肌内效贴布对有症状的胸廓出口综合征患者疼痛、感觉异常、功能状态和整体健康状况的影响：一项单盲、随机、安慰剂对照研究。
Effects of Kinesio Taping on pain, paresthesia, functional status, and overall health status in patients with symptomatic thoracic outlet syndrome: A single-blind, randomized, placebo-controlled study.
机构信息
Department of Physical Medicine and Rehabilitation, Çukurova University, School of Medicine, Adana, Turkey.
出版信息
Acta Orthop Traumatol Turc. 2020 Jul;54(4):394-401. doi: 10.5152/j.aott.2020.19042.
OBJECTIVE
This study aimed to assess the effects of kinesio taping (KT) on pain, paresthesia, functional status, and overall health status in patients with symptomatic thoracic outlet syndrome (sTOS).
METHODS
A single-blind placebo-controlled design was employed in this study. The study duration was defined as 12 months. Analyses were performed on 60 patients with sTOS randomly assigned to KT (4 men and 26 women; mean age=33.5 years, range=20-46 years) and control groups (5 men and 25 women; mean age=26 years, range=20-43 years). KT was applied to the KT group three times. The control group received placebo taping. Pain and paresthesia were evaluated using the visual analogue scale (VAS) pain (10 cm) and VAS paresthesia (10 cm). The upper limb function was assessed using the disabilities of the arm, shoulder, and hand (DASH) questionnaire. The overall health status was evaluated based on the Nottingham Health Profile (NHP). Each assessment was carried out at baseline (t0), posttreatment (t1), and 8 weeks after baseline (t2).
RESULTS
In the KT group, except the social isolation domain of the NHP, all outcome measures showed improvement from t0 to t1. At the second follow-up visit (t2), improvements remained visible compared with baseline. However, none of the variables improved from t1 to t2. Otherwise, all measures deteriorated slightly, and the deteriorations in VAS for pain, NHP pain, NHP sleep, and NHP physical abilities were statistically significant (p=0.041, p=0.048, p=0.013, and p=0.016, respectively). In the control group, only VAS for paresthesia and NHP emotional reaction showed improvement over time (p=0.002 and p=0.044, respectively). When changes in outcome measures between the two groups were compared, except NHP emotional reaction and NHP social isolation, median changes (from t0 to t1) were higher in the KT group than in the control group (p<0.05 for all variables). Regarding VAS pain, VAS paresthesia, DASH, and three NHP domains (energy level, pain, and physical abilities), changes from t0 to t2 were also higher in the KT group (p<0.05 for all variables).
CONCLUSION
KT can provide benefits in terms of relieving pain and paresthesia, as well as improving the upper limb function and quality of life in patients with sTOS.
LEVEL OF EVIDENCE
Level II, Therapeutic study.
目的
本研究旨在评估运动贴扎（KT）对有症状的胸廓出口综合征（sTOS）患者的疼痛、感觉异常、功能状态和整体健康状况的影响。
方法
本研究采用单盲安慰剂对照设计。研究持续时间定义为 12 个月。对 60 名随机分配到 KT 组（4 名男性和 26 名女性；平均年龄 33.5 岁，范围 20-46 岁）和对照组（5 名男性和 25 名女性；平均年龄 26 岁，范围 20-43 岁）的 sTOS 患者进行分析。KT 组应用 KT 三次。对照组接受安慰剂贴扎。使用视觉模拟量表（VAS）疼痛（10cm）和 VAS 感觉异常（10cm）评估疼痛和感觉异常。使用上肢功能障碍问卷（DASH）评估上肢功能。整体健康状况基于诺丁汉健康概况（NHP）进行评估。在基线（t0）、治疗后（t1）和基线后 8 周（t2）进行每次评估。
结果
在 KT 组中，除了 NHP 的社会孤立领域外，所有结果测量指标均显示从 t0 到 t1 的改善。在第二次随访（t2）时，与基线相比，仍可见到改善。然而，从 t1 到 t2 时，所有变量均未改善。否则，所有指标均略有恶化，VAS 疼痛、NHP 疼痛、NHP 睡眠和 NHP 身体能力的恶化具有统计学意义（p=0.041、p=0.048、p=0.013 和 p=0.016，分别）。在对照组中，只有感觉异常的 VAS 和 NHP 情绪反应随时间显示出改善（p=0.002 和 p=0.044，分别）。当比较两组之间的结果测量变化时，除了 NHP 情绪反应和 NHP 社会孤立外，KT 组的中位数变化（从 t0 到 t1）高于对照组（所有变量的 p<0.05）。对于 VAS 疼痛、VAS 感觉异常、DASH 和 NHP 的三个领域（能量水平、疼痛和身体能力），从 t0 到 t2 的变化在 KT 组中也更高（所有变量的 p<0.05）。
结论
KT 可缓解疼痛和感觉异常，并改善 sTOS 患者的上肢功能和生活质量。
证据水平
二级，治疗性研究。
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