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外侧肘肌腱病管理中的支具或运动贴扎:一项前瞻性、随机、单盲试验。

Bracing or kinesio taping in the management of lateral elbow tendinopathy: A prospective, randomized single-blinded trial.

机构信息

Department of Physical Medicine and Rehabilitation, University of Health Sciences, Haseki Training and Research Hospital, Istanbul, Turkiye.

Department of Physical Medicine and Rehabilitation, University of Health Sciences, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkiye.

出版信息

J Bodyw Mov Ther. 2023 Oct;36:235-243. doi: 10.1016/j.jbmt.2023.07.006. Epub 2023 Jul 14.

Abstract

OBJECTIVE

The aim of the study was to compare the effects of forearm counter force brace (FCB) and kinesio taping (KT) on pain severity, grip strength and functionality of patients with lateral elbow tendinopathy (LET).

METHODS

The study was planned as a prospective, randomized and assessor-blinded study with 1-month follow-up period. Seventy-two patients, diagnosed as LET were randomly assigned to FCB (n = 41) or KT (n = 31) groups. In the FCB group, the patients were informed and instructed to wear the brace for three weeks continuously. In the KT group, tape was applied once a week for four weeks with muscle inhibition and fascia correction techniques. The outcome measures were pain pressure threshold (PPT), maximal pain-free hand grip strength measurement and patient-rated tennis elbow evaluation questionnaire (PRTEE). The assessments were performed at the baseline, immediately after treatment and one month later after treatment.

RESULTS

PPT and grip strength were significantly increased over time in both groups. Pain, function and total scores of PRTEE were significantly decreased in both FCB and KT groups. The effect size of the improvement in PRTEE function score was within acceptable clinical significance in the KT group. However, there was no significant difference between groups.

CONCLUSIONS

Pain severity, grip strength and functionality of patients with LET improved over time in both FCB and KT groups. However, neither was superior in the management of LET.

摘要

目的

本研究旨在比较前臂对抗力支具(FCB)和肌内效贴(KT)对肘外侧肌腱病(LET)患者疼痛严重程度、握力和功能的影响。

方法

本研究为前瞻性、随机和评估者盲法研究,随访期为 1 个月。72 例诊断为 LET 的患者被随机分为 FCB(n=41)或 KT(n=31)组。在 FCB 组中,患者被告知并指导连续佩戴支具 3 周。在 KT 组中,每周应用一次胶带,同时采用肌肉抑制和筋膜矫正技术。主要结局指标为疼痛压力阈值(PPT)、最大无痛手握力测量和患者自评网球肘评估问卷(PRTEE)。评估在基线时、治疗结束时和治疗结束后 1 个月进行。

结果

两组的 PPT 和握力均随时间显著增加。PRTEE 的疼痛、功能和总分在 FCB 和 KT 组均显著降低。KT 组 PRTEE 功能评分的改善效应大小在可接受的临床意义范围内。然而,两组之间没有显著差异。

结论

在 FCB 和 KT 组中,LET 患者的疼痛严重程度、握力和功能均随时间改善。然而,在 LET 的管理方面,两者均没有优势。

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