Department of Emergency Medicine, OLVG Hospital, Amsterdam, the Netherlands.
Department of Emergency Medicine, OLVG Hospital, Amsterdam, the Netherlands.
Am J Emerg Med. 2022 Aug;58:197-202. doi: 10.1016/j.ajem.2022.05.057. Epub 2022 Jun 3.
Traumatic injuries of the shoulder or chest wall are commonly treated in the Emergency Department (ED). A complementary treatment is kinesiotaping, an elastic tape often used to treat musculoskeletal dysfunction and pain. However, the added pain-reducing effect of kinesiotape in comparison to standard conservative treatment is unknown. The aim of this study was to determine the effect of kinesiotaping on pain relief compared to standard treatment with pain medication and immobilization in patients with uncomplicated traumatic injury of the shoulder or chest wall in the ED.
A pilot randomized controlled trial (RCT) was conducted in the ED of a teaching hospital in the Netherlands from January 2021 until the end of March 2021. Patients diagnosed with uncomplicated isolated rib fractures, rib contusions, clavicle fracture, disruption of the AC joint and fracture of the proximal humerus were assigned to two treatment groups. The control group received the standard treatment with oral analgesics (acetaminophen q6h 1000 mg and NSAID (according to prescription) and if shoulder injury also a sling. The intervention group received kinesiotaping in addition to the same standard treatment. Pain intensity was measured with 0-10 Numeric Rating Scale (NRS) just before treatment (T1) and after 15 min (T2). On day 4 both groups were assessed with NRS in a follow up phone call (T3).
A total of 251 patients presented with traumatic injury of the shoulder or chest wall in the study period, 85 patients were approached to participate and 2 of them were excluded. The remaining 83 were randomly allocated to kinesiotaping (n = 40) or control group (n = 43), 57 of them completed the study and had sufficient data for complete analysis In both groups, pain intensity after 15 min and 4 days significantly reduced compared with baseline. Regarding the reduction of pain intensity on day 4, kinesiotaping was significantly superior compared to the control group with a difference in pain reduction of 2.45 compared with 0.88 in control group (p = 0.018).
Compared to standard treatment alone, kinesiotaping combined with standard care appears to be more effective in terms of acute pain reduction in patients with uncomplicated traumatic injury of the shoulder or chest wall. Further research is recommended.
肩部或胸壁的创伤性损伤通常在急诊科（ED）进行治疗。一种补充治疗方法是运动贴扎，这是一种常用于治疗肌肉骨骼功能障碍和疼痛的弹性胶带。然而，与标准保守治疗相比，运动贴扎在减轻疼痛方面的额外效果尚不清楚。本研究的目的是确定与标准治疗（包括止痛药物和固定）相比，运动贴扎在 ED 中治疗简单性肩部或胸壁创伤患者的疼痛缓解效果。
一项在荷兰一家教学医院 ED 进行的试点随机对照试验（RCT）于 2021 年 1 月至 2021 年 3 月底进行。将诊断为单纯性肋骨骨折、肋骨挫伤、锁骨骨折、肩锁关节脱位和肱骨头近端骨折的患者分配到两组治疗中。对照组接受标准治疗，包括口服镇痛药（每 6 小时 1000 毫克对乙酰氨基酚和 NSAID（根据处方），如果肩部受伤还需要吊带。干预组在相同的标准治疗中添加运动贴扎。在治疗前（T1）和 15 分钟后（T2）使用 0-10 数字评分量表（NRS）测量疼痛强度。在第 4 天，两组均通过电话随访（T3）使用 NRS 进行评估。
在研究期间，共有 251 名肩部或胸壁创伤患者就诊，85 名患者接受了参与邀请，其中 2 名被排除。其余 83 名患者被随机分配到运动贴扎组（n = 40）或对照组（n = 43），其中 57 名完成了研究，且数据完整可进行分析。在两组中，治疗后 15 分钟和 4 天的疼痛强度与基线相比均显著降低。在第 4 天疼痛缓解方面，运动贴扎组明显优于对照组，疼痛缓解差值为 2.45 分，而对照组为 0.88 分（p = 0.018）。
与单独的标准治疗相比，在肩部或胸壁简单性创伤患者中，运动贴扎联合标准治疗在急性疼痛缓解方面似乎更有效。建议进一步研究。
