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肌内效贴布对机械性颈部疼痛运动员颈椎本体感觉的影响——一项安慰剂对照试验

The effect of Kinesio taping on cervical proprioception in athletes with mechanical neck pain-a placebo-controlled trial.

作者信息

Alahmari Khalid A, Reddy Ravi Shankar, Tedla Jaya Shanker, Samuel Paul Silvian, Kakaraparthi Venkata Nagaraj, Rengaramanujam Kanagaraj, Ahmed Irshad

机构信息

Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia.

出版信息

BMC Musculoskelet Disord. 2020 Oct 3;21(1):648. doi: 10.1186/s12891-020-03681-9.

Abstract

BACKGROUND

Neck proprioception is critical in maintaining neuromuscular control in and around cervical joints. Kinesio™ tape may assist in rehabilitating joint position sense. The current study compares Kinesio™ tape's effects versus a placebo on proprioception in college athletes experiencing mechanical neck pain.

METHODS

This study randomized sixty-six athletes with mechanical neck pain into a Kinesio™ tape group (n = 33, mean age = 22.73 years) or placebo group (n = 33, mean age = 23.15 years). The Kinesio™ tape group received standard Kinesio™ taping applications with appropriate tension, while the placebo group received taping applications without tension.

OUTCOME MEASURES

The study assessed cervical joint position errors with a cervical range-of-motion (CROM) device, pain intensity with a visual analog scale (VAS), and neck functional disability with a neck disability index (NDI). It tested joint position errors through cervical flexion, extension, rotation left, and rotation right. All the outcome measures were recorded at the baseline and twice more following 3 and 7 days of tape applications.

RESULTS

Multivariate analysis of variance test demonstrated a significant reduction in joint position errors in flexion, extension and right rotation following 3 days and 7 days of tape application among the Kinesio™ tape group. There was a significant main effect of time (P < 0.05) for joint position errors in left rotation and VAS after 3 days (p > 0.05), NDI after 3 and 7 days (p > 0.05).

CONCLUSIONS

The Kinesio™ tape application after 3 and 7 days effectively decreased joint position errors and neck pain intensity in mechanical neck pain participants compared to placebo, while there was no difference between both groups in the NDI.

TRIAL REGISTRATION

( CTRI/2011/07/001925 ). This study was retrospectively registered on the 27th July, 2011.

LEVEL OF EVIDENCE

IIB.

摘要

背景

颈部本体感觉对于维持颈椎关节及其周围的神经肌肉控制至关重要。肌内效贴布可能有助于恢复关节位置觉。本研究比较了肌内效贴布与安慰剂对患有机械性颈部疼痛的大学生运动员本体感觉的影响。

方法

本研究将66名患有机械性颈部疼痛的运动员随机分为肌内效贴布组(n = 33,平均年龄 = 22.73岁)或安慰剂组(n = 33,平均年龄 = 23.15岁)。肌内效贴布组接受标准的肌内效贴布贴扎,张力适当,而安慰剂组接受无张力的贴扎。

结果测量

该研究使用颈椎活动度(CROM)装置评估颈椎关节位置误差,使用视觉模拟量表(VAS)评估疼痛强度,使用颈部功能障碍指数(NDI)评估颈部功能障碍。通过颈椎前屈、后伸、左旋和右旋测试关节位置误差。所有结果测量均在基线时记录,并在贴布应用3天和7天后再记录两次。

结果

多变量方差分析表明,肌内效贴布组在贴布应用3天和7天后,前屈、后伸和右旋时的关节位置误差显著降低。左旋时关节位置误差和3天后的VAS(p > 0.05)、3天和7天后的NDI(p > 0.05)存在显著的时间主效应(P < 0.05)。

结论

与安慰剂相比,应用肌内效贴布3天和7天后,机械性颈部疼痛参与者的关节位置误差和颈部疼痛强度有效降低,而两组在NDI方面无差异。

试验注册

(CTRI/2011/07/001925)。本研究于2011年7月27日进行回顾性注册。

证据水平

IIB。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5f1/7533039/21eca285790f/12891_2020_3681_Fig1_HTML.jpg

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