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肌内效贴布治疗肌肉骨骼疾病的有效性和临床相关性:系统评价和证据图谱概述的方案。

Effectiveness and clinical relevance of kinesio taping in musculoskeletal disorders: a protocol for an overview of systematic reviews and evidence mapping.

机构信息

School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong, China.

School of Rehabilitation Sciences, Southern Medical University, Guangzhou, Guangdong, China.

出版信息

BMJ Open. 2024 Nov 1;14(10):e086643. doi: 10.1136/bmjopen-2024-086643.

DOI:10.1136/bmjopen-2024-086643
PMID:39486810
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11529456/
Abstract

INTRODUCTION

Kinesio taping (KT) has been extensively applied in the management of musculoskeletal disorders (MSDs). Although plentiful systematic reviews (SRs) have evaluated its efficacy, there are no convincing conclusions due to dispersed and inconclusive results, and its clinical relevance remains unclear. Hence, there is a need to summarise all the SRs for comprehensive and consistent evidence. This overview aims to appraise the overall effectiveness of KT in MSDs and provide evidence maps to visualise the findings.

METHOD AND ANALYSIS

Electronic databases (Cochrane Database of Systematic Reviews, MEDLINE, Embase, Epistemonikos, PEDro, Scopus and ISI Web of Science) and reference lists will be searched from inception to September 2024 for the SRs of randomised controlled trials (RCTs). The SRs involving comparisons of the effectiveness between single or adjunctive KT and other interventions for patients with MSDs will be included. The primary and additional outcomes to be considered will be the core outcome set, and the patient-reported outcome measure and patient-important outcome, respectively. Two reviewers will independently screen and select studies, extract the data and evaluate the reporting and methodological quality of eligible SRs as well as the risk of bias of included RCTs. For the SRs without meta-analysis, we will collate the number of RCTs that showed any differences in outcomes. For the SRs with meta-analysis, we will provide the original summary of evidence (eg, pooled effects and heterogeneity) for outcomes with an evaluation of missing results and clinical relevance. The certainty of each outcome will be measured, and user-friendly maps of findings will be presented graphically.

ETHICS AND DISSEMINATION

Formal ethical approval for this study is not required since the data will be only collected from published literature in public databases. The results will be disseminated in the peer-reviewed academic journal, and relevant datasets will be preserved in the online repository.

PROSPERO REGISTRATION NUMBER

CRD42024517528.

摘要

简介

运动贴扎(KT)已广泛应用于肌肉骨骼疾病(MSD)的治疗。尽管有大量的系统评价(SR)评估了其疗效,但由于结果分散且不一致,目前尚无明确结论,其临床相关性仍不清楚。因此,有必要对所有的 SR 进行总结,以提供全面一致的证据。本综述旨在评估 KT 在 MSD 中的总体疗效,并提供证据图以直观呈现研究结果。

方法与分析

从建库至 2024 年 9 月,我们将通过电子数据库(Cochrane 系统评价数据库、MEDLINE、Embase、Epistemonikos、PEDro、Scopus 和 ISI Web of Science)和参考文献列表检索关于随机对照试验(RCT)的 SR。我们将纳入比较 KT 单一疗法或辅助疗法与其他 MSD 治疗方法疗效的 SR。主要和次要结局将分别考虑为核心结局集、患者报告结局测量和患者重要结局。两位评审员将独立筛选和选择研究、提取数据,并评估合格 SR 的报告和方法学质量以及纳入 RCT 的偏倚风险。对于没有进行荟萃分析的 SR,我们将整理显示结局存在差异的 RCT 数量。对于进行荟萃分析的 SR,我们将为具有缺失结果和临床相关性评估的结局提供原始证据汇总(例如,汇总效应和异质性)。我们将对每个结局的确定性进行评估,并以图形方式呈现直观的发现图。

伦理与传播

本研究不需要正式的伦理批准,因为数据仅从公共数据库中已发表的文献中收集。研究结果将发表在同行评议的学术期刊上,并将相关数据集保存在在线知识库中。

PROSPERO 注册号:CRD42024517528。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/956c/11529456/d0becc624e41/bmjopen-14-10-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/956c/11529456/d0becc624e41/bmjopen-14-10-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/956c/11529456/d0becc624e41/bmjopen-14-10-g001.jpg

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