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非甾体抗炎药与膝关节肌内效贴布治疗早期骨关节炎疼痛的比较:一项随机对照试验

Comparison of non-steroidal anti-inflammatory drugs and knee kinesio taping in early osteoarthritis pain: A randomized controlled trial.

作者信息

Hayati Maryam, Yazdi Zohreh, Abbasi Mahnaz

机构信息

Tehran University of Medical Sciences, Tehran, Iran.

Qazvin University of Medical Science, Qazvin, Iran.

出版信息

J Bodyw Mov Ther. 2019 Jul;23(3):666-670. doi: 10.1016/j.jbmt.2018.06.011. Epub 2018 Jul 3.

DOI:10.1016/j.jbmt.2018.06.011
PMID:31563386
Abstract

NSAID in knee OA impose many related adverse effects. Kinesio taping was recently suggested as a novel conservative treatment for reducing pain in OA, without adverse effects. This study aimed to compare kinesio taping and NSAID therapy for kn.ee OA. There were 37 participants in the first group (mean age, 53.72 ± 8.91 years), 29 participants in the second group (mean age, 50.24 ± 8.63 years), and 18 participants in the third group (mean age, 53.33 ± 8.50 years). These groups were treated with NSAID therapy and kinesio taping, kinesio taping only, and sham taping with NSAID therapy, respectively. Taping was repeated three times a week at 1-day intervals. Participants reported pain each week, using visual analog scale scores. The main effect of group and the pain-group interaction were not statistically significant (P = 0.88 and 0.15, respectively). Pain reduction in different weeks was statistically significant (P < .001). Cohen's effect size values for pain reduction in the first to third groups were 0.70, 0.55, and 0.48, respectively. Pain reduction was observed in the three groups, but there was no significant difference among the various treatments. Kinesio taping as a pain relief method may reduce pharmacotherapy demands or at least delay NSAID prescriptions in patients with early OA.

摘要

非甾体抗炎药(NSAID)用于膝骨关节炎(OA)会产生许多相关的不良反应。最近有人提出,肌内效贴布作为一种新型保守治疗方法,可减轻骨关节炎疼痛且无不良反应。本研究旨在比较肌内效贴布与非甾体抗炎药疗法治疗膝骨关节炎的效果。第一组有37名参与者(平均年龄53.72±8.91岁),第二组有29名参与者(平均年龄50.24±8.63岁),第三组有18名参与者(平均年龄53.33±8.50岁)。这些组分别接受非甾体抗炎药疗法和肌内效贴布治疗、仅接受肌内效贴布治疗以及假贴布加非甾体抗炎药疗法。贴布每周重复3次,间隔1天。参与者每周使用视觉模拟量表评分报告疼痛情况。组间的主要效应以及疼痛与组的交互作用均无统计学意义(P值分别为0.88和0.15)。不同周的疼痛减轻情况具有统计学意义(P<0.001)。第一组至第三组疼痛减轻的科恩效应量值分别为0.70、0.55和0.48。三组均观察到疼痛减轻,但不同治疗方法之间无显著差异。肌内效贴布作为一种缓解疼痛的方法,可能会减少早期骨关节炎患者的药物治疗需求,或者至少延迟非甾体抗炎药的处方。

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