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肌内效贴扎技术训练对肌筋膜疼痛综合征的疗效:一项前瞻性、单盲、随机对照研究。

Effectiveness of training about kinesiotaping in myofascial pain syndrome: A prospective, single-blind, randomized-controlled study.

作者信息

Dilek Banu, Batmaz İbrahim, Akif Sarıyıldız Mustafa, Şahin Ebru, Bulut Deniz, Akalın Elif, Çevik Remzi, Nas Kemal

机构信息

Department of Physical Medicine and Rehabilitation, Medicine Faculty of Dokuz Eylül University, Izmir, Turkey.

Department of Physical Medicine and Rehabilitation, Medicine Faculty of Dicle University, Diyarbakır, Turkey.

出版信息

Turk J Phys Med Rehabil. 2021 Mar 4;67(1):17-24. doi: 10.5606/tftrd.2021.4258. eCollection 2021 Mar.

Abstract

OBJECTIVES

In this study, we aimed to investigate whether there was any difference in kinesiotaping (KT) application on the upper trapezius muscle between a trained and untrained physiatrist in the management of patients with myofascial pain syndrome (MPS).

PATIENTS AND METHODS

Between April 2013 and July 2015, a total of 45 patients (44 females, 1 males; mean age 31.9±8.0 years; range, 18 to 55 years) with MPS were included in this prospective, single-blind, randomized-controlled study. The patients were randomly divided into two groups. The first group (intervention group, n=24) was administered KT band with the muscle in a tense condition according to the muscle technique performed by a trained physiatrist, from the muscle origo toward its insertion point. The second group (control group, n=21) received no technique and KT was applied to the painful area by an untrained physiatrist using a randomly selected method. Primary outcome measures were pain at rest, during activity (0-10 cm visual analog scale), and threshold measurement with algometry (kg/cm2). Secondary outcome measures were function (Neck Pain and Disability Scale), degree of palpable muscle spasm, and quality of life (Nottingham Health Profile). All evaluations were performed at baseline, at three and six weeks after the treatment.

RESULTS

There were significant improvements in all parameters in both groups. There were no significant differences in any parameters at six weeks. We demonstrated that KT, which was applied on active trigger points on the upper trapezius muscle by trained and untrained physiatrists, improved pain, palpable muscle spasm, neck function, quality of life, and patient satisfaction degree in patients with MPS.

CONCLUSION

Our study results show that KT, which is applied by trained and untrained physiatrists, improves pain, palpable muscle spasm, neck function, quality of life in patients with MPS.

摘要

目的

在本研究中,我们旨在调查在肌筋膜疼痛综合征(MPS)患者的管理中,经过培训的物理治疗师和未经培训的物理治疗师在上斜方肌上应用肌内效贴布(KT)是否存在差异。

患者与方法

在2013年4月至2015年7月期间,本前瞻性、单盲、随机对照研究共纳入45例MPS患者(44例女性,1例男性;平均年龄31.9±8.0岁;范围18至55岁)。患者被随机分为两组。第一组(干预组,n = 24)由经过培训的物理治疗师按照肌肉技术在肌肉紧张状态下从肌肉起点向其止点方向贴扎KT带。第二组(对照组,n = 21)不进行任何技术操作,由未经培训的物理治疗师采用随机选择的方法在疼痛区域贴扎KT。主要结局指标为静息时、活动时的疼痛(0 - 10厘米视觉模拟量表)以及用压力痛觉计测量的阈值(千克/平方厘米)。次要结局指标为功能(颈部疼痛和功能障碍量表)、可触及的肌肉痉挛程度以及生活质量(诺丁汉健康量表)。所有评估均在基线、治疗后3周和6周进行。

结果

两组所有参数均有显著改善。6周时任何参数均无显著差异。我们证明,由经过培训和未经培训的物理治疗师在上斜方肌的活性触发点上应用KT,可改善MPS患者的疼痛、可触及的肌肉痉挛、颈部功能、生活质量以及患者满意度。

结论

我们的研究结果表明,由经过培训和未经培训的物理治疗师应用KT,均可改善MPS患者的疼痛、可触及的肌肉痉挛、颈部功能和生活质量。

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