肌内效贴布治疗肩峰下撞击综合征的有效性:系统评价与荟萃分析。
Effectiveness of kinesiotaping in patients with subacromial impingement syndrome: A systematic review with meta-analysis.
机构信息
Rehabilitation in Health Research Center (CIRES), Universidad de Las Americas, Santiago, Chile.
Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, Chile.
出版信息
Scand J Med Sci Sports. 2022 Feb;32(2):273-289. doi: 10.1111/sms.14084. Epub 2021 Oct 23.
OBJECTIVE
To determine the effectiveness of kinesiotaping (KT) with or without co-interventions for clinical outcomes in patients with subacromial impingement syndrome (SIS).
DESIGN
Systematic review with meta-analysis of randomized clinical trials.
DATA SOURCES
Eight databases (MEDLINE, CENTRAL, EMBASE, PEDro, LILACS, CINAHL, SPORTDiscus, and Web of Science) were searched from inception until March 2021.
ELIGIBILITY CRITERIA FOR SELECTING STUDIES
Clinical trials that determine the effectiveness of KT with or without co-interventions for clinical outcomes in patients with SIS who are older than 18 years of age.
RESULTS
Ten trials for the quantitative analysis were included. For pain intensity at 1-3 weeks, the overall pooled MD was -0.73 cm, 95% CI = -1.50 to 0.04 (p = 0.06), and at 3-6 weeks, it was -0.13 cm, 95% CI = -1.37 to 0.36 (p = 0.25). For shoulder function, the MD was -0.02, 95%CI = -0.30 to 0.26 (p = 0.89). For shoulder Range of Motion (ROM) flexion, the MD was -16.70, 95% CI = -0.52 to 33.92 (p = 0.06). Additionally, there was a low to moderate quality of evidence according to the GRADE rating.
CONCLUSION
Kinesiotaping with or without co-interventions was not superior to other interventions for improving shoulder pain intensity, function and ROM flexion in patients with SIS.
目的
确定运动贴扎(KT)联合或不联合其他干预措施治疗肩峰下撞击综合征(SIS)患者的临床疗效。
设计
系统评价和荟萃分析的随机临床试验。
数据来源
从建库到 2021 年 3 月,检索了 8 个数据库(MEDLINE、CENTRAL、EMBASE、PEDro、LILACS、CINAHL、SPORTDiscus 和 Web of Science)。
纳入研究的标准
评估 KT 联合或不联合其他干预措施治疗 SIS 患者的临床疗效的临床试验,纳入患者年龄均大于 18 岁。
结果
共纳入 10 项定量分析试验。在 1-3 周时,疼痛强度的总体汇总 MD 为-0.73cm,95%置信区间(CI)为-1.50 至 0.04(p=0.06),在 3-6 周时为-0.13cm,95%CI 为-1.37 至 0.36(p=0.25)。在肩功能方面,MD 为-0.02,95%CI 为-0.30 至 0.26(p=0.89)。在肩活动范围(ROM)屈曲方面,MD 为-16.70,95%CI 为-0.52 至 33.92(p=0.06)。此外,根据 GRADE 评级,证据质量为低到中度。
结论
KT 联合或不联合其他干预措施在改善 SIS 患者的肩痛强度、功能和 ROM 屈曲方面并不优于其他干预措施。