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腰椎弹性胶带对躯干活动度影响的系统评价:一个有争议的问题。

Systematic Review of Lumbar Elastic Tape on Trunk Mobility: A Debatable Issue.

作者信息

van Amstel Robbert N, Noten Karl, van den Boomen Lara N, Brandon Tom, Tulner Sven A F, Jaspers Richard T, Pool-Goudzwaard Annelies L

机构信息

Fysio Science Department, Fysio Physics Fysiotherapie, IJsselstein.

Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam.

出版信息

Arch Rehabil Res Clin Transl. 2021 May 11;3(3):100131. doi: 10.1016/j.arrct.2021.100131. eCollection 2021 Sep.

Abstract

OBJECTIVES

To systematically review the literature to analyze the effect of lumbar elastic tape application on trunk mobility, surpassing the minimal detectable change of the used outcome measurement tool, and to analyze the additional effect of applied tension and direction of elastic tape application in low back pain and participants without low back pain.

DATA SOURCES

Four databases were used: PubMed, Web of Science, Physiotherapy Evidence Database (PEDro), and Google Scholar.

STUDY SELECTION

The inclusion criteria were randomized and clinical controlled trials evaluating the effectiveness of lumbar elastic tape application on trunk mobility.

DATA EXTRACTION

Two researchers executed the search and a third author was consulted to resolve disagreements. The methodological quality was scored using the PEDro scale, with studies scoring ≤5 being excluded.

DATA SYNTHESIS

Eight out of 6799 studies were included; 5 studied individuals with low back pain, and 3 studied participants without low back pain. Two studies scored low on the PEDro scale and were excluded. None of the reported significant changes in trunk mobility due to elastic tape application exceeded the indicated minimal detectable change. No conclusions can be drawn from the direction and applied tension of elastic tape application.

CONCLUSIONS

Based on the results of this systematic review, there is no evidence supporting the effect of lumbar elastic tape application. We recommend consensus in the use of more reliable and valid instruments in future studies.

摘要

目的

系统回顾文献,分析腰部使用弹性胶带对躯干活动度的影响,该影响需超过所用结局测量工具的最小可检测变化,并分析弹性胶带施加的张力和方向对腰痛患者及无腰痛参与者的额外影响。

数据来源

使用了四个数据库:PubMed、科学网、物理治疗证据数据库(PEDro)和谷歌学术。

研究选择

纳入标准为评估腰部使用弹性胶带对躯干活动度有效性的随机对照临床试验。

数据提取

两名研究人员进行检索,并咨询第三位作者以解决分歧。使用PEDro量表对方法学质量进行评分,得分≤5分的研究被排除。

数据综合

6799项研究中有8项被纳入;5项研究腰痛患者,3项研究无腰痛参与者。两项研究在PEDro量表上得分较低,被排除。所报告的因使用弹性胶带导致的躯干活动度显著变化均未超过指定的最小可检测变化。无法从弹性胶带的应用方向和施加的张力得出结论。

结论

基于本系统评价的结果,没有证据支持腰部使用弹性胶带的效果。我们建议在未来的研究中就使用更可靠有效的工具达成共识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3080/8463465/9a20bd80207c/gr1.jpg

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