Ünlü Özkan Feyza, Soylu Boy Fatma Nur, Erdem Kılıç Selda, Geler Külcü Duygu, Biçer Özdemir Gülşah, Çağlıyan Hartevioğlu Hülya, Akpınar Pınar, Aktaş İlknur
Department of Physical Medicine and Rehabilitation, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.
Department of Radiology, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.
Turk J Phys Med Rehabil. 2020 Nov 9;66(4):459-467. doi: 10.5606/tftrd.2020.5632. eCollection 2020 Dec.
In this study, we aimed to evaluate the efficacy of kinesiotaping (KT) in patients with chronic non-specific neck pain (NSNP) in terms of pain, disability, cervical range of motion (ROM), and cervical lordosis.
Between October 2013 and March 2014, a total of 50 patients (10 males, 40 females; mean age 35.1±9.9 years; range, 17 to 62 years) with chronic NSNP were randomized into the KT (n=25) or the sham KT intervention (n=25) groups. Both groups were additionally given a therapeutic exercise (TE) program. The Visual Analog Scale (VAS) and Neck Disability Index (NDI) scores and ROM measurements were recorded at baseline, at the end of treatment, and at one month. Lateral cervical digital radiographs were analyzed by the Cobb, posterior tangent and effective lordosis methods at baseline and at one month after the treatment.
There was a statistically significant decrease in the VAS scores compared to baseline in the KT group. The NDI scores significantly decreased in both groups. The patients in the KT group experienced a significant increase in all planes of cervical ROM after the treatment. Cervical radiographs revealed a significant increase in the Cobb and posterior tangent angles only in the KT group.
Our study results suggest that KT significantly improves VAS, NDI scores, ROM and cervical lordosis angles. The combination of TE and KT is useful in reducing pain and disability and improving ROM and cervical lordosis loss in patients with chronic NSNP.
在本研究中，我们旨在评估肌内效贴布（KT）对慢性非特异性颈部疼痛（NSNP）患者在疼痛、功能障碍、颈椎活动范围（ROM）和颈椎前凸方面的疗效。
在2013年10月至2014年3月期间，共有50例慢性NSNP患者（10例男性，40例女性；平均年龄35.1±9.9岁；范围为17至62岁）被随机分为KT组（n = 25）或假KT干预组（n = 25）。两组均额外给予治疗性锻炼（TE）计划。在基线、治疗结束时和1个月时记录视觉模拟量表（VAS）和颈部功能障碍指数（NDI）评分以及ROM测量值。在基线和治疗后1个月通过Cobb法、后切线法和有效前凸法分析颈椎侧位数字X线片。
与基线相比，KT组的VAS评分有统计学意义的降低。两组的NDI评分均显著降低。KT组患者在治疗后颈椎ROM的所有平面均有显著增加。颈椎X线片显示仅KT组的Cobb角和后切线角有显著增加。
我们的研究结果表明，KT可显著改善VAS、NDI评分、ROM和颈椎前凸角度。TE和KT的联合应用有助于减轻慢性NSNP患者的疼痛和功能障碍，并改善ROM和颈椎前凸丢失。
