Temel Aksu Neriman, Erdoğan Mükerrem, Erdoğan Abdullah
Department of Physiotherapy and Rehabilitation, Akdeniz University Faculty of Health Sciences, Antalya, Türkiye.
Vocational School of Health Services, Akdeniz University, Antalya, Türkiye.
Turk Gogus Kalp Damar Cerrahisi Derg. 2023 Oct 19;31(4):507-516. doi: 10.5606/tgkdc.dergisi.2023.24407. eCollection 2023 Oct.
This study aims to investigate the effectiveness of kinesio taping on pain, respiratory function, and respiratory muscle strength in patients after posterolateral thoracotomy.
Between June 2019 and May 2020, a total of 88 patients (48 males, 40 females; mean age: 56.1±9.0 years; range, 28 to 69 years) following posterolateral thoracotomy were randomly allocated to the therapeutic kinesio taping group (n=44) or the control group (n=33). Kinesio taping was applied to the kinesio taping group for seven days. Pain, respiratory functions, respiratory muscle strength, amount of analgesic drug use, and quality of life were evaluated preoperatively, on postoperative Day 0, before tape application, postoperative Days 1, 2, and 7, and at postoperative first month.
There was no significant difference between the groups in terms of demographic and clinical characteristics. The results of respiratory functions and respiratory muscle strength were all improved in both groups, while there were more significant improvements in the kinesio taping group. There was a statistically significant difference in the mean Visual Analog Scale scores on postoperative Days 2 and 7 between the two groups. The amount of tramadol use of the patients in the kinesio taping group was significantly lower on postoperative Days 2 and 7 than in the control group.
Kinesio taping is an effective method to reduce pain and improve respiratory function after posterolateral thoracotomy. Therefore, it is thought that kinesio taping should be applied as a part of the pulmonary rehabilitation program after thoracotomy.
本研究旨在探讨肌内效贴布对后外侧开胸术后患者疼痛、呼吸功能及呼吸肌力量的影响。
2019年6月至2020年5月，共88例后外侧开胸术后患者（男48例，女40例；平均年龄：56.1±9.0岁；范围28至69岁）被随机分为治疗性肌内效贴布组（n = 44）和对照组（n = 33）。肌内效贴布组应用肌内效贴布7天。在术前、术后第0天（贴布应用前）、术后第1天、第2天、第7天以及术后第1个月评估疼痛、呼吸功能、呼吸肌力量、镇痛药使用量和生活质量。
两组在人口统计学和临床特征方面无显著差异。两组的呼吸功能和呼吸肌力量结果均有所改善，而肌内效贴布组的改善更为显著。两组术后第2天和第7天的视觉模拟量表平均得分存在统计学显著差异。肌内效贴布组患者术后第2天和第7天曲马多的使用量显著低于对照组。
肌内效贴布是减轻后外侧开胸术后疼痛和改善呼吸功能的有效方法。因此，认为肌内效贴布应作为开胸术后肺康复计划的一部分应用。
