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肌内效贴布贴扎与干针治疗肱骨外上髁炎的疗效比较:一项临床及超声研究。

The comparison of the effectiveness of Kinesio Taping and dry needling in the treatment of lateral epicondylitis: a clinical and ultrasonographic study.

机构信息

Department of Physical Medicine and Rehabilitation, Bakırçay University Çiğli Training and Research Hospital, Izmir, Turkey.

Department of Radiology, Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey.

出版信息

J Shoulder Elbow Surg. 2022 Aug;31(8):1553-1562. doi: 10.1016/j.jse.2022.03.010. Epub 2022 Apr 26.

Abstract

BACKGROUND

The aim of this study was to investigate the short- and long-term effects of Kinesio Taping (KT) and dry needling (DN) applications on pain, functionality, and muscle strength in patients with lateral epicondylitis by use of questionnaires and ultrasonography.

METHODS

Seventy-eight patients were randomized into 3 groups. Each group followed a program that consisted of 9 treatment sessions in total, with 3 sessions per week for 3 weeks. Group 1 received KT and performed exercise, group 2 received DN and performed exercise, and group 3 performed exercise alone. Pain, functional status, grip strength, and the thickness and echogenicity of the common extensor tendon were evaluated before treatment, after treatment (at the end of the third week), and after 6 months.

RESULTS

In intragroup evaluations, KT and DN were found to be effective in the short and long term in terms of pain, functional status, muscle strength, and tendon thickness (P < .01). In intergroup evaluations, improvement in the KT and DN groups was superior to that in the control group for all parameters (P < .05). On comparison of the KT and DN groups, improvements in the clinical parameters and tendon thickness, heterogeneity, and elastography were significantly better in the DN group in the short and long term (P < .05).

CONCLUSIONS

The ultrasonographic outcomes in our study objectively demonstrated that although DN in general is superior in the treatment of lateral epicondylitis, KT treatment is also effective.

摘要

背景

本研究旨在通过问卷调查和超声检查来探讨运动贴扎(Kinesio Taping,KT)和干针疗法(dry needling,DN)应用于肱骨外上髁炎患者的短期和长期疗效,评估其对疼痛、功能和肌肉力量的影响。

方法

78 例患者随机分为 3 组。每组均接受 9 次治疗,每周 3 次,持续 3 周。第 1 组接受 KT 和运动疗法,第 2 组接受 DN 和运动疗法,第 3 组仅进行运动疗法。在治疗前、治疗结束时(第 3 周末)和 6 个月后,评估疼痛、功能状态、握力以及伸肌总腱的厚度和回声。

结果

组内评估显示,KT 和 DN 在短期和长期内均能有效缓解疼痛、改善功能状态、增强肌肉力量和减小肌腱厚度(P<.01)。组间评估显示,KT 和 DN 组的改善情况优于对照组(P<.05)。KT 和 DN 组之间的比较显示,DN 组在短期和长期内,在临床参数和肌腱厚度、异质性和弹性成像方面的改善更为显著(P<.05)。

结论

本研究的超声结果客观地表明,虽然 DN 治疗一般更优,但 KT 治疗也有效。

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