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胶带固定对健康个体肘本体感觉的疗效:一项单盲随机安慰剂对照研究。

The efficacy of taping on elbow proprioception in healthy individuals: A single-blinded randomized placebo-controlled study.

机构信息

Department of Physical Therapy and Rehabilitation, Izmir Katip Celebi University, Cigli, Izmir, Turkey.

Faculty of Physical Therapy and Rehabilitation, Dokuz Eylul University, Balçova, Izmir, Turkey.

出版信息

J Hand Ther. 2024 Apr-Jun;37(2):201-208. doi: 10.1016/j.jht.2024.02.014. Epub 2024 Apr 30.

Abstract

BACKGROUND

Taping stimulates the mechanoreceptors, increases sensory information to the central nervous system, and improves sensorimotor synchronization, resulting in improved motor control. However, the efficacy of taping on elbow proprioception is not clear.

PURPOSE

This study aimed to evaluate the immediate effects of taping on elbow proprioception in healthy individuals.

STUDY DESIGN

This study was a two-arm, parallel-group, randomized, controlled, single-blinded study with a sham application.

METHODS

Fifty six healthy adults were randomized 1:1 to kinesio taping (n = 27) or sham taping (n = 29). Active joint position sense error (JPSE) was used to quantify proprioception using a universal goniometer at three-time points: baseline (BS), immediately after taping (IA), and 30 minutes after taping (30MA), with the tape still in place at 70° and 110° of elbow flexion. Participants were blinded to group assignments. The Friedman analysis assessed differences between evaluations within groups, and the Mann-Whitney U test determined differences between groups.

RESULTS

The study was completed with 56 participants and there were no dropouts. No skin reaction or adverse effect was observed in the participants and no test trial was excluded. The baseline scores of the groups were similar (p > 0.05). A significant difference was detected in the study group after kinesio taping at 70° (MD = -1.22; CI = (-2.33: -0.10; p < 0.005; d = 0.653) and 110° of elbow flexion (MD = -1.34; CI = 2,47: -0,21; p < 0.005; d = 0.73). This statistically significant difference was observed even at the 30MA evaluations at 70° (p < 0.05). Also, there was a statistically insignificant tendency to decrease in JPSE of both groups at both degrees following taping.

CONCLUSIONS

Elbow proprioception may be enhanced by kinesio taping, and this effect could last up to 30 minutes at 70° of elbow flexion. In contrast, sham taping did not produce such an improvement. Based on the differences in JPSE, kinesio taping proved more effective and had a longer-lasting impact than the sham application. The statistically insignificant tendency to decrease in JPSE may indicate that the 30-minute application period is inadequate to create a statistically significant effect on elbow proprioception. Longer usage periods can better reveal the effects of orthoses on proprioception.

摘要

背景

贴扎刺激机械感受器,增加向中枢神经系统的感觉信息,改善感觉运动同步,从而改善运动控制。然而,贴扎对肘部本体感觉的疗效尚不清楚。

目的

本研究旨在评估在健康个体中贴扎对肘部本体感觉的即时影响。

研究设计

这是一项双臂、平行组、随机、对照、单盲研究,有假应用。

方法

56 名健康成年人按 1:1 随机分为肌内效贴布组(n=27)或假贴布组(n=29)。使用通用量角器在三个时间点测量主动关节位置感知误差(JPSE),以量化本体感觉:基线(BS)、贴扎后即刻(IA)和贴扎后 30 分钟(30MA),肘部弯曲 70°和 110°时胶带仍在位。参与者对分组分配不知情。Friedman 分析评估了组内评估之间的差异,曼-惠特尼 U 检验确定了组间差异。

结果

完成了 56 名参与者的研究,无脱落者。参与者未出现皮肤反应或不良反应,也未排除任何测试试验。组间基线评分相似(p>0.05)。在接受肌内效贴布治疗后,70°(MD=-1.22;CI=(-2.33:-0.10;p<0.005;d=0.653)和 110°肘部弯曲时,研究组的得分有显著差异(MD=-1.34;CI=(2.47:-0.21;p<0.005;d=0.73)。即使在 70°的 30MA 评估中,也观察到了这种统计学上的显著差异(p<0.05)。此外,在贴扎后,两组在两个角度的 JPSE 均有统计学上无意义的降低趋势。

结论

肌内效贴布可能增强肘部本体感觉,这种效果在 70°肘部弯曲时可持续 30 分钟。相比之下,假贴布并不能产生这种改善。基于 JPSE 的差异,肌内效贴布比假应用更有效,效果持续时间更长。JPSE 统计学上无意义的降低趋势可能表明,30 分钟的应用期不足以对肘部本体感觉产生统计学上的显著影响。更长的使用时间可以更好地揭示矫形器对本体感觉的影响。

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