Li Yinghao, Mei Lu, Rahat Shugela, Pang Long, Li Ran, Xiong Yan, Li Jian, Tang Xin
Sports Medicine Center, West China Hospital, Sichuan University, China.
Department of Orthopedics and Orthopedic Research Institute, West China Hospital, Sichuan University, China.
Heliyon. 2024 Feb 4;10(3):e25606. doi: 10.1016/j.heliyon.2024.e25606. eCollection 2024 Feb 15.
The efficacy of Kinesio tape (KT) in lateral elbow tendinopathy (LET) has been widely discussed, but controversy remains.
To perform a meta-analysis of randomized controlled trials (RCTs) in the literature to ascertain the efficacy of KT in LET.
Systematic review and meta-analysis.
Two independent reviewers carried out a literature search in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Any discrepancies were addressed by a third author. Included in the study were RCTs comparing KT to a control group in the context of LET. The quality of evidence was assessed with the 2.0 version of Cochrane Collaboration risk of bias tool. Evaluation centered on clinical outcomes, such as function scores and pain, with comparison made using the risk ratio for dichotomous variables and the mean difference for continuous variables. Statistical significance was considered for values < 0.05.
Included in this review are 11 RCTs with 562 patients. Significant results were noted in favor of KT compared with control based on the visual analog scale score at movement (SMD = -1.17; = 0.03); visual analog scale score at movement (SMD = -1.08; < 0.00001); maximal grip strength (SMD = 0.69; < 0.00001); pain pressure threshold (SMD = 1.14; < 0.00001); Patient-Rated Tennis Elbow Evaluation Questionnaire score (SMD = -1.16; = 0.02) and Disabilities of the Arm, Shoulder, and Hand questionnaire score (SMD = -1.19; < 0.00001).
The current evidence shows that KT can improve pain levels and the function of elbow joint in patients with LET, and this improvement is might be clinically significant. We assume that physiotherapists can consider trying the KT in LET patients. Future quality studies are needed to confirm the efficacy and explore the mechanism of KT.
肌内效贴布（KT）治疗外侧肘肌腱病（LET）的疗效已得到广泛讨论，但仍存在争议。
对文献中的随机对照试验（RCT）进行荟萃分析，以确定KT治疗LET的疗效。
系统评价和荟萃分析。
两名独立审阅者按照PRISMA（系统评价和荟萃分析优先报告项目）指南进行文献检索。如有任何差异，由第三位作者解决。纳入研究的是在LET背景下将KT与对照组进行比较的RCT。使用Cochrane协作偏倚风险工具2.0版评估证据质量。评估集中在临床结果上，如功能评分和疼痛，使用二分变量的风险比和连续变量的平均差进行比较。当P值<0.05时认为具有统计学意义。
本综述纳入了11项RCT，共562例患者。与对照组相比，基于运动时视觉模拟量表评分（标准化均数差[SMD]=-1.17；P=0.03）；运动时视觉模拟量表评分（SMD=-1.08；P<0.00001）；最大握力（SMD=0.69；P<0.00001）；疼痛压力阈值（SMD=1.14；P<0.00001）；患者自评网球肘评估问卷评分（SMD=-1.16；P=0.02）和上肢、肩部和手部功能障碍问卷评分（SMD=-1.19；P<0.00001），KT显示出显著效果。
目前的证据表明，KT可以改善LET患者的疼痛水平和肘关节功能，这种改善可能具有临床意义。我们认为物理治疗师可以考虑在LET患者中尝试使用KT。未来需要高质量的研究来证实KT的疗效并探索其作用机制。
