increase in the KOOS subscale, thereby indicating pain alleviation. All self-reported improvement remained at the 1-month follow up ( < 0.05). Significantly higher and clinically meaningful reduction of pain intensity was found in the Kinesio Taping group after the treatment month, in comparison with the control group ( < 0.05). More pain reduction was reported in the daytime for participants in the Kinesio Taping group at the follow up ( = 0.022). No changes in algometry results were observed.

CONCLUSIONS

Elastic taping can safely relieve knee pain and reduce the need for pharmacological management in KO. A specific Kinesio Taping technique is clinically more beneficial for knee-pain alleviation in comparison with nonspecific taping.[ClinicalTrials.gov identifier: NCT03076177.].

摘要

背景

肌内效贴布法是肌肉骨骼疾病疼痛管理的一种非药物替代方法。然而,现有证据不足以评估其对膝关节骨关节炎(KO)疼痛管理的全部有效性。我们的目的是评估肌内效贴布法对KO患者减轻膝关节疼痛的有效性。

方法

在这项随机、双盲、对照试验中,我们招募了187例I-III级KO患者,将其分为肌内效贴布组或对照组。研究在门诊进行。在患膝区域应用肌内效贴布或非特异性贴布,持续4周。在基线、贴布1个月后以及再经过1个月不贴布后进行疼痛评估。收集止痛药使用数据;使用数字疼痛评分量表、压力痛觉计以及膝关节损伤和骨关节炎疗效评分(KOOS)疼痛子量表来评估疼痛。评估对贴布有效性的耐受性和主观意见。选定的显著性水平为<0.05,β⩽0.2。

结果

两组中大多数(>70%)患者表示贴布减轻了膝关节疼痛。除了自我报告的KOOS子量表得分增加外,止痛药的使用报告减少,从而表明疼痛减轻。所有自我报告的改善在1个月随访时仍然存在(<0.05)。与对照组相比,治疗月后肌内效贴布组疼痛强度的降低显著更高且具有临床意义(<0.05)。随访时,肌内效贴布组参与者在白天报告的疼痛减轻更多(=0.022)。未观察到压力痛觉测定结果的变化。

结论

弹性贴布可安全缓解KO患者的膝关节疼痛并减少药物治疗的需求。与非特异性贴布相比,特定的肌内效贴布技术在临床缓解膝关节疼痛方面更有益。[ClinicalTrials.gov标识符:NCT03076177]

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f235/6716177/03a71352c562/10.1177_1759720X19869135-fig1.jpg

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