Physiotherapy Department, The Alfred Hospital, PO Box 315, Prahran, VIC, 3181, Australia.
Physiotherapy Department, The Alfred Hospital, PO Box 315, Prahran, VIC, 3181, Australia; Department of Epidemiology & Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Physiotherapy. 2021 Dec;113:29-36. doi: 10.1016/j.physio.2021.05.005. Epub 2021 May 17.
To investigate if Rocktape combined with exercise is more effective than exercise and sham taping in patients with knee osteoarthritis.
Single institution, prospective, participant and assessor blinded, randomised study.
Outpatient physiotherapy department of a tertiary hospital.
Thirty-six patients with knee osteoarthritis.
Participants were randomised to either; 1) Rocktape plus exercise or 2) sham taping plus exercise.
A linear mixed-effect model was used to assess differences between groups over time for the primary outcome measure (VAS at rest and movement) as well as the secondary outcome measures. Secondary measures included the Knee Injury and Osteoarthritis Outcome Score (KOOS), 30second sit to stand, 40m walk and stair climb tests. Exercise adherence and analgesia use were recorded via a diary. Outcomes were assessed at baseline, immediately prior to the first tape application and immediately following first taping (both at one week after baseline), then two and five weeks after first tape application.
There were no between group differences over time in pain at rest [median Rocktape group 0.035 (IQR -0.1 to 3.0) vs median sham 0 (IQR 0 to 1.6) mean adj diff (0.053, 95% CI -0.17 to 0.27)] or with movement [median tape group 2.45 (IQR -0.5 to 4.8) vs median sham 2.0 (IQR 0.8 to 4.1) mean adj diff 0.072, 95% CI -0.20 to 0.35]. There were no significant differences between groups in any of the KOOS subscales or performance-based tests administered over time. Pain on movement significantly improved over time in both groups, whilst pain at rest only improved at the final time point.
There was no additional benefit of Rocktape over sham tape in patients with knee osteoarthritis who were completing a home exercise program over five weeks.
Clinical Trials Registry (#NCT02049216).
研究在膝骨关节炎患者中，肌内效贴布联合运动疗法是否比运动疗法和假贴布更有效。
单中心、前瞻性、参与者和评估者双盲、随机研究。
一家三级医院的门诊物理治疗科。
36 名膝骨关节炎患者。
参与者被随机分配到以下两组之一：1）肌内效贴布联合运动疗法，或 2）假贴布联合运动疗法。
采用线性混合效应模型，评估主要观察指标（休息和运动时的视觉模拟评分）以及次要观察指标随时间的变化。次要指标包括膝关节损伤和骨关节炎结果评分（KOOS）、30 秒坐立试验、40 米步行试验和爬楼梯试验。通过日记记录运动依从性和镇痛药物使用情况。在基线、第一次贴扎前即刻和第一次贴扎后即刻（均在基线后一周），以及第一次贴扎后两周和五周时进行评估。
在休息时的疼痛[肌内效贴布组中位数 0.035（IQR-0.1 至 3.0）与假贴布组中位数 0（IQR0 至 1.6），平均调整差值（0.053，95%CI-0.17 至 0.27）]或运动时的疼痛[肌内效贴布组中位数 2.45（IQR-0.5 至 4.8）与假贴布组中位数 2.0（IQR0.8 至 4.1），平均调整差值 0.072，95%CI-0.20 至 0.35]方面，两组间在任何时间点均无差异。在 KOOS 各亚量表或随时间推移进行的基于表现的测试中，两组间也无显著差异。两组患者的运动时疼痛均随时间显著改善，而休息时疼痛仅在最后一个时间点改善。
在接受为期五周家庭运动计划的膝骨关节炎患者中，肌内效贴布与假贴布相比，并没有额外的益处。
临床试验注册（#NCT02049216）。
