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肌内效贴布能否改善前交叉韧带断裂后膝关节的静态稳定性?一项随机单盲、安慰剂对照试验。

Does kinesiotaping can improve static stability of the knee after anterior cruciate ligament rupture? A randomized single-blind, placebo-controlled trial.

作者信息

Ogrodzka-Ciechanowicz Katarzyna, Głąb Grzegorz, Ślusarski Jakub, Gądek Artur, Nawara Jolanta

机构信息

Institute of Clinical Rehabilitation, Faculty of Motor Rehabilitation, Institute of Physical Rehabilitation, University of Physical Education, Al. Jana Pawla II 78, 31-571, Krakow, Poland.

Department of Orthopedics and Traumatology, University Hospital, Krakow, Poland.

出版信息

BMC Sports Sci Med Rehabil. 2021 Mar 16;13(1):24. doi: 10.1186/s13102-021-00248-6.

Abstract

BACKGROUND

The aim of the study was the assessment of the early impact of the selected kinesiotaping technique on the static stability of the knee joint in patients with ACL rupture on the basis of stabilographic parameters.

METHODS

Sixty-two patients with a complete ACL rupture (32 patients in experimental group and 30 patients in placebo group) took part in the randomized single-blind, placebo-controlled trial. The ligament technique of KT was taken into consideration. Application of a KT tape only on the injured knee was to stabilize the knee joint. Experimental group had application of KT on the injured knee and the placebo group had a KT placebo application (with no tension on KT). Intervention and stabilographic test in both groups was the same. Research tools included measurements of static stabilographic parameters on stabilometric platform CQStab2P®. Outcome measures were assessed before intervention and after KT application. The analysis included evaluation of outcome variables - total path length, (SP), statokinesiogram path length in the XY axes (SPML, SPAP), and mean velocities in the XY axes (MV, MVML, MVAP).

RESULTS

The results show a statistically significant shortening of the SP, SPAP and SPML variables only in experimental group. In the placebo group the results were not significant. The analysis also showed a significant improvement in all analyzed variables in the experimental group compared to the healthy side. In the placebo group, the results did not improve significantly after KT application compared to the healthy side.

CONCLUSIONS

Application o f KT in patients after ACL rupture shortened the total path length and improved the value of parameters in the frontal and sagittal planes in experimental group, which may suggest the potentially greater improvement in these parameters. By improving the values of the analyzed variables, the KT application is able to compensate for the loss of static stability of the knee.

TRIAL REGISTRATION

This study was registered retrospectively in the Australian New Zealand Clinical Trials Registry (ANZCTR). Registration number: ACTRN12616001407482 .

摘要

背景

本研究旨在基于稳定图参数评估所选肌内效贴技术对前交叉韧带(ACL)断裂患者膝关节静态稳定性的早期影响。

方法

62例ACL完全断裂患者(实验组32例,安慰剂组30例)参与了随机单盲、安慰剂对照试验。考虑了KT的韧带技术。仅在受伤膝关节上应用KT胶带以稳定膝关节。实验组在受伤膝关节上应用KT,安慰剂组应用KT安慰剂(KT无张力)。两组的干预和稳定图测试相同。研究工具包括在稳定测量平台CQStab2P®上测量静态稳定图参数。在干预前和应用KT后评估结果指标。分析包括评估结果变量——总路径长度(SP)、XY轴上的静态运动图路径长度(SPML、SPAP)以及XY轴上的平均速度(MV、MVML、MVAP)。

结果

结果显示,仅实验组的SP、SPAP和SPML变量在统计学上有显著缩短。安慰剂组的结果不显著。分析还显示,与健康侧相比,实验组所有分析变量均有显著改善。在安慰剂组中,与健康侧相比,应用KT后结果没有显著改善。

结论

ACL断裂患者应用KT缩短了总路径长度,并改善了实验组额面和矢状面参数的值,这可能表明这些参数有更大的潜在改善。通过改善分析变量的值,应用KT能够弥补膝关节静态稳定性的损失。

试验注册

本研究在澳大利亚新西兰临床试验注册中心(ANZCTR)进行了回顾性注册。注册号:ACTRN12616001407482 。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c82/7962336/db5a77371c68/13102_2021_248_Fig1_HTML.jpg

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