Section of Occupational Therapy, Department of Therapy and Rehabilitation, Vocational School of Kocaeli Health Services, Kocaeli University, Kocaeli, Turkey.
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Hand Surg Rehabil. 2023 Jun;42(3):214-219. doi: 10.1016/j.hansur.2023.03.002. Epub 2023 Mar 11.
The purpose of this study was to investigate the effectiveness of Kinesio® tape application associated to exercise in patients with obstetric brachial plexus injury (OBPI).
Ninety patients with Erb-Duchenne palsy secondary to OBPI participated in a 3-month study, in 2 groups; study group (n = 50) and control group (n = 40). Both followed the same physical therapy program, while the study group also received Kinesio® taping over the scapula and forearm. The patients were evaluated, pre- and post-treatment, using the Modified Mallet Classification (MMC), Active Movement Scale (AMS), and active range of motion (ROM) of the plegic side.
There were no statistically significant intergroup differences in age, gender, birth weight or plegic side (p > 0.05), or in pre-treatment MMC and AMS scores (p > 0.05). There were significant differences in favor of the study group for Mallet 2 (external rotation) (p = 0.012), Mallet 3 (hand on the back of the neck) (p < 0.001), Mallet 4 (hand on the back) (p = 0.001) and total Mallet score (p = 0.025), and for AMS shoulder flexion (p = 0.004) and elbow flexion (p < 0.001). ROM results before and after treatment (within groups) showed significant improvement in both groups (p < 0.001).
Since this a was a preliminary study, the results should be interpreted with caution in terms of clinical efficacy. The results suggest that associating Kinesio® taping to conventional treatment helps functional development in patients with OBPI.'
本研究旨在探讨肌内效贴联合运动疗法治疗产伤性臂丛神经麻痹（OBPI）的疗效。
90 例 OBPI 所致的 Erb-Duchenne 麻痹患者参与了这项 3 个月的研究，分为两组：研究组（n=50）和对照组（n=40）。两组均接受相同的物理治疗方案，研究组在此基础上接受肩胛骨和前臂肌内效贴治疗。治疗前后采用改良 Mallet 分级（MMC）、主动运动评分（AMS）和瘫痪侧主动活动度（ROM）对患者进行评估。
两组在年龄、性别、出生体重或瘫痪侧（p>0.05）、治疗前 MMC 和 AMS 评分（p>0.05）方面无统计学差异。研究组在 Mallet 2（外旋）（p=0.012）、Mallet 3（手放于颈后）（p<0.001）、Mallet 4（手放于颈后）（p=0.001）和总 Mallet 评分（p=0.025）以及 AMS 肩前屈（p=0.004）和肘前屈（p<0.001）方面的评分显著优于对照组。治疗前后（组内）ROM 结果均有显著改善（p<0.001）。
鉴于这是一项初步研究，因此其临床疗效的解释应谨慎。结果表明，肌内效贴联合常规治疗有助于 OBPI 患者的功能恢复。
