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运动贴扎与冷疗在全膝关节置换术后患者中的比较:一项随机对照试验。

Comparison of kinesio taping and cold therapy in patients with total knee arthroplasty: A randomized controlled trial.

机构信息

Graduate School of Health Sciences, 37508Dokuz Eylul University, Izmir, Turkey.

School of Physical Therapy and Rehabilitation, 37508Dokuz Eylul University, Izmir, Turkey.

出版信息

Clin Rehabil. 2022 Mar;36(3):359-368. doi: 10.1177/02692155211049152. Epub 2021 Oct 21.

Abstract

OBJECTIVE

To investigate the effects of kinesio taping and cold therapy on pain, edema, range of motion, muscle strength, functional level and quality of life in patients with total knee arthroplasty.

DESIGN

Randomised controlled trial.

SETTING

A university hospital.

SUBJECTS

One-hundred patients were included.

INTERVENTION

Patients were allocated into three groups; control group, kinesio group and cold therapy group. The control group received a standard rehabilitation program. Kinesio taping group received two fan-shaped kinesio taping bands and cold therapy group received cold packs in addition to the standard rehabilitation program.

MAIN MEASURES

The outcome measures were pain, edema, range of motion, muscle strength, functional level and quality of life. Participants were assessed at preoperative, discharge and postoperative third month.

RESULTS

The groups were similar at preoperative. A significant difference was determined in terms of pain in kinesio taping group compared to the control group at the discharge. Cold therapy was efficient in reducing postoperative swelling but kinesio taping had no significant effects on swelling control. There was no difference between the groups in terms of range of motion, muscle strength, functional level and quality of life. The groups were similar in all parameters at the postoperative third month measurements.

CONCLUSION

Fan-shaped kinesio taping is an effective technique in terms of postoperative pain relief. Cold therapy is an effective method in terms of edema control. Kinesio taping and cold therapy has no specific beneficial effect on functional level, muscle strength and quality of life compared to control group.

摘要

目的

研究运动贴扎和冷敷对全膝关节置换术后患者疼痛、肿胀、关节活动度、肌肉力量、功能水平和生活质量的影响。

设计

随机对照试验。

地点

一所大学医院。

受试者

共有 100 名患者入选。

干预措施

患者被分为三组:对照组、运动贴扎组和冷敷组。对照组接受标准康复方案。运动贴扎组接受两个扇形运动贴扎带,冷敷组在接受标准康复方案的基础上接受冷敷。

主要观察指标

主要观察指标为疼痛、肿胀、关节活动度、肌肉力量、功能水平和生活质量。患者在术前、出院时和术后第 3 个月进行评估。

结果

三组患者术前一般资料相似。出院时,运动贴扎组的疼痛明显低于对照组。冷敷在减轻术后肿胀方面有效,但运动贴扎对肿胀控制没有显著影响。在关节活动度、肌肉力量、功能水平和生活质量方面,三组之间没有差异。术后第 3 个月测量时,三组在所有参数上均相似。

结论

扇形运动贴扎在缓解术后疼痛方面是一种有效的技术。冷敷在控制肿胀方面是一种有效的方法。与对照组相比,运动贴扎和冷敷对功能水平、肌肉力量和生活质量没有特定的有益影响。

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