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比较肌肉能量技术和肌内效贴布对机械性骶髂关节功能障碍的疗效:一项非盲法、两组、前后测随机临床试验方案。

Comparing the Effectiveness of the Muscle Energy Technique and Kinesiotaping in Mechanical Sacroiliac Joint Dysfunction: A Non-blinded, Two-Group, Pretest-Posttest Randomized Clinical Trial Protocol.

作者信息

Sarkar Manisha, Goyal Manu, Samuel Asir John

机构信息

Department of Musculoskeletal Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Ambala, India.

Department of Pediatric and Neonatal Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Ambala, India.

出版信息

Asian Spine J. 2021 Feb;15(1):54-63. doi: 10.31616/asj.2019.0300. Epub 2020 Jan 30.


DOI:10.31616/asj.2019.0300
PMID:31992024
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7904479/
Abstract

STUDY DESIGN: Two-group, pretest-posttest randomized clinical trial. PURPOSE: To evaluate the efficacy of the muscle energy technique (MET) and Kinesiotaping (KT) in addition to conventional physiotherapy among patients with mechanical sacroiliac joint dysfunction (SIJD). OVERVIEW OF LITERATURE: Patients with SIJD suffer from lower back and gluteal pain, as well as stiffness, due to restricted pelvic joint movement. To restore function and reduce pain among individuals with mechanical SIJD, the MET and KT may be helpful. However, a limited number of studies have compared MET and KT in mechanical SIJD. METHODS: A total of 40 male and female participants aging between 30 and 50 years experiencing unilateral pain around the gluteal area, groin area, and lower limbs for more than 4 weeks but less than 1 year will be selected. Patients will then be randomized into two groups: METCp (n=20) and KTCp groups (n=20). The METCp group will receive MET along with conventional physiotherapy, while the KTCp group will receive conventional physiotherapy with KT. Both groups will receive three alternating days of treatment per week that will continue for 4 weeks. The modified Oswestry Disability Index, a digital pressure algometer, and sacroiliac joint motion testing will be used for evaluation. Between- and within-group pre- and post-intervention results for mechanical SIJD were compared using the Wilcoxon signed-rank test/paired t-test and Mann-Whitney U -test/independent t -test. RESULTS: Modified Oswestry Disability Index, digital pressure algometer, and sacroiliac joint motion will be measured at baseline, 2nd week during intervention, and 4th week at the end of intervention. CONCLUSIONS: The present study will provide data regarding the effects of MET and KT among patients with mechanical SIJD.

摘要

研究设计:两组、干预前-干预后随机临床试验。 目的:评估肌肉能量技术(MET)和肌内效贴布(KT)联合传统物理治疗对机械性骶髂关节功能障碍(SIJD)患者的疗效。 文献综述:SIJD患者因骨盆关节活动受限而出现下背部和臀部疼痛以及僵硬。为恢复机械性SIJD患者的功能并减轻疼痛,MET和KT可能会有所帮助。然而,比较MET和KT在机械性SIJD中应用的研究数量有限。 方法:共选取40名年龄在30至50岁之间、单侧臀区、腹股沟区和下肢疼痛超过4周但少于1年的男性和女性参与者。然后将患者随机分为两组:METCp组(n = 20)和KTCp组(n = 20)。METCp组将接受MET联合传统物理治疗,而KTCp组将接受传统物理治疗加KT。两组均每周接受三天交替治疗,持续4周。将使用改良的Oswestry功能障碍指数、数字压力痛觉计和骶髂关节活动测试进行评估。使用Wilcoxon符号秩检验/配对t检验以及Mann-Whitney U检验/独立t检验比较机械性SIJD干预前后组间和组内结果。 结果:在基线、干预第2周和干预结束第4周测量改良的Oswestry功能障碍指数、数字压力痛觉计和骶髂关节活动度。 结论:本研究将提供有关MET和KT对机械性SIJD患者影响的数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b3/7904479/71c6d55fc710/asj-2019-0300f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b3/7904479/68da36766056/asj-2019-0300f1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b3/7904479/32d2df4c4bef/asj-2019-0300f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b3/7904479/325e297690f2/asj-2019-0300f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b3/7904479/ed26235afeaf/asj-2019-0300f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b3/7904479/3908918c18ab/asj-2019-0300f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b3/7904479/71c6d55fc710/asj-2019-0300f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b3/7904479/68da36766056/asj-2019-0300f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b3/7904479/2d370475cd14/asj-2019-0300f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b3/7904479/32d2df4c4bef/asj-2019-0300f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b3/7904479/325e297690f2/asj-2019-0300f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b3/7904479/ed26235afeaf/asj-2019-0300f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b3/7904479/3908918c18ab/asj-2019-0300f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b3/7904479/71c6d55fc710/asj-2019-0300f7.jpg

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引用本文的文献

[1]
Effectiveness of the Muscle Energy Technique versus Osteopathic Manipulation in the Treatment of Sacroiliac Joint Dysfunction in Athletes.

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本文引用的文献

[1]
Mechanical lower back pain and sacroiliac joint dysfunction in golfers at two golf clubs in Durban, South Africa.

S Afr J Physiother. 2018-3-28

[2]
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Int J Sports Phys Ther. 2018-2

[3]
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J Phys Ther Sci. 2017-9

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Qual Life Res. 2016-2

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J Phys Ther Sci. 2014-9

[10]
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J Manipulative Physiol Ther. 2014-5

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