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物理治疗联合肌内效贴布对膝骨关节炎患者疼痛和肌肉无力影响的研究

Examination of the effect of physical therapy combined with kinesiology taping on pain and muscle weakness in patients with knee osteoarthritis.

作者信息

Kawaguchi Yosuke, Oda Atsushi, Ishikawa Takaaki, Omi Yoichi, Omi Hirotsugu

机构信息

Omi Orthopedic Clinic: 4-1 Yamashita-cho, Hirosaki-shi, Aomori 036-8011, Japan.

Graduate School of Health Sciences, Hirosaki University, Japan.

出版信息

J Phys Ther Sci. 2024 Dec;36(12):791-796. doi: 10.1589/jpts.36.791. Epub 2024 Dec 1.

Abstract

[Purpose] Symptoms of knee osteoarthritis include pain, limited range of motion, and muscle weakness. Conservative treatment for knee osteoarthritis includes exercise therapy, physical therapy, and taping therapy. Kinesiology taping has gained traction in clinical practice for knee osteoarthritis treatment owing to its therapeutic benefits. However, the effects of kinesiology taping on pain and muscle strength remain unclear, although these two factors are known to be related in patients with knee osteoarthritis. This study aimed to examine the effectiveness of physical therapy combined with kinesiology taping on pain and quadriceps muscle weakness in patients with knee osteoarthritis and compare it with that of placebo treatment. [Participants and Methods] The study included 31 patients diagnosed with knee osteoarthritis. We examined and compared the effects of taping between the kinesiology taping group and the placebo group with respect to knee extension muscle strength, pain, range of motion, walking speed, and quality of life after 4 weeks of physical therapy. [Results] Significant main effects of time were observed for all parameters, except the contralateral range of motion. However, significant main effects of group factors were not observed for any parameter. [Conclusion] The combination of physical therapy and kinesiology taping did not show significantly greater effectiveness than placebo treatment in alleviating pain and quadriceps weakness in patients with knee osteoarthritis.

摘要

[目的] 膝关节骨关节炎的症状包括疼痛、活动范围受限和肌肉无力。膝关节骨关节炎的保守治疗包括运动疗法、物理疗法和贴扎疗法。肌内效贴扎因其治疗益处而在膝关节骨关节炎治疗的临床实践中受到关注。然而,尽管已知这两个因素在膝关节骨关节炎患者中相关,但肌内效贴扎对疼痛和肌肉力量的影响仍不明确。本研究旨在探讨物理治疗联合肌内效贴扎对膝关节骨关节炎患者疼痛和股四头肌无力的有效性,并与安慰剂治疗进行比较。[参与者与方法] 本研究纳入了31例诊断为膝关节骨关节炎的患者。在进行4周物理治疗后,我们检查并比较了肌内效贴扎组和安慰剂组在膝关节伸展肌肉力量、疼痛、活动范围、步行速度和生活质量方面的贴扎效果。[结果] 除对侧活动范围外,所有参数均观察到显著的时间主效应。然而,在任何参数上均未观察到组因素的显著主效应。[结论] 在缓解膝关节骨关节炎患者的疼痛和股四头肌无力方面,物理治疗与肌内效贴扎联合使用并未显示出比安慰剂治疗显著更大的效果。

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The epidemiology of osteoarthritis.骨关节炎的流行病学。
Best Pract Res Clin Rheumatol. 2014 Feb;28(1):5-15. doi: 10.1016/j.berh.2014.01.004.

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