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肌内效贴布对孕妇下背痛及功能障碍的影响。

The Effects of Kinesio Tape on Low Back Pain and Disability in Pregnant Women.

作者信息

Aalishahi Tayebeh, Maryam-Lotfipur-Rafsanjani Seyede, Ghorashi Zohreh, Sayadi Ahmad Raza

机构信息

Student of Midwifery Master of Science, Student Research Committee, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

Department of Midwifery, School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2022 Jan 25;27(1):41-46. doi: 10.4103/ijnmr.IJNMR_291_20. eCollection 2022 Jan-Feb.

DOI:10.4103/ijnmr.IJNMR_291_20
PMID:35280198
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8865245/
Abstract

BACKGROUND

Low Back Pain (LBP) is one of the most common complaints during pregnancy, which could cause performance disability. Kinesio tape is a drug-free elastic therapeutic cotton tape used in treating musculoskeletal problems. This study aims to determine the effects of Kinesio tape on LBP and disability in pregnant women.

MATERIALS AND METHODS

A total of 80 pregnant women with LBP who were referred to the comprehensive health service centers were randomly assigned into the two groups of Kinesio tape and adhesive tape. Pain intensity was determined by the visual analog scale before and on the 1, 2, 7, and 14 day after the intervention and the disability by Roland-Morris disability questionnaire before and on the 7 and 14 day after the intervention. Data analysis was performed by, Two-way repeated-measures ANOVA, Friedman, and Wilcoxon tests.

RESULTS

The intensity of pain decreased in both groups compared to the pre-intervention period; Kinesio (χ = 48.94, df = 4, < 0.001) control (χ = 22.94, df = 4, < 0.001); however, the comparison results of pain intensity were not different in the two groups at different times ( ≥ 0.05). The effects of time was significant (Two-way repeated-measures ANOVA, F= 10.63, < 0.001), but the effects of time and group were not significant (F= 0.31, = 0.722) and indicated a decreasing trend of functional disability in two groups.

CONCLUSIONS

The Kinesio tape reduced the disability caused by LBP during pregnancy and had a lasting effect after the tape was removed.

摘要

背景

下背痛(LBP)是孕期最常见的不适之一,可能导致功能障碍。肌内效贴布是一种用于治疗肌肉骨骼问题的无药物弹性治疗棉带。本研究旨在确定肌内效贴布对孕妇下背痛和功能障碍的影响。

材料与方法

总共80名转诊至综合健康服务中心的下背痛孕妇被随机分为肌内效贴布组和胶布组。在干预前以及干预后第1、2、7和14天通过视觉模拟量表确定疼痛强度,并在干预前以及干预后第7和14天通过罗兰-莫里斯功能障碍问卷确定功能障碍情况。数据分析采用双向重复测量方差分析、弗里德曼检验和威尔科克森检验。

结果

与干预前相比,两组疼痛强度均降低;肌内效贴布组(χ = 48.94,自由度 = 4,P < 0.001),对照组(χ = 22.94,自由度 = 4,P < 0.001);然而,两组在不同时间的疼痛强度比较结果无差异(P ≥ 0.05)。时间效应显著(双向重复测量方差分析,F = 10.63,P < 0.001),但时间和组间效应不显著(F = 0.31,P = 0.722),且两组功能障碍呈下降趋势。

结论

肌内效贴布减轻了孕期下背痛所致的功能障碍,且在去除贴布后仍有持久效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4b9/8865245/9713e0139888/IJNMR-27-41-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4b9/8865245/9713e0139888/IJNMR-27-41-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4b9/8865245/9713e0139888/IJNMR-27-41-g001.jpg

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本文引用的文献

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Kinesio Taping reduces pain and improves disability in low back pain patients: a randomised controlled trial.肌内效贴布贴扎减少腰痛患者的疼痛和改善残疾:一项随机对照试验。
Physiotherapy. 2019 Mar;105(1):65-75. doi: 10.1016/j.physio.2018.07.005. Epub 2018 Jul 26.
2
Impact of Kinesio Taping application on pregnant women suffering from pregnancy-related pelvic girdle pain - preliminary study.肌内效贴布应用对患有妊娠相关骨盆带疼痛的孕妇的影响——初步研究。
Ginekol Pol. 2017;88(11):620-625. doi: 10.5603/GP.a2017.0111.
3
Kinesio Taping vs. Placebo in Reducing Pregnancy-Related Low Back Pain: A Cross-Over Study.
运动贴扎与安慰剂治疗妊娠相关性下背痛的效果比较:一项交叉研究。
Med Sci Monit. 2017 Dec 26;23:6114-6120. doi: 10.12659/msm.904766.
4
The effect of Kinesio® taping on pain, functionality, mobility and endurance in the treatment of chronic low back pain: A randomized controlled study.肌内效贴布对慢性下腰痛治疗中疼痛、功能、活动能力及耐力的影响:一项随机对照研究。
J Back Musculoskelet Rehabil. 2017 Sep 22;30(5):1087-1093. doi: 10.3233/BMR-169705.
5
Efficacy of kinesiotape on functional disability of women with postnatal back pain: A randomized controlled trial.肌内效贴布对产后背痛女性功能障碍的疗效:一项随机对照试验。
J Back Musculoskelet Rehabil. 2018 Feb 6;31(1):205-210. doi: 10.3233/BMR-170827.
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Low back pain in pregnant women attending antenatal clinic: The Aminu Kano teaching hospital experience.在阿明努·卡诺教学医院就诊的孕妇的腰痛经历
Ann Afr Med. 2017 Jul-Sep;16(3):136-140. doi: 10.4103/aam.aam_214_16.
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Low Back Pain in Pregnancy: Investigations, Management, and Role of Neuraxial Analgesia and Anaesthesia: A Systematic Review.妊娠期腰痛:检查、管理以及神经轴索镇痛与麻醉的作用:一项系统评价
Gynecol Obstet Invest. 2017;82(5):417-436. doi: 10.1159/000471764. Epub 2017 May 18.
8
The effect of muscle fatigue and low back pain on lumbar movement variability and complexity.肌肉疲劳和腰痛对腰椎运动变异性和复杂性的影响。
J Electromyogr Kinesiol. 2017 Apr;33:94-102. doi: 10.1016/j.jelekin.2017.02.003. Epub 2017 Feb 13.
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J Back Musculoskelet Rehabil. 2017;30(3):609-613. doi: 10.3233/BMR-160584.
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