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胶带对关节本体感觉的影响:一项系统评价和组内与组间荟萃分析。

Influence of taping on joint proprioception: a systematic review with between and within group meta-analysis.

机构信息

Department of Political, Historical, Religious and Cultural Studies, Karlstads Universitet, Karlstad, Sweden.

Centre for Societal Risk Research, Karlstads Universitet, Karlstad, Sweden.

出版信息

BMC Musculoskelet Disord. 2024 Jun 18;25(1):480. doi: 10.1186/s12891-024-07571-2.

Abstract

Taping is increasingly used to manage proprioceptive deficits, but existing reviews on its impact have shortcomings. To accurately assess the effects of taping, a separate meta-analyses for different population groups and tape types is needed. Therefore, both between- and within-group meta-analyses are needed to evaluate the influence of taping on proprioception. According to PRISMA guidelines, a literature search was conducted across seven databases (Web of Science, PEDro, Pubmed, EBSCO, Scopus, ERIC, SportDiscus, Psychinfo) and one register (CENTRAL) using the keywords "tape" and "proprioception". Out of 1372 records, 91 studies, involving 2718 individuals, met the inclusion criteria outlined in the systematic review. The meta-analyses revealed a significant between and within-group reduction in repositioning errors with taping compared to no tape (Hedge's g: -0.39, p < 0.001) and placebo taping (Hedge's g: -1.20, p < 0.001). Subgroup and sensitivity analyses further confirmed the reliability of the overall between and within-group analyses. The between-group results further demonstrated that both elastic tape and rigid tape had similar efficacy to improve repositioning errors in both healthy and fatigued populations. Additional analyses on the threshold to detection of passive motion and active movement extent discrimination apparatus revealed no significant influence of taping. In conclusion, the findings highlight the potential of taping to enhance joint repositioning accuracy compared to no tape or placebo taping. Further research needs to uncover underlying mechanisms and refine the application of taping for diverse populations with proprioceptive deficits.

摘要

贴扎技术越来越多地被用于管理本体感觉缺陷,但现有的关于其影响的综述存在不足。为了准确评估贴扎的效果,需要针对不同的人群和贴扎类型进行单独的荟萃分析。因此,需要进行组间和组内荟萃分析,以评估贴扎对本体感觉的影响。根据 PRISMA 指南,通过七个数据库(Web of Science、PEDro、Pubmed、EBSCO、Scopus、ERIC、SportDiscus 和 Psychinfo)和一个注册库(CENTRAL),使用“tape”和“proprioception”这两个关键词进行了文献检索。在 1372 条记录中,有 91 项研究,涉及 2718 个人,符合系统综述中概述的纳入标准。荟萃分析显示,与不贴扎(Hedge's g:-0.39,p<0.001)和安慰剂贴扎(Hedge's g:-1.20,p<0.001)相比,贴扎在重新定位误差方面具有显著的组间和组内降低。亚组和敏感性分析进一步证实了整体组间和组内分析的可靠性。组间结果进一步表明,弹性贴扎和刚性贴扎都具有相似的功效,可以改善健康和疲劳人群的重新定位误差。对被动运动和主动运动幅度感知仪器的检测阈值的进一步分析表明,贴扎没有显著影响。总之,这些发现强调了与不贴扎或安慰剂贴扎相比,贴扎技术在提高关节重新定位准确性方面的潜力。需要进一步研究揭示潜在机制,并为有本体感觉缺陷的不同人群优化贴扎的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfed/11186105/c3d2b563b22d/12891_2024_7571_Fig1_HTML.jpg

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