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肌内效贴布对有或无踝关节损伤人群的踝关节功能或表现没有改善作用:系统评价和荟萃分析。

Kinesio taping does not improve ankle functional or performance in people with or without ankle injuries: Systematic review and meta-analysis.

机构信息

Department of Physiotherapy, Federal University of Santa Maria, Santa Maria - RS, Brazil.

Sport and Exercise Medicine Research Centre, School of Allied Health, La Trobe University, Melbourne, Australia.

出版信息

Clin Rehabil. 2021 Feb;35(2):182-199. doi: 10.1177/0269215520963846. Epub 2020 Oct 20.

DOI:10.1177/0269215520963846
PMID:33081510
Abstract

OBJECTIVE

To investigate whether Kinesio taping technique, applied to ankles of healthy people as a preventive intervention and people with ankle injuries, is superior to sham or alternative interventions on ankle function.

DATA SOURCES

Medline, Embase, Amed, CINAHL, SPORTDiscus, Cochrane Library and Web of Science, from inception to August 2020.

REVIEW METHODS

The terms "ankle" and "kinesio taping" were used in the search strategy. Included studies were randomized controlled trials (including crossover design) investigating Kinesio taping effects on ankle functional performance compared to any alternative or control/sham technique.

RESULTS

From 5,572 studies, 84 met the eligibility criteria which evaluated 2,684 people. Fifty-eight meta-analyses from 44 studies were performed (participants in meta-analyses ranging from 27 to 179). Fifty-one meta-analyses reported ineffectiveness of Kinesio taping: moderate evidence for star excursion balance test (anterior direction), jump distance, dorsiflexion range of motion, and plantar flexion torque for healthy people (effect size = 0.08-0.13); low to very-low evidence for balance, jump performance, range of motion, proprioception, muscle capacity and EMG for healthy people; balance for older people; and balance and jump performance for people with chronic instability. Seven meta-analyses reported results favoring Kinesio taping (effect size[95% CI]): low to very-low evidence for balance (stabilometry, ranging from 0.42[0.07-0.77] to 0.65[0.29-1.02]) and ankle inversion (0.84[0.28-1.40]) for healthy people; balance for older people (COP velocity, 0.90[0.01-1.78]); and balance for people with chronic instability (errors, 0.55[0.06-1.04]).

CONCLUSIONS

Current evidence does not support or encourage the use of Kinesio taping applied to the ankle for improvements in functional performance, regardless the population.

摘要

目的

研究在健康人群的踝关节上应用运动贴扎技术(Kinesio taping technique)作为预防干预措施,以及在踝关节受伤的人群中应用该技术,是否优于假贴扎或其他干预措施对踝关节功能的影响。

资料来源

从建库至 2020 年 8 月,检索了 Medline、Embase、Amed、CINAHL、SPORTDiscus、Cochrane 图书馆和 Web of Science 数据库。

检索方法

使用“脚踝”和“运动贴扎”这两个术语制定检索策略。纳入的研究为随机对照试验(包括交叉设计),比较 Kinesio 贴扎技术对踝关节功能表现的影响与任何替代或对照/假贴扎技术的影响。

结果

从 5572 项研究中,有 84 项符合纳入标准,共纳入 2684 人。对 44 项研究中的 58 项荟萃分析进行了评估(参与者范围从 27 人至 179 人)。51 项荟萃分析报告 Kinesio 贴扎无效:健康人群的星状偏移平衡测试(前向)、跳跃距离、背屈活动范围和跖屈扭矩为中度证据(效应量为 0.08-0.13);平衡、跳跃表现、活动范围、本体感觉、肌肉能力和肌电图为健康人群的低至极低证据;老年人的平衡;慢性不稳定人群的平衡和跳跃表现。7 项荟萃分析报告 Kinesio 贴扎有利的结果(效应量[95%CI]):健康人群的平衡(稳定度计,范围从 0.42[0.07-0.77]至 0.65[0.29-1.02])和踝关节内翻(0.84[0.28-1.40])为低至极低证据;老年人的平衡(COP 速度,0.90[0.01-1.78]);慢性不稳定人群的平衡(错误,0.55[0.06-1.04])。

结论

目前的证据不支持或鼓励将 Kinesio 贴扎应用于踝关节以改善功能表现,无论人群如何。

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