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肌内效贴布治疗髌股关节疼痛综合征的疗效:系统评价和荟萃分析。

Effectiveness of Kinesio tape in the treatment of patients with patellofemoral pain syndrome: A systematic review and meta-analysis.

机构信息

Department of Rehabilitation, The First People's Hospital of Neijiang, Neijiang, China.

Department of Orthopedics, The First People's Hospital of Neijiang, Neijiang, China.

出版信息

Medicine (Baltimore). 2024 Jun 7;103(23):e38438. doi: 10.1097/MD.0000000000038438.

DOI:10.1097/MD.0000000000038438
PMID:38847704
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11155521/
Abstract

OBJECTIVE

To evaluate the clinical effectiveness of the Kinesio tape in the treatment of patellofemoral pain syndrome (PFPS) by meta-analysis.

METHODS

Two investigators independently conducted an electronic literature search to assess the outcomes of intramuscular patches for PFPS. Electronic databases included PubMed, Embase, Web of Science, Cochrane Library, Wanfang Database, Chinese Journal Full Text Database (CNKI), and Wipo Database from November 2023. Extracted inclusion indicators included pain score VAS or NRS, knee function assessment knee pain syndrome (Kujala) score, and knee symptom score Lysholm knee score scale. Data were extracted and then meta-analyzed using Review Manager 5.3 software and Stata 17.0 software.

RESULT

Fourteen studies were included, all of which were randomized controlled studies. The results showed that short-term pain relief was superior in the Kinesio tape (KT) group compared with the control group, with a statistically significant difference in the results (MD = -1.54, 95% CI [-2.32, -0.76], P = .0001); medium-term pain relief was superior in the KT group compared with the control group, with a statistically significant difference in the results (MD = -0.84, 95% CI [-1.50, -0.18], P = .01); long-term pain relief in the KT group was better than the control group, with statistically different results (MD = -0.56, 95% CI [-0.98, -0.13], P < .00001). In contrast, there was no significant difference between the KT group and the control group in the assessment of knee function (MD = -0.98, 95% CI [-4.03, 2.06], P = .03), and there was no significant difference between the KT group and the control group in the Lysholm knee score scale score of knee symptoms (MD = 4.18, 95% CI [-6.70, 15.05], P = .45).

CONCLUSION

Kinesio taping can effectively relieve the pain of PFPS, but has no significant effect on the improvement of knee joint function and symptoms.

摘要

目的

通过荟萃分析评估肌内贴治疗髌股疼痛综合征(PFPS)的临床疗效。

方法

两名研究者独立进行电子文献检索,以评估 PFPS 肌内贴的治疗效果。电子数据库包括 PubMed、Embase、Web of Science、Cochrane 图书馆、万方数据库、中国知网全文数据库(CNKI)和 WIPO 数据库,检索时间截至 2023 年 11 月。提取的纳入指标包括疼痛评分 VAS 或 NRS、膝关节功能评估 Kujala 评分和膝关节症状评分 Lysholm 膝关节评分量表。使用 Review Manager 5.3 软件和 Stata 17.0 软件提取数据并进行荟萃分析。

结果

纳入 14 项研究,均为随机对照研究。结果显示,肌内贴组在短期疼痛缓解方面优于对照组,差异有统计学意义(MD=-1.54,95%CI[-2.32,-0.76],P=0.0001);肌内贴组在中期疼痛缓解方面优于对照组,差异有统计学意义(MD=-0.84,95%CI[-1.50,-0.18],P=0.01);肌内贴组在长期疼痛缓解方面优于对照组,差异有统计学意义(MD=-0.56,95%CI[-0.98,-0.13],P<0.00001)。而肌内贴组与对照组在膝关节功能评估方面差异无统计学意义(MD=-0.98,95%CI[-4.03,2.06],P=0.03),在膝关节症状 Lysholm 膝关节评分量表评分方面差异无统计学意义(MD=4.18,95%CI[-6.70,15.05],P=0.45)。

结论

肌内贴能有效缓解 PFPS 疼痛,但对改善膝关节功能和症状无显著效果。

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