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评估两种不同的肌内效贴扎技术对可弯曲性埃勒斯-当洛综合征患者肩部活动范围和本体感觉的影响:一项随机对照试验。

Evaluating the effects of two different kinesiology taping techniques on shoulder range of motion and proprioception in patients with hypermobile Ehlers-Danlos syndrome: a randomized controlled trial.

作者信息

Tudini Frank, Jordon Max, Levine David, Healy Michael, Cathey Sarah, Chui Kevin

机构信息

Department of Physical Therapy, The University of Tennessee at Chattanooga, Chattanooga, TN, United States.

Healy Physical Therapy and Sports Medicine, East Providence, RI, United States.

出版信息

Front Rehabil Sci. 2024 May 21;5:1383551. doi: 10.3389/fresc.2024.1383551. eCollection 2024.

Abstract

BACKGROUND

Ehlers-Danlos syndrome (EDS) is a common group of inherited connective tissue disorders with a prevalence as high as 0.75%-2% of the population. Physical manifestations include pain and decreased proprioception, especially in more mobile joints, such as the shoulder. The kinesiology tape (K-Tape) is often used to treat patients with shoulder dysfunction. The effectiveness of the K-Tape is uncertain, and there is a lack of studies specifically studying the K-Tape in an EDS population.

PURPOSE

The purpose of this study was to compare the short-term effects of two different K-Tape procedures on shoulder active joint reposition (AJR) and active range of motion (AROM) in patients with hypermobile EDS (hEDS) and shoulder pain.

METHODS

All participants were recruited from the EDS support groups and presented with shoulder pain. Baseline demographic information was obtained for each participant, after which AROM and AJR were assessed. The participants were randomized to receive one of two K-Tape procedures. Testing was repeated immediately post-taping and 48 h post-taping.

RESULTS

Significant improvements in shoulder external ( = 10.917,  < 0.001) and internal ( = 11.736,  < 0.001) rotations were seen from baseline to immediately post-taping and baseline to 48 h post-taping in the experimental K-Tape group. There were no significant differences in the shoulder rotation in the control K-Tape group and no significant differences in either group for shoulder flexion or AJR at any time point ( > 0.05).

CONCLUSION

K-Tape may offer short-term improvements in shoulder rotation AROM in patients with hEDS and shoulder pain.

摘要

背景

埃勒斯-当洛综合征(EDS)是一组常见的遗传性结缔组织疾病,在人群中的患病率高达0.75%-2%。身体表现包括疼痛和本体感觉减退,尤其是在活动度较大的关节,如肩部。肌内效贴布(K-贴布)常用于治疗肩部功能障碍患者。K-贴布的有效性尚不确定,且缺乏专门针对EDS人群研究K-贴布的研究。

目的

本研究的目的是比较两种不同K-贴布贴扎方法对活动度过大的EDS(hEDS)和肩部疼痛患者肩部主动关节复位(AJR)及主动活动范围(AROM)的短期影响。

方法

所有参与者均从EDS支持小组招募,均有肩部疼痛症状。收集每位参与者的基线人口统计学信息,之后评估AROM和AJR。参与者被随机分为接受两种K-贴布贴扎方法中的一种。在贴扎后立即和贴扎后48小时重复测试。

结果

在实验性K-贴布组中,从基线到贴扎后立即以及从基线到贴扎后48小时,肩部外旋(=10.917,<0.001)和内旋(=11.736,<0.001)有显著改善。对照K-贴布组的肩部旋转无显著差异,且在任何时间点,两组在肩部前屈或AJR方面均无显著差异(>0.05)。

结论

K-贴布可能会使hEDS和肩部疼痛患者的肩部旋转AROM得到短期改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b6b/11148207/8f79bbb345b5/fresc-05-1383551-g001.jpg

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