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肌内效贴布与机械性颈椎牵引联合物理治疗方案对年轻女大学生慢性颈部疼痛的影响

Effect of Kinesio taping versus mechanical cervical traction combined with physiotherapy program on chronic neck pain in young female university students.

作者信息

Abd-Eltawab Amany E, Ameer Mariam A

机构信息

Physical Therapy and Health Rehabilitation Department, Faculty of Applied Medical Sciences, Jouf University Sakaka, Al-Jouf, Saudi Arabia.

Biomechanics Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

出版信息

Hong Kong Physiother J. 2024 Jun;44(1):69-78. doi: 10.1142/S1013702524500082. Epub 2023 Nov 4.

Abstract

BACKGROUND

Mechanical neck pain is common among young female university students and can lead to disability and reduced physical activity.

OBJECTIVES

The aim of this study was to compare the effect of Kinesio taping (KT) to mechanical cervical traction (MCT) on young female university students with chronic neck pain.

METHODS

Sixty young female university students with mechanical neck pain participated in this study; their ages ranged from 19 years to 23 years. They were assigned to three equal groups: the control group (A) received infrared, massage, stretching, and strengthening exercises three days per week for 6 weeks. Experimental group B received cervical traction in addition to the same program as the control, and experimental group C received KT in addition to the same program as the control group. Absolute pain intensity by the visual analogue scale (VAS) and neck disability index (NDI) were measured pre-and post-treatment intervention. Data were gathered at baseline, and after 6 weeks of intervention for three groups.

RESULTS

The MANOVA test showed a significant reduction in NDI and pain level after 6 weeks between pre-and post-treatment intervention in group B ( and , respectively). There was a significant reduction in pain after 6 weeks in group C. There was also a significant reduction in NDI and pain level after 6 weeks in group B versus control group ( and , respectively). In addition, a significant reduction in pain level and NDI after 6 weeks was detected in group B compared to group C (, , respectively) while a significant reduction in pain level only between the control group (A) and group C was detected ().

CONCLUSION

In young female university students with mechanical neck pain, cervical traction combined with physiotherapy program was found to be more effective than KT with physiotherapy program or physiotherapy program alone in reducing pain and enhancing functional abilities after 6 weeks. This will help physiotherapists make more informed decisions concerning the clinical effects of MCT.

摘要

背景

机械性颈痛在年轻女大学生中很常见,可导致残疾和身体活动减少。

目的

本研究旨在比较肌内效贴布(KT)与机械性颈椎牵引(MCT)对患有慢性颈痛的年轻女大学生的效果。

方法

60名患有机械性颈痛的年轻女大学生参与了本研究;她们的年龄在19岁至23岁之间。她们被分为三个相等的组:对照组(A)每周三天接受红外线、按摩、伸展和强化锻炼,共6周。实验组B除了与对照组相同的方案外,还接受颈椎牵引,实验组C除了与对照组相同的方案外,还接受肌内效贴布治疗。在治疗干预前后,通过视觉模拟量表(VAS)和颈部残疾指数(NDI)测量绝对疼痛强度。在基线时以及三组干预6周后收集数据。

结果

多变量方差分析(MANOVA)测试显示,治疗干预前后6周,B组的NDI和疼痛水平显著降低(分别为 和 )。C组在6周后疼痛显著降低。B组与对照组相比,6周后NDI和疼痛水平也显著降低(分别为 和 )。此外,与C组相比,B组在6周后疼痛水平和NDI显著降低(分别为 、 ),而仅在对照组(A)和C组之间检测到疼痛水平显著降低( )。

结论

在患有机械性颈痛的年轻女大学生中,发现颈椎牵引联合物理治疗方案在6周后比肌内效贴布联合物理治疗方案或单独的物理治疗方案在减轻疼痛和增强功能能力方面更有效。这将有助于物理治疗师在MCT的临床效果方面做出更明智的决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9d0/10988274/1b76c2536482/hkpj-44-069-g001.jpg

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