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肌内效贴布减轻肱骨外上髁炎患者的疼痛:一项随机对照试验的荟萃分析。

Kinesio tape reduces pain in patients with lateral epicondylitis: A meta-analysis of randomized controlled trials.

机构信息

Department of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou City, Zhejiang Province, 310006, China.

The First Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou City, Zhejiang Province, 310053, China.

出版信息

Int J Surg. 2020 Apr;76:190-199. doi: 10.1016/j.ijsu.2020.02.044. Epub 2020 Mar 10.

DOI:10.1016/j.ijsu.2020.02.044
PMID:32165280
Abstract

BACKGROUND

The efficacy of Kinesio tape (KT) in lateral epicondylitis (LE) is widely discussed, but the results of these studies are conflicting. We perform this meta-analysis from randomized controlled trials (RCTs) in order to evaluate the efficacy and safety of KT in the treatment of LE.

METHODS

A comprehensive search of the published literature in PUBMED, EMBASE, and Cochrane Library databases was implemented. Only English RCTs were included in this study. The outcome measures included visual analogue scale (VAS), grip strength, modified Mayo performance index, Disabilities of the Arm, Shoulder and Hand (DASH) score and adverse events. The Cochrane risk of bias tool was also utilized to evaluate the risk of bias. Data analysis was performed with STATA version 13.0 (Statacorp, college station, Tex).

RESULTS

Five studies with a total of 168 patients were included. The present meta-analysis demonstrated that KT yielded statistically superior pain scores, grip strength, Modified Mayo performance index and DASH score. There was no significant difference between the two groups in terms of adverse events.

CONCLUSION

KT is effective in relieving pain, restoring grip strength, and improving functionality in patients with LE undergoing rehabilitation.

摘要

背景

肌内效贴布(KT)在治疗肱骨外上髁炎(LE)中的疗效备受关注,但这些研究的结果存在争议。我们进行了这项荟萃分析,旨在评估 RCT 中 KT 治疗 LE 的疗效和安全性。

方法

我们在 PUBMED、EMBASE 和 Cochrane Library 数据库中进行了全面的文献检索。仅纳入英语 RCT 进行研究。主要结局指标包括视觉模拟评分(VAS)、握力、改良 Mayo 肘关节功能评分、上肢功能障碍问卷(DASH)评分和不良事件。还使用 Cochrane 偏倚风险工具评估了偏倚风险。数据采用 STATA 版本 13.0(Statacorp,College Station,Tex)进行分析。

结果

纳入了 5 项共 168 例患者的研究。荟萃分析显示,KT 在缓解疼痛、恢复握力和改善 LE 患者的功能方面具有显著的统计学优势。两组在不良事件方面无显著差异。

结论

KT 对接受康复治疗的 LE 患者缓解疼痛、恢复握力和改善功能具有显著疗效。

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An Invited Commentary on "Kinesio tape reduces pain in patients with lateral epicondylitis: A meta-analysis of randomized controlled trials" (Int J Surg 2020;76:190-199) "Is Kinesio taping more than a placebo in lateral epicondylitis?对《肌内效贴布减轻外侧上髁炎患者疼痛:随机对照试验的荟萃分析》(《国际外科学杂志》2020年;76卷:190 - 199页)的特邀评论:“在外侧上髁炎中,肌内效贴布的作用是否不止于安慰剂?”
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