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姿势贴扎对疼痛和前伸头姿势的短期影响:一项随机对照试验。

Short-term effects of postural taping on pain and forward head posture: a randomized controlled trial.

机构信息

Department of Sport Science, Faculty of Social Sciences, Linnaeus University, SE-391 82, Kalmar, Sweden.

Halmstad University, School of Health and Welfare, Halmstad, Sweden.

出版信息

BMC Musculoskelet Disord. 2022 Feb 19;23(1):162. doi: 10.1186/s12891-022-05083-5.

Abstract

BACKGROUND

Balance Body Tape (BBT) is a recently developed taping-method with the aim to reduce pain and improve posture through change in movement behavior. However, the potential effects of a treatment with BBT are scarcely documented. Therefore, the aim with this study was to investigate the effect of a three-week Balance body tape-treatment on the intensity of perceived neck, shoulder and back pain and forward head posture.

METHODS

In this RCT study, subjects (n = 26), who reported being university students or having a sedentary work and experiencing pain in neck, back or shoulders, were randomized to either an intervention (n = 12) or control group (n = 14). The intervention group received a three-week treatment with BBT, the control group received no treatment. A questionnaire regarding pain, including a Numeric Rating Scale (NRS) measuring pain intensity, and a Photographic posture analysis measurement (PPAM) regarding the craniovertebral (CV) angle were assessed before and after the intervention for both groups. Wilcoxon's signed rank test and Mann-Whitney U test was used to assess intra- and between group differences respectively. The relationship between pain intensity and CV angle was assessed using Spearman's correlation.

RESULTS

No difference in demographic and physical characteristics between the groups were noted at baseline (p > 0.05). Pain intensity at baseline was 5 for the intervention group and 4 for the control group (p = 0.330). At follow up, the intervention group reported a lower score (NRS = 2.5, p = 0.003) whereas the control group had no significant difference in pain intensity (NRS = 3, p = 0.086). No significant change was found in the CV angle (p = 0.058) and no correlation was found between NRS and the CV angle (r = 0.102, p = 0.619).

CONCLUSION

A short treatment period with BBT may, compared to no treatment, have a small reducing effect on pain intensity in neck, back and/or shoulders. However, no effect was found on forward head posture in this study.

TRIAL REGISTRATION

Registered retrospectively on 08/11/2021. NCT05111704 . Trial registration page link.

摘要

背景

平衡体带(BBT)是一种最近开发的贴扎方法,旨在通过改变运动行为来减轻疼痛和改善姿势。然而,关于这种治疗方法的潜在效果的记录很少。因此,本研究的目的是调查为期三周的平衡体带治疗对颈、肩和背部疼痛强度以及头部前倾姿势的影响。

方法

在这项 RCT 研究中,随机将报告患有颈部、背部或肩部疼痛,且为大学生或久坐工作者的 26 名受试者分为干预组(n=12)和对照组(n=14)。干预组接受了为期三周的 BBT 治疗,对照组未接受治疗。两组均在干预前后进行了疼痛问卷评估,包括疼痛强度的数字评分量表(NRS)和颅颈(CV)角度的照片姿势分析测量(PPAM)。Wilcoxon 符号秩检验和 Mann-Whitney U 检验分别用于评估组内和组间差异。使用 Spearman 相关分析评估疼痛强度与 CV 角度之间的关系。

结果

两组在基线时的人口统计学和身体特征无差异(p>0.05)。干预组的基线疼痛强度为 5,对照组为 4(p=0.330)。随访时,干预组报告的评分较低(NRS=2.5,p=0.003),而对照组的疼痛强度无显著变化(NRS=3,p=0.086)。CV 角度无显著变化(p=0.058),NRS 与 CV 角度之间无相关性(r=0.102,p=0.619)。

结论

与不治疗相比,BBT 的短期治疗可能会对颈、肩和/或背部的疼痛强度产生较小的减轻作用。然而,本研究未发现对头部前倾姿势的影响。

试验注册

于 2021 年 11 月 8 日回顾性注册。NCT05111704。试验注册页面链接。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/301c/8857793/e76a63e94f2d/12891_2022_5083_Fig1_HTML.jpg

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