Tang Hao-Chen, Hu Rui, Tang Liu-Gang, Wang Biao, Cheng Yuan-Dong, Kang Hui-Min
Department of Muscle Traumatology Sichuan Orthopedics Hospital, Chengdu 610041, Sichuan, China.
Zhongguo Gu Shang. 2022 Oct 25;35(10):957-61. doi: 10.12200/j.issn.1003-0034.2022.10.009.
To investigate the clinical effect of Kinesio Taping combined with electroacupuncture in the treatment of Bigliani typeⅠsubacromial impingement syndrome.
From January 2019 to June 2021, 82 cases with Bigliani typeⅠsubacromial impingement syndrome were selected and divided into treatment group and control group. Treatment group included 41 cases, 23 males and 18 females, aged from 20 to 52 years old, with an average of (39.31±5.80)years old. There were 12 cases on left shoulder and 29 cases on right shoulder. The course of disease was from 3.2 to 35.4 months. The treatment group was treated with Kinesio Taping and electroacupuncture. In control group, there were 41 cases, including 22 males and 19 females, aged from 19 to 53 years old with an average of (40.67±6.13) years old, 30 cases on right shoulder, 11 cases on left shoulder. The courses of disease was from 3.0 to 36.0 months. The control group was treated with simple shoulder electroacupuncture. Patients in both groups were treated with electroacupuncture 3 times a week for 3 weeks. After each electroacupuncture treatment in the treatment group, the Kinesio Taping was applied immediately and kept for 2 days. Before treatment, immediately after treatment, and after 1, 3, 8 weeks, the shoulder joint Constant-Murley score, pain visual analogue scale (VAS), and shoulder joint range of motion were used to evaluate the treatment effect.
After 1 week of treatment, there was 1 patient in treatment group refused treatment due to hypersensitivity to Kinesio Taping, 1 patient in control group was allergic to the metal needle and refused treatment. And the other 80 patients completed all treatment. Immediately after treatment, and 1, 3, and 8 weeks after treatment, VAS of treatment group were (2.06±1.03), (2.74±1.66), (3.28±1.04), and (3.90±0.12) points, respectively. The Constant-Murley scores of shoulder joint were(86.41±3.52), (82.44±3.14), (80.46±2.54), (76.97±2.01) points. VAS of control group were(3.35±0.41), (3.08±0.92), (3.77±0.67), (3.96±1.04) points, and the Constant-Murley scores of the shoulder joint were(75.82±2.73), (74.72±1.53), (73.66±1.53), (70.68±1.95) points respectively. Immediately after treatment, VAS, Constant-Murley score, and shoulder range of motion between two groups were better than those of before treatment (<0.05), and the difference was statistically significant between two groups after treatment (<0.05). One week after treatment, VAS, Constant-Murley score, and shoulder joint range of motion between two groups were better than those of before treatment (<0.05), but there was no significant difference in VAS between two groups (>0.05). There were significant differences in the Constant-Murley score and shoulder range of motion between two groups (<0.05). At 3 and 8 weeks after treatment, VAS, Constant-Murley score, and the range of motion of shoulder joints between two groups were better than those of before treatment (<0.05), but there was no significant difference between two groups(>0.05).
The treatment for bigliani typeⅠsubacromial impingement syndrome with Kinesio Taping combined with electroacupuncture can reduce pain, effectively improve the function of shoulder joint. In addition, with Kinesio Taping protection when motion, the patients sports ability can be improved obviously, with good immediate effect, and no trauma. If the patients are willing to accept it, it would be an immediate and effective treatment.
探讨肌内效贴布结合电针治疗比利亚尼Ⅰ型肩峰下撞击综合征的临床疗效。
选取2019年1月至2021年6月收治的82例比利亚尼Ⅰ型肩峰下撞击综合征患者,分为治疗组和对照组。治疗组41例,男23例,女18例,年龄20~52岁,平均(39.31±5.80)岁。左肩12例,右肩29例。病程3.2~35.4个月。治疗组采用肌内效贴布结合电针治疗。对照组41例,男22例,女19例,年龄19~53岁,平均(40.67±6.13)岁,右肩30例,左肩11例。病程3.0~36.0个月。对照组采用单纯肩部电针治疗。两组患者均每周行电针治疗3次,共治疗3周。治疗组每次电针治疗后立即应用肌内效贴布,并保留2天。于治疗前、治疗后即刻、治疗后1、3、8周采用肩关节Constant-Murley评分、疼痛视觉模拟评分(VAS)及肩关节活动度评估治疗效果。
治疗1周后,治疗组有1例患者因对肌内效贴布过敏拒绝治疗,对照组有1例患者对金属针过敏拒绝治疗。其余80例患者完成全部治疗。治疗后即刻、治疗后1、3、8周,治疗组VAS评分分别为(2.06±1.03)、(2.74±1.66)、(3.28±1.04)、(3.90±0.12)分。肩关节Constant-Murley评分分别为(86.41±3.52)、(82.44±3.14)、(80.46±2.54)、(76.97±2.01)分。对照组VAS评分分别为(3.35±0.41)、(3.08±0.92)、(3.77±0.67)、(3.96±1.04)分,肩关节Constant-Murley评分分别为(75.82±2.73)、(74.72±1.53)、(73.66±1.53)、(70.68±1.95)分。治疗后即刻,两组VAS、Constant-Murley评分及肩关节活动度均优于治疗前(P<0.05),治疗后两组间比较差异有统计学意义(P<0.05)。治疗1周后,两组VAS、Constant-Murley评分及肩关节活动度均优于治疗前(P<0.05),但两组VAS比较差异无统计学意义(P>0.05)。两组Constant-Murley评分及肩关节活动度比较差异有统计学意义(P<0.05)。治疗后3、8周,两组VAS、Constant-Murley评分及肩关节活动度均优于治疗前(P<0.05),但两组间比较差异无统计学意义(P>0.05)。
肌内效贴布结合电针治疗比利亚尼Ⅰ型肩峰下撞击综合征能减轻疼痛,有效改善肩关节功能。此外,运动时采用肌内效贴布保护,可明显提高患者运动能力,即时效果好,且无创伤。若患者愿意接受,是一种即时有效的治疗方法。