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运动贴布和压缩袜对慢性静脉疾病患者疼痛、水肿、功能能力和生活质量的影响:一项随机对照试验。

Effects of Kinesio Taping and compression stockings on pain, edema, functional capacity and quality of life in patients with chronic venous disease: a randomized controlled trial.

机构信息

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Medeniyet University, Istanbul, Turkey.

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bezmialem Vakif University, Istanbul, Turkey.

出版信息

Clin Rehabil. 2020 Jun;34(6):783-793. doi: 10.1177/0269215520916851. Epub 2020 Apr 29.

DOI:10.1177/0269215520916851
PMID:32349528
Abstract

OBJECTIVE

The aim of this study was to compare the effects of Kinesio Taping and compression stockings on pain, edema, functional capacity and quality of life in patients with chronic venous disease (CVD).

DESIGN

This is a prospective, randomized, controlled, single-blind clinical trial.

SETTING

The study was conducted in a physiotherapy and rehabilitation unit of a university hospital.

SUBJECTS

A total of 62 patients with early-stage CVD were allocated to either an experimental group or a control group.

INTERVENTIONS

Experimental group ( = 29) received Kinesio Taping intervention once a week for four weeks, while control group ( = 29) received compression stockings for four weeks. All patients additionally undertook an exercise training programme including calf muscle pump exercises, flexibility exercises and diaphragmatic breathing.

MAIN MEASURES

Visual analogue scale, lower limb circumference measurements, 6-minute walk test and Short Form 36 questionnaire were applied before and after four weeks of treatment.

RESULTS

Control group showed statistically significant improvements in pain ( < 0.001), ankle circumferences (right,  = 0.002; left,  = 0.037), calf circumferences (right,  = 0.020; left,  = 0.022), knee circumference (left,  = 0.039) and thigh circumferences (right,  = 0.029; left,  = 0.002) compared with experimental group. There were no significant differences between groups with respect to functional capacity and quality of life ( > 0.05). Both groups significantly improved 6-minute walk distance ( < 0.001) and Short Form 36 physical component summary (experimental group,  = 0.002; control group,  = 0.006).

CONCLUSION

This study demonstrated that Kinesio Taping and compression stockings revealed similar improvements of functional capacity and quality of life in patients with CVD. The symptoms of pain and edema caused by CVD can be decreased more efficiently with compression stockings than Kinesio Taping intervention.

摘要

目的

本研究旨在比较肌内效贴布和压缩袜对慢性静脉疾病(CVD)患者疼痛、肿胀、功能能力和生活质量的影响。

设计

这是一项前瞻性、随机、对照、单盲临床试验。

地点

研究在一所大学医院的物理治疗和康复科进行。

受试者

共有 62 例早期 CVD 患者被分配到实验组或对照组。

干预措施

实验组(n=29)每周接受一次肌内效贴布干预,共四周,对照组(n=29)接受压缩袜治疗,共四周。所有患者还接受了一项包括小腿肌肉泵运动、柔韧性运动和膈肌呼吸在内的运动训练计划。

主要测量

视觉模拟评分、下肢周径测量、6 分钟步行试验和 36 项简短健康调查问卷在治疗四周前后进行。

结果

对照组在疼痛( < 0.001)、踝关节周径(右侧, = 0.002;左侧, = 0.037)、小腿周径(右侧, = 0.020;左侧, = 0.022)、膝关节周径(左侧, = 0.039)和大腿周径(右侧, = 0.029;左侧, = 0.002)方面均显示出统计学意义上的显著改善,而实验组则无明显变化。在功能能力和生活质量方面,两组之间无显著差异( > 0.05)。两组 6 分钟步行距离( < 0.001)和 36 项简短健康调查问卷的生理成分综合评分(实验组, = 0.002;对照组, = 0.006)均显著提高。

结论

本研究表明,肌内效贴布和压缩袜在 CVD 患者中均能显著改善功能能力和生活质量。与肌内效贴布干预相比,压缩袜更能有效地减轻 CVD 引起的疼痛和肿胀症状。

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