Department of Rehabilitation Medicine, Mianzhu people's Hospital and West China Hospital, Sichuan University, Sichuan Province, People's Republic of China.
Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan Province, People's Republic of China.
Clin Rehabil. 2021 Mar;35(3):317-331. doi: 10.1177/0269215520964950. Epub 2020 Oct 16.
The aim of this study was to evaluate the effectiveness of kinesio taping for the management of hemiplegic shoulder pain.
MEDLINE, EMBASE, Web of Science, CENTRAL, CNKI, Wan Fang databases and the grey literature research were searched from inception to July 2020.
We considered randomized controlled trials in English or Chinese that used kinesio taping for the treatment of hemiplegic shoulder pain. Two reviewers independently screened the articles, scored the methodological quality using the PEDro scale, assessed risk of bias using the Cochrane's risk of bias tool and extracted the data. The outcomes included pain, motor function of the upper limb, magnitude of shoulder subluxation and activities of daily living post-intervention.
A total of nine studies ( = 424) met the inclusion criteria. A meta-analysis demonstrated a significant effect of kinesio taping on pain (mean difference(MD)= -1.45, 95% confidence interval(CI): -1.98 to-0.92 cm, < 0.0001), motor function of upper limb (MD = 4.22,95%CI: 3.49 to 4.95, < 0.00001), magnitude of shoulder subluxation (standardized mean difference(SMD) = -0.65, 95%CI: -0.95 to -0.35, < 0.0001) and activities of daily living (MD = 6.86, 95% CI: 3.99 to 9.73, < 0.00001) post-intervention.
This meta-analysis suggests a beneficial effect of kinesio taping for reducing shoulder subluxation, improving motor function of the upper limb and activities of daily living in patients with hemiplegic shoulder pain post-intervention, which could not be interpreted simply as a placebo effect. And it was associated with reduced pain for patients with chronic stroke.
本研究旨在评估运动贴扎治疗偏瘫肩痛的效果。
从建库至 2020 年 7 月，我们检索了 MEDLINE、EMBASE、Web of Science、CENTRAL、中国知网（CNKI）、万方数据库和灰色文献。
我们纳入了以英语或中文发表的、使用运动贴扎治疗偏瘫肩痛的随机对照试验。两位评审员独立筛选文献、使用 PEDro 量表评估方法学质量、使用 Cochrane 偏倚风险工具评估偏倚风险并提取数据。干预后评估的结局指标包括疼痛、上肢运动功能、肩关节半脱位程度和日常生活活动能力。
共有 9 项研究（n=424）符合纳入标准。meta 分析显示，运动贴扎在减轻疼痛（均差（MD）=-1.45，95%置信区间（CI）：-1.98 至-0.92 cm， < 0.0001）、上肢运动功能（MD=4.22，95%CI：3.49 至 4.95， < 0.00001）、肩关节半脱位程度（标准化均差（SMD）=-0.65，95%CI：-0.95 至-0.35， < 0.0001）和日常生活活动能力（MD=6.86，95%CI：3.99 至 9.73， < 0.00001）方面均有显著效果。
本 meta 分析提示，运动贴扎可减少偏瘫肩痛患者的肩关节半脱位，改善其上肢运动功能和日常生活活动能力，减轻疼痛，对慢性脑卒中患者效果更为明显。这种效果不能简单地解释为安慰剂效应。
