Department of Physiotherapy, Faculty of Health Sciences, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.
Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain.
Sci Rep. 2019 Oct 9;9(1):14478. doi: 10.1038/s41598-019-51146-4.
The presence of myofascial trigger points (MTrPs) is one of the most common causes of musculoskeletal problems and may lead to limited professional activity. Among the various treatment methods proposed for MTrPs, Kinesio Taping (KT) is a non-invasive, painless, and less time-consuming method with fewer side effects that has become widely used as a therapeutic tool in a variety of prevention and rehabilitation protocols. The aim of the study was to evaluate the immediate and short-term efficacy of the space correction KT technique in patients with latent or active MTrPs in the upper trapezius muscle. Two parallel randomized sham-controlled trials were simultaneously executed: in trial A, ninety-seven participants with latent MTrPs were randomly assigned to either the KT (n = 51) or sham (n = 46) group; in trial B, thirty-seven participants with active MTrPs were assigned to the KT (n = 20) or sham (n = 17) group. The primary outcome was pressure pain threshold (PPT) in the upper trapezius muscle, measured with algometry. Secondary outcomes included the active range of motion (ROM) of the cervical spine (lateral flexion and rotation), measured with a cervical ROM goniometer. In each trial, two-way ANOVA tests were used to compare the study effects on the outcome measures between the groups, with time serving as the intra-group factor (baseline, immediately, and 72 h after the application) and the intervention type (KT and sham) as the between-group factor. At 72 h, participants receiving KT did not show significant differences in PPT (trial A: mean difference -1.8 N; 95% CI: [-8.1, 4.4], trial B: mean difference -1.2 N; 95% CI: [-7.4, 5.1]), cervical lateral flexion (trial A: mean difference 0.2 degrees; 95% CI: [-2.7, 3.1], trial B: mean difference -2.4 degrees; 95% CI: [-8.4, 3.6]), and cervical rotation (trial A: mean difference 3.7 degrees; 95% CI: [-0.1, 7.5], trial B: mean difference 1.4 degrees; 95% CI: [-5.7, 8.4]), compared to the sham groups. Thus, the results of this study do not support the use of the space correction KT technique to treat patients with latent or active myofascial trigger points in the upper trapezius muscle.
肌筋膜触发点（MTrPs）的存在是肌肉骨骼问题最常见的原因之一，可能导致专业活动受限。在为 MTrPs 提出的各种治疗方法中，运动贴扎（Kinesio Taping，KT）是一种非侵入性、无痛且耗时较少、副作用较少的方法，已广泛用作各种预防和康复方案中的治疗工具。本研究的目的是评估空间矫正 KT 技术对潜在或活动性上斜方肌 MTrPs 患者的即刻和短期疗效。同时进行了两项平行、随机、假对照试验：在试验 A 中，97 名潜伏性 MTrPs 患者被随机分配到 KT 组（n=51）或假贴扎组（n=46）；在试验 B 中，37 名活动性 MTrPs 患者被分配到 KT 组（n=20）或假贴扎组（n=17）。主要结局指标是用压力测痛计测量的上斜方肌的压痛阈值（PPT）。次要结局指标包括用颈椎 ROM 量角器测量的颈椎活动度（侧屈和旋转）。在每个试验中，采用双因素方差分析检验组间对结局指标的研究效果，时间为组内因素（基线、即刻和贴扎后 72 小时），干预类型（KT 和假贴扎）为组间因素。在 72 小时时，接受 KT 的患者在 PPT 方面没有显示出显著差异（试验 A：平均差值-1.8 N；95%CI：[-8.1，4.4]，试验 B：平均差值-1.2 N；95%CI：[-7.4，5.1]），颈椎侧屈（试验 A：平均差值 0.2 度；95%CI：[-2.7，3.1]，试验 B：平均差值-2.4 度；95%CI：[-8.4，3.6]）和颈椎旋转（试验 A：平均差值 3.7 度；95%CI：[-0.1，7.5]，试验 B：平均差值 1.4 度；95%CI：[-5.7，8.4]）与假贴扎组相比。因此，本研究结果不支持使用空间矫正 KT 技术治疗上斜方肌潜在或活动性肌筋膜触发点的患者。
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