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肌内效贴布对急性踝关节扭伤的影响:一项系统评价

The Effects of Kinesio Tape on Acute Ankle Sprain: A Systematic Review.

作者信息

Bocchino Guido, Grassa Daniele, Bove Antonio, Salvini Matteo, Kaplan Rami, Di Gialleonardo Emidio, Forconi Fabrizio, Maccauro Giulio, Vitiello Raffaele

机构信息

Department of Orthopedics, Ageing and Rheumatological Sciences, Fondazione Policlinico Universitario A. Gemelli IRCSS, Largo A. Gemelli, 8, 00168 Rome, Italy.

Department of Orthopedics and Geriatric Sciences, Università Cattolica Del Sacro Cuore, Largo Francesco Vito, 8, 00168 Rome, Italy.

出版信息

J Clin Med. 2025 Feb 21;14(5):1440. doi: 10.3390/jcm14051440.

Abstract

An ankle sprain is a frequent musculoskeletal injury, often leading to chronic instability and an increased risk of post-traumatic osteoarthritis. Kinesio Tape, an elastic adhesive tape, is widely used in rehabilitation for its supposed benefits in reducing pain, controlling edema, and improving ankle function. However, its effectiveness in managing acute ankle sprains remains debated. This systematic review aims to evaluate the evidence on the impact of Kinesio Taping on pain reduction, edema control, and return to sport in patients with acute ankle sprains. A systematic review was conducted in line with the PRISMA guidelines. The literature from PubMed, MEDLINE, and the Cochrane Library was searched for studies published from 2004 to 2024. Seven studies met the inclusion criteria, involving 247 patients with acute ankle sprains. Data on patient demographics, follow-up duration, Kinesio Taping protocols, and clinical outcomes were extracted and analyzed. The review revealed mixed findings. Some studies reported short-term pain relief and reduced need for analgesics in the Kinesio Taping group, especially when combined with manual therapy. However, no significant differences were found in the edema control compared to bracing or casting. Functional recovery, as assessed by scales like the Karlsson scoring scale, showed no clear advantage for Kinesio Taping over other treatments. Kinesio Taping provides limited benefits for ankle sprain management, particularly in terms of long-term functional recovery and edema reduction. While it may offer short-term pain relief, it should be considered as an adjunctive treatment rather than a primary intervention.

摘要

踝关节扭伤是一种常见的肌肉骨骼损伤,常导致慢性不稳定,并增加创伤后骨关节炎的风险。肌内效贴布是一种弹性胶带,因其在减轻疼痛、控制水肿和改善踝关节功能方面的假定益处而广泛应用于康复治疗。然而,其在治疗急性踝关节扭伤中的有效性仍存在争议。本系统评价旨在评估肌内效贴布对急性踝关节扭伤患者减轻疼痛、控制水肿和恢复运动的影响的证据。按照PRISMA指南进行了一项系统评价。检索了PubMed、MEDLINE和Cochrane图书馆中2004年至2024年发表的研究。七项研究符合纳入标准,涉及247例急性踝关节扭伤患者。提取并分析了患者人口统计学、随访时间、肌内效贴布方案和临床结果的数据。该评价结果不一。一些研究报告说,肌内效贴布组有短期疼痛缓解,且对镇痛药的需求减少,尤其是与手法治疗联合使用时。然而,与支具或石膏固定相比,在控制水肿方面未发现显著差异。通过卡尔森评分量表等量表评估的功能恢复情况显示,肌内效贴布与其他治疗方法相比没有明显优势。肌内效贴布在踝关节扭伤管理方面的益处有限,特别是在长期功能恢复和减轻水肿方面。虽然它可能提供短期疼痛缓解,但应将其视为辅助治疗而非主要干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1e5/11900455/7bdb06c40e6d/jcm-14-01440-g001.jpg

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