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膝关节肌内效贴布对前交叉韧带断裂患者本体感觉、平衡及功能表现的影响:一项回顾性病例系列研究。

Effects of Kinesio taping of the knee on proprioception, balance, and functional performance in patients with anterior cruciate ligament rupture: A retrospective case series.

作者信息

Liu Kai, Qian Jinghua, Gao Qi, Ruan Bin

机构信息

School of Sports Medicine and Physical Therapy, Beijing Sport University, Beijing.

The Sports Medicine and Rehabilitation Center, Qingdao Municipal Hospital, Qingdao, China.

出版信息

Medicine (Baltimore). 2019 Nov;98(48):e17956. doi: 10.1097/MD.0000000000017956.

Abstract

To investigate whether Kinesio tape (KT) application improves proprioception, balance, and functional performance in patients with anterior cruciate ligament rupture (ACLr).This retrospective analysis included 48 male patients with surgically-untreated ACLr who attended the Sports Medicine and Rehabilitation Center, Qingdao Municipal Hospital, China between June 2017 and June 2018. KT was applied to induce a detoning effect on the quadriceps muscle and toning effect on the ischiocrural muscles. Proprioception, balance, and functional performance were assessed before and 1 and 7 days after KT application using the Lysholm scale, anteroposterior shift of the tibia (APST), active angle reproduction test (AART), modified star excursion balance test (mSEBT), and single-hop distance (SHD).KT resulted in significant improvements in Lysholm scale at 1 day (83.00 [6.50] vs. 76.00 [5.25], P < .001) and APST (8.00 [2.00] vs. 10.00 [2.00] mm, P < .001), AART (3.00 [1.00] vs. 4.00 [1.75] degrees, P < .001), SEBT (96.08 [6.62] vs. 83.92 [7.31] %, P < .001) and SHD (120.96 [6.94] vs. 106.46 [9.03] %, P < .001) at 3 hours (median [interquartile range]). However, significant deficits remained when compared with the healthy side. Except for mSEBT posterolateral direction, those effects were maintained at 7 days.KT has benefits in people with ACLr but cannot fully compensate for functional deficits. KT could be used to assist knee strengthening during rehabilitation.

摘要

探讨肌内效贴布(KT)应用是否能改善前交叉韧带断裂(ACLr)患者的本体感觉、平衡能力和功能表现。这项回顾性分析纳入了2017年6月至2018年6月期间在中国青岛市市立医院运动医学与康复中心就诊的48例未经手术治疗的男性ACLr患者。应用KT对股四头肌产生放松作用,对坐骨神经支配的肌肉产生强化作用。在应用KT前以及应用后1天和7天,使用Lysholm量表、胫骨前后移位(APST)、主动角度重现试验(AART)、改良星标偏移平衡试验(mSEBT)和单腿跳远距离(SHD)评估本体感觉、平衡能力和功能表现。KT在1天时使Lysholm量表评分显著改善(83.00 [6.50] 对76.00 [5.25],P<0.001)以及APST(8.00 [2.00] 对10.00 [2.00] mm,P<0.001)、AART(3.00 [1.00] 对4.00 [1.75] 度,P<0.001)、SEBT(96.08 [6.62] 对83.92 [7.31] %,P<0.001)和SHD(120.96 [6.94] 对106.46 [9.03] %,P<0.001)在3小时时(中位数[四分位间距])显著改善。然而,与健康侧相比仍存在显著不足。除mSEBT后外侧方向外,这些效果在7天时仍维持。KT对ACLr患者有益,但不能完全弥补功能缺陷。KT可用于在康复期间辅助膝关节强化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdf9/6890300/bb13369990b5/medi-98-e17956-g001.jpg

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