Mei Ting, Shuai Yuli, Wu Dandong, Yu Heping
The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
J Rehabil Med. 2025 Feb 5;57:jrm40784. doi: 10.2340/jrm.v57.40784.
To assess the effects of kinesio taping on pain, oedema, range of motion, and joint function following knee or hip arthroplasty.
Eight databases were searched up to 9 January 2024. Patients undergoing rehabilitation after knee or hip arthroplasty were included. The intervention group received kinesio taping with postoperative rehabilitation, while the control group received postoperative rehabilitation alone. Outcomes for knee arthroplasty patients, included pain, oedema, range of motion, and the Hospital for Special Surgery knee score. For hip arthroplasty, the outcome focused on pain.
Eleven randomized controlled trials involving 774 participants met the inclusion criteria. In knee arthroplasty patients, kinesio taping significantly reduced pain (standardized mean difference [SMD] = -0.53, 95% CI -0.91 to -0.14, p = 0.007), and relieved thigh (SMD = -0.38, 95% CI -0.65 to -0.12, p = 0.005) and ankle circumferences (SMD = -0.53, 95% CI -0.95 to -0.12, p = 0.01). It improved the total range of motion (SMD = 1.26, 95% CI 0.93 to 1.60, p < 0.00001) and Hospital for Special Surgery knee score (SMD = 2.17, 95% CI 1.70 to 2.65, p < 0.00001). No significant pain intensity reduction was observed in hip arthroplasty patients (p = 0.25).
Kinesio taping combined with postoperative rehabilitation effectively reduces oedema and pain, and improves joint function in knee arthroplasty patients, but does not alleviate pain in patients following hip arthroplasty.
评估肌内效贴布对膝关节或髋关节置换术后疼痛、水肿、活动范围和关节功能的影响。
检索了截至2024年1月9日的八个数据库。纳入膝关节或髋关节置换术后接受康复治疗的患者。干预组在术后康复治疗中使用肌内效贴布,而对照组仅接受术后康复治疗。膝关节置换术患者的结局指标包括疼痛、水肿、活动范围以及特种外科医院膝关节评分。对于髋关节置换术,结局指标主要关注疼痛。
11项涉及774名参与者的随机对照试验符合纳入标准。在膝关节置换术患者中,肌内效贴布显著减轻了疼痛(标准化均数差[SMD]=-0.53,95%置信区间-0.91至-0.14,p=0.007),并减轻了大腿围(SMD=-0.38,95%置信区间-0.65至-0.12,p=0.005)和踝关节周长(SMD=-0.53,95%置信区间-0.95至-0.12,p=0.01)。它改善了总活动范围(SMD=1.26,95%置信区间0.93至1.60,p<0.00001)和特种外科医院膝关节评分(SMD=2.17,95%置信区间1.70至2.65,p<0.00001)。在髋关节置换术患者中未观察到疼痛强度的显著降低(p=0.25)。
肌内效贴布联合术后康复治疗可有效减轻膝关节置换术患者的水肿和疼痛,并改善关节功能,但不能缓解髋关节置换术患者的疼痛。