肌内效贴布对手部骨关节炎患者疼痛、活动范围、握力及功能能力的影响：一项随机临床试验初步研究
Effect of Kinesio Taping on Pain, Range of Motion, Hand Strength, and Functional Abilities in Patients with Hand Osteoarthritis: A Pilot Randomized Clinical Trial.
作者信息
Farhadian Majid, Morovati Zahra, Shamsoddini Alireza
机构信息
Exercise Physiology Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
出版信息
Arch Bone Jt Surg. 2019 Nov;7(6):551-560.
BACKGROUND
Osteoarthritis is one of the most prevalent joint diseases in older adults. Since hands play a key role in daily activities, their impairment causes disability and reduction of independency. The present study aimed to investigate the effect of using Kinesio tape on pain, range of motion (ROM), hand strength, and functional abilities in patient with hand osteoarthritis (HOA).
METHODS
In this randomized clinical trial study, 38 patients with the diagnosis of HOA were selected and randomly assigned to Kinesio tape plus exercise (KT-EXE) and exercise (EXE) groups. Each group included 19 subjects who participated in an 8-week intervention. Visual analog scale, Disabilities of the Arm, Shoulder, and Hand questionnaire, as well as goniometer and dynamometer measurements, were used to assess pain severity, upper extremity functional disabilities, ROM, and grip strength, respectively, before and after the intervention and at 2 months of follow-up.
RESULTS
There was no significant difference in pre-intervention scores between the two groups. Statistical analysis revealed significant improvement in pain, ROM, hand strength, and upper-extremity functional abilities after the intervention in KT-EXE and EXE groups. In addition, the follow-up analysis showed significant changes, compared to the initial assessments except for the pain in the EXE group. Results of the independent t-test revealed that change was significantly greater in KT-EXE group than that in the EXE group at post-intervention and 2-month follow-up assessments except for the wrist flexion and upper-extremity functional abilities at final evaluation.
CONCLUSION
Obtained results of this study showed that Kinesio taping and hand exercise may have a positive effect on the improvement of pain, ROM, hand strength, and upper-extremity functional abilities in patients with HOA. In addition, these two methods can be simultaneously used for the rehabilitation of this condition.
背景
骨关节炎是老年人中最常见的关节疾病之一。由于手部在日常活动中起关键作用，手部功能受损会导致残疾并降低独立性。本研究旨在探讨使用肌内效贴布对手部骨关节炎（HOA）患者的疼痛、关节活动范围（ROM）、握力和功能能力的影响。
方法
在这项随机临床试验研究中，选取38例诊断为HOA的患者，并随机分为肌内效贴布加运动（KT-EXE）组和运动（EXE）组。每组包括19名受试者，他们参与了为期8周的干预。在干预前后以及随访2个月时，分别使用视觉模拟量表、手臂、肩部和手部功能障碍问卷以及角度计和测力计测量来评估疼痛严重程度、上肢功能障碍、ROM和握力。
结果
两组干预前的评分无显著差异。统计分析显示，KT-EXE组和EXE组在干预后疼痛、ROM、握力和上肢功能能力均有显著改善。此外，随访分析显示，与初始评估相比有显著变化，但EXE组的疼痛除外。独立t检验结果显示，除最终评估时的腕关节屈曲和上肢功能能力外，干预后和2个月随访评估时，KT-EXE组的变化明显大于EXE组。
结论
本研究结果表明，肌内效贴布和手部运动可能对改善HOA患者的疼痛、ROM、握力和上肢功能能力有积极作用。此外，这两种方法可同时用于该疾病的康复治疗。
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