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肌内效贴布与其他治疗方式治疗肌肉骨骼疾病的疗效比较:系统评价和荟萃分析。

Efficacy of Kinesio Taping Compared to Other Treatment Modalities in Musculoskeletal Disorders: A Systematic Review and Meta-Analysis.

机构信息

Institute of Fundamental and Applied Sciences, Duy Tan University, Ho Chi Minh City, Vietnam.

Faculty of Natural Sciences, Duy Tan University, Da Nang City, Vietnam.

出版信息

Res Sports Med. 2023 Jul-Dec;31(4):416-439. doi: 10.1080/15438627.2021.1989432. Epub 2021 Oct 28.

Abstract

Kinesio taping is widely used in musculoskeletal conditions. We performed a systematic review and meta-analysis on the efficacy of kinesio taping in musculoskeletal disorders compared to other interventions. Twelve electronic databases were used for systemic search and data relevant to pain and disability were extracted. The protocol was registered in PROSPERO (CRD42018087606). Meta-analysis was performed to compare the efficacy of kinesio taping to other modalities of musculoskeletal disorders. As a result, 36 studies were included in the quantitative analysis. Kinesio taping was found to provide an improvement of both pain and disability when applied to any region of the body. In the first five days of application, kinesio taping significantly reduced the pain in all body regions (SMD = -0.63, 95%CI: -0.87, -0.39). This was also noted after four-to-six weeks of application (SMD = -0.76, 95%CI: -1.07, -0.45). When kinesio taping was used for disability in low back pain patients, it significantly reduced the disability within five days of application (SMD = -0.70, 95%CI: -1.29, -0.11). Finally, kinesio taping has shown an improvement of the disability in all body regions after four-to-six weeks of application (SMD = -0.59, 95%CI: -0.96, -0.22). Our findings support kinesio taping as an adjuvant to other treatments for musculoskeletal disorders. KT = Kinesio taping; MSK = musculoskeletal; SD = standard deviation; CR = conventional rehabilitation; NDI = Neck Disability Index; NPS = Numerical Pain Scale; CTM = Cervical Thrust Manipulation; PIR = Post-isometric muscle relaxation; NPRS Numerical Pain Rating Scale; OA = osteoarthritis; ROM = Range of motion; VAS = visual analogue scale; VAS-W = visual analogue scale-worst pain; VAS-U = visual analogue scale-usual pain; VAS-R = visual analogue scale-resting pain; VAS-A = visual analogue scale-activity pain; VAS-N = visual analogue scale-night pain; NPDS = Neck Pain Disability Scale; QA = Quality assessment.

摘要

肌内效贴布在肌肉骨骼疾病中广泛应用。我们对肌内效贴布与其他干预措施相比在肌肉骨骼疾病中的疗效进行了系统评价和荟萃分析。使用 12 个电子数据库进行系统性检索,并提取与疼痛和残疾相关的数据。该方案已在 PROSPERO(CRD42018087606)中注册。荟萃分析用于比较肌内效贴布与肌肉骨骼疾病其他治疗方法的疗效。结果,36 项研究纳入定量分析。研究发现,将肌内效贴布应用于身体任何部位,均可改善疼痛和残疾。在应用的前 5 天,肌内效贴布显著减轻所有身体部位的疼痛(SMD=-0.63,95%CI:-0.87,-0.39)。在应用 4-6 周后也有同样的效果(SMD=-0.76,95%CI:-1.07,-0.45)。当肌内效贴布用于治疗腰痛患者的残疾时,它在应用后的 5 天内显著减轻残疾(SMD=-0.70,95%CI:-1.29,-0.11)。最后,在应用 4-6 周后,肌内效贴布改善了所有身体部位的残疾(SMD=-0.59,95%CI:-0.96,-0.22)。我们的研究结果支持肌内效贴布作为肌肉骨骼疾病其他治疗方法的辅助手段。KT=肌内效贴布;MSK=肌肉骨骼;SD=标准偏差;CR=常规康复;NDI=颈椎障碍指数;NPS=数字疼痛量表;CTM=颈椎推挤手法;PIR=等长肌肉松弛后;NPRS=数字疼痛评分量表;OA=骨关节炎;ROM=活动范围;VAS=视觉模拟量表;VAS-W=视觉模拟量表-最差疼痛;VAS-U=视觉模拟量表-常规疼痛;VAS-R=视觉模拟量表-休息时疼痛;VAS-A=视觉模拟量表-活动时疼痛;VAS-N=视觉模拟量表-夜间疼痛;NPDS=颈痛残疾量表;QA=质量评估。

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