Department of Otorhinolaryngology, Starship Children Hospital, Te Whatu Ora Te Toka Tumai Auckland, New Zealand; Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Malaysia.
Department of Otorhinolaryngology, Starship Children Hospital, Te Whatu Ora Te Toka Tumai Auckland, New Zealand.
Int J Pediatr Otorhinolaryngol. 2024 Sep;184:112057. doi: 10.1016/j.ijporl.2024.112057. Epub 2024 Aug 3.
Drooling is a troublesome condition, especially in children with neuromuscular and intellectual disability. Over the past decade, novel interventions have been trialled to alleviate drooling in the affected children. Kinesio tape (KT) application has shown promising results in controlling drooling in children. We reviewed the literature to determine the outcome of KT application in drooling children.
A literature search was conducted from January 1, 1990 to March 2024 by searching several databases over a 1-month period (April 2024) according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The primary outcome was defined as the success of the intervention determined by the improvement or resolution of symptoms, and the secondary outcome was determined by adjunct or repeated procedures and the presence of complications.
Overall, 172 children from 10 studies were identified. All studies included are retrospective studies (Level III). This review included 172 children, with a mean age of 8.2 years (Male: 58.7 %). All included children had underlying comorbidities (100 %), with neurological disorders (77 %) being the most prevalent. KT application was performed predominantly over the orbicularis oris in 6 studies, 118 children[68.6 %], suprahyoid region in 3 studies, 45 children (26.2 %) and multiregion over the head and neck in 1 study of children (5.2 %). Drooling was assessed subjectively in all 100 % of children with objective measurement performed in 3 studies. KT was the only intervention in 40.7 % of the included children, whereas KT was performed in combination with oromotor therapy in 48 children, speech therapy in 44 children, and manipulation therapy in 10 children. All included children (100 %) reported improvement in drooling. No studies reported adverse reactions to KT application.
KT application is a safe, effective alternative for drooling children. The effect of KT, however, may be temporary. The quality of the evidence is inadequate to recommend widespread use of the intervention until a better-quality study has been completed. Future randomised controlled studies with a large sample size are warranted to determine the efficacy of this intervention among children.
流涎是一种令人困扰的病症，尤其在患有神经肌肉和智力障碍的儿童中更为常见。在过去的十年中，已经尝试了新的干预措施来减轻受影响儿童的流涎症状。肌内效贴布（Kinesio tape，KT）的应用已显示出在控制儿童流涎方面的良好效果。我们对相关文献进行了回顾，以确定 KT 在治疗儿童流涎方面的效果。
根据系统评价和荟萃分析的首选报告项目，我们在一个月的时间内（2024 年 4 月）通过搜索多个数据库，从 1990 年 1 月 1 日至 2024 年 3 月进行了文献检索。主要结局定义为干预的成功，即症状的改善或缓解，次要结局定义为辅助或重复程序以及并发症的存在。
总共从 10 项研究中确定了 172 名儿童。所有纳入的研究均为回顾性研究（III 级）。本综述纳入了 172 名儿童，平均年龄为 8.2 岁（男性：58.7%）。所有纳入的儿童都有潜在的合并症（100%），其中神经系统疾病（77%）最为常见。KT 应用主要在 6 项研究（68.6%）中作用于口轮匝肌，118 名儿童；在 3 项研究（26.2%）中作用于颏舌肌，45 名儿童；在 1 项研究中（5.2%）作用于头部和颈部的多个区域。所有儿童（100%）均通过主观评估流涎情况，其中 3 项研究通过客观测量评估。在纳入的儿童中，有 40.7%仅接受 KT 治疗，48 名儿童接受 KT 联合口部运动疗法治疗，44 名儿童接受言语治疗，10 名儿童接受按摩治疗。所有纳入的儿童（100%）均报告流涎症状改善。没有研究报告 KT 应用的不良反应。
KT 应用是治疗儿童流涎的一种安全、有效的方法。然而，KT 的效果可能是暂时的。目前的证据质量不足以推荐广泛使用这种干预措施，直到完成一项质量更高的研究。未来需要进行大规模的随机对照研究，以确定该干预措施在儿童中的疗效。
