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冷敷和肌内效贴对肩袖肌腱炎患者疼痛缓解和上肢功能的短期影响:一项随机研究。

Short-Term Effects of Cold Therapy and Kinesio Taping on Pain Relief and Upper Extremity Functionality in Individuals with Rotator Cuff Tendonitis: A Randomized Study.

机构信息

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bezmialem Vakif University, 34050 Istanbul, Turkey.

Department of Orthopaedics and Traumatology, Faculty of Medicine, Acıbadem Mehmet Ali Aydınlar University, 34752 Istanbul, Turkey.

出版信息

Medicina (Kaunas). 2024 Jul 23;60(8):1188. doi: 10.3390/medicina60081188.

Abstract

: Rotator cuff tendonitis (RCT) is one of the most common shoulder pathologies. It causes pain, limits shoulder joint movements, and impairs function. Despite various treatment methods, there are currently no specific guidelines regarding the most effective intervention for RCT. To the best of our knowledge, no studies have compared the effects of Kinesio taping (KT) and cold therapy (CT) on individuals with RCT. To this end, this study aimed to investigate and compare the short-term effects of KT and CT on pain relief and upper extremity functionality in individuals with RCT. : One hundred and fourteen individuals were assessed for eligibility. Fifty-two individuals with RCT who met the inclusion criteria and agreed to participate were randomly allocated into either the KT or the CT group. A standardized home exercise program was given to all the participants. Their pain intensity, upper extremity function, shoulder range of motion (ROM), and grip strength were evaluated initially and after the three days of KT or CT applications. : All the assessment values significantly improved in the KT group. In the CT group, only the pain scores (except for the numerical rating scale (NRS) pain score during activity) were significantly improved in the CT group at the end of the third day of application compared to the initial values ( < 0.05). For all the measurement outcomes, the effects of time × group interactions were statistically significant ( < 0.05) in favor of the KT group, except for the resting pain ( = 0.688). : The findings suggest that KT and CT could be used as adjunctive modalities to exercise for resting and night pain relief in patients with RCT. KT also had positive effects on the activity pain, function, ROM, and grip strength. The use of KT along with an exercise program could be a more effective therapeutic choice than the use of CT for improving night pain, activity pain, and upper extremity function during the short-term rehabilitation of RCT patients.

摘要

肩袖肌腱炎(RCT)是最常见的肩部疾病之一。它会引起疼痛,限制肩关节的运动,并影响功能。尽管有各种治疗方法,但目前对于 RCT 最有效的干预措施还没有具体的指南。据我们所知,没有研究比较过肌内效贴布(KT)和冷疗(CT)对 RCT 患者的影响。为此,本研究旨在探讨和比较 KT 和 CT 对 RCT 患者缓解疼痛和上肢功能的短期效果。

共有 114 人符合纳入标准。52 名符合纳入标准并同意参与的 RCT 患者被随机分配到 KT 或 CT 组。所有参与者都接受了标准化的家庭运动方案。他们的疼痛强度、上肢功能、肩关节活动范围(ROM)和握力在初始时和 KT 或 CT 应用三天后进行评估。

所有评估值在 KT 组均显著改善。在 CT 组中,与初始值相比,只有在 CT 应用的第三天结束时,除活动时数字评分量表(NRS)疼痛评分外,疼痛评分(除活动时 NRS 疼痛评分外)在 CT 组中显著改善( < 0.05)。对于所有测量结果,时间×组交互作用的效果在统计学上有显著差异( < 0.05),有利于 KT 组,除休息时疼痛( = 0.688)外。

研究结果表明,KT 和 CT 可作为 RCT 患者运动治疗的辅助手段,用于缓解休息时和夜间疼痛。KT 对活动时疼痛、功能、ROM 和握力也有积极影响。与 CT 相比,KT 联合运动方案在 RCT 患者短期康复期间,可能是改善夜间疼痛、活动时疼痛和上肢功能的更有效治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cef/11356310/4c4f3824d957/medicina-60-01188-g001.jpg

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