肌内效贴布对腕关节运动学和功能表现的影响：一项随机对照试验。
Effect of Kinesio taping on wrist kinematics and functional performance: A randomized controlled trial.
机构信息
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Muğla Sıtkı Koçman University, Muğla, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Muğla Sıtkı Koçman University, Muğla, Turkey.
出版信息
J Hand Ther. 2023 Jan-Mar;36(1):3-12. doi: 10.1016/j.jht.2021.09.005. Epub 2021 Oct 27.
BACKGROUND
Kinesio taping (KT) is a popular adjunct treatment modality for musculoskeletal injuries, hand and wrist injuries. The effectiveness of KT on wrist kinematics has been analyzed during single plane movements in general, and no study has investigated its effectiveness during dart throwing motion (DTM).
PURPOSE
To compare the effects of different KT techniques on wrist kinematics during DTM and functional performance of hand in healthy participants.
STUDY DESIGN
Randomized, double-blind, placebo-controlled, crossover study.
METHODS
Seventy-two healthy participants were included. Dominant wrist kinematics during DTM was evaluated by a Leap motion controller and wrist functional performance was evaluated by Minnesota Manual Dexterity Test. In order to compare the effects of KT on different muscles and also the effects of KT and placebo taping (PT), wrists of participants were evaluated under 5 conditions: without any taping, KT on flexor carpi ulnaris (FCU), KT on extensor carpi radialis brevis and longus (ECRB/L), PT on FCU and PT on ECRB/L. Means of outcome measures without any taping and with different 4 tapings were compared by repeated measures analysis of variance. PT and KT effects were compared by Wilcoxon signed rank test.
RESULTS
DTM range increased (P = .0) and Minnesota Manual Dexterity Test time decreased (P = .0) after KT and PT applications on FCU and ECRB/L muscles. Amount of change in wrist kinematics (P = .0; effect size = 0.2 and 0.3) and functional performance (P = .0; effect size = 0.6 and 0.8) were more obvious with KT applications, independent from the muscles they were applied on (P = .2 for wrist kinematics and P = .7 for functional performance).
CONCLUSIONS
KT on either FCU or ECRB/L muscles improve wrist kinematics and functional performance, significantly. Further studies should investigate if these findings apply for the patients with different wrist injuries, for both immediate- and long-term effectiveness.
背景
运动贴扎（Kinesio taping，KT）是一种常用于治疗肌肉骨骼损伤和手部、腕部损伤的辅助治疗方法。KT 对腕关节运动学的影响已在一般的单平面运动中进行了分析，但尚无研究调查其在投掷运动（dart throwing motion，DTM）中的效果。
目的
比较不同 KT 技术在 DTM 期间对手腕运动学的影响，以及在健康参与者中对手的功能表现的影响。
研究设计
随机、双盲、安慰剂对照、交叉研究。
方法
纳入 72 名健康参与者。通过 Leap motion 控制器评估 DTM 期间的主导腕关节运动学，通过明尼苏达州手动灵巧性测试评估手腕功能表现。为了比较 KT 对不同肌肉的影响，以及 KT 和安慰剂贴扎（placebo taping，PT）的影响，在 5 种情况下评估参与者的手腕：无任何贴扎、屈肌腕管（flexor carpi ulnaris，FCU）贴扎、伸肌腕管（extensor carpi radialis brevis and longus，ECRB/L）贴扎、FCU 上的 PT 和 ECRB/L 上的 PT。通过重复测量方差分析比较无任何贴扎和 4 种不同贴扎条件下的结局测量指标均值。通过 Wilcoxon 符号秩检验比较 PT 和 KT 的效果。
结果
在 FCU 和 ECRB/L 肌肉上应用 KT 和 PT 后，DTM 范围增加（P =.0），明尼苏达州手动灵巧性测试时间减少（P =.0）。腕关节运动学的变化量（P =.0; 效应大小为 0.2 和 0.3）和功能表现（P =.0; 效应大小为 0.6 和 0.8）在 KT 应用后更为明显，与所应用的肌肉无关（腕关节运动学的 P =.2，功能表现的 P =.7）。
结论
在 FCU 或 ECRB/L 肌肉上应用 KT 均可显著改善腕关节运动学和功能表现。进一步的研究应调查这些发现是否适用于患有不同腕部损伤的患者，以及对即时和长期效果的影响。
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