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肌内效贴对髌股疼痛综合征患者疼痛及膝关节功能的疗效:一项系统综述与Meta分析

Efficacy on pain and knee function of Kinesio taping among patients with patellofemoral pain syndrome: a systematic review and meta-analysis.

作者信息

Jiao Hailong, Tao Meng, Cui Xianyou

机构信息

School of Physical Education, Zhejiang Guangsha Vocational and Technical University of construction, Dongyang, 322100, Zhejiang Province, China.

School of Exercise and Health, Shanghai University of Sport, Shanghai, 200438, China.

出版信息

BMC Musculoskelet Disord. 2025 Apr 21;26(1):388. doi: 10.1186/s12891-025-08627-7.

DOI:10.1186/s12891-025-08627-7
PMID:40259274
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12010528/
Abstract

OBJECTIVE

Kinesio taping (KT) has been widely used in patients with Patellofemoral pain syndrome (PFPS) because of its convenience and positive effects. However, there exists conflicting evidence regarding its efficacy. To systematically evaluate the effect of KT on pain and knee function in patients with PFPS.

METHODS

This study was registered in PROSPERO (registration number CRD 42023442333) and completed following the PRISMA checklist. This study did not receive any funding. PubMed, Embase, The Cochrane Library, Web of Science, and EBSCO databases were comprehensively searched by two independent reviewers following PRISMA guidelines for the inclusion of randomized controlled trials (RCTs) exploring the effects of KT on pain and knee function in patients with PFPS. Quality assessment was evaluated using the Cochrane Risk Assessment Scale. Statistical analysis was performed using Review Manager 5.3.

RESULTS

Ten RCTs published from 2011 to 2022 were included in this review. A total of 364 PFPS patients were analyzed, with 184 in the KT group and 180 in the control group. The KT group primarily received KT plus routine rehabilitation, while the control group received routine rehabilitation alone. The overall quality of the included studies was relatively low. Meta-analysis showed that KT significantly reduced visual analog scale pain scores (MD=-0.58, 95% CI: -1.10 to -0.07, P = 0.03) and increased the Kujala anterior knee pain scale score (MD = 2.28, 95% CI: 0.00 to 4.56, P = 0.05) in patients with PFPS compared with controls. While knee extension peak torque (SMD = 0.06, 95% CI: -0.39 to 0.52, P = 0.79), knee flexion peak torque (SMD = 0.36, 95% CI: -0.28 to 0.99, P = 0.27), knee flexion range of motion (MD=-0.93, 95% CI: -4.54 to 2.68, P = 0.61), and knee joint position error (MD=-0.48, 95% CI: -1.91 to 0.96, P = 0.51) were not significantly different among KT and control groups.

CONCLUSION

Current evidence suggests that Kinesio taping reduces pain in patients with patellofemoral pain syndrome, but its effects on knee muscle strength, knee flexion range of motion, and knee proprioception need further investigation. Given its low cost and accessibility, Kinesio taping can be used for pain management in patellofemoral pain syndrome.

摘要

目的

肌内效贴布(KT)因其便捷性和积极效果,已在髌股疼痛综合征(PFPS)患者中广泛应用。然而,关于其疗效的证据存在矛盾。本研究旨在系统评价KT对PFPS患者疼痛和膝关节功能的影响。

方法

本研究在国际前瞻性系统评价注册库(PROSPERO)注册(注册号CRD 42023442333),并按照系统评价和Meta分析的首选报告项目(PRISMA)清单完成。本研究未获得任何资金支持。两名独立评审员按照PRISMA指南,全面检索了PubMed、Embase、Cochrane图书馆、Web of Science和EBSCO数据库,以纳入探索KT对PFPS患者疼痛和膝关节功能影响的随机对照试验(RCT)。使用Cochrane风险评估量表进行质量评估。使用RevMan 5.3进行统计分析。

结果

本综述纳入了2011年至2022年发表的10项RCT。共分析了364例PFPS患者,其中KT组184例,对照组180例。KT组主要接受KT加常规康复治疗,而对照组仅接受常规康复治疗。纳入研究的总体质量相对较低。Meta分析表明,与对照组相比,KT显著降低了PFPS患者的视觉模拟评分疼痛得分(MD=-0.58,95%CI:-1.10至-0.07,P=0.03),并提高了库贾拉前膝痛量表得分(MD=2.28,95%CI:0.00至4.56,P=0.05)。而KT组与对照组之间的膝关节伸展峰值扭矩(SMD=0.06,95%CI:-0.39至0.52,P=0.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/12010528/7797ac467e5d/12891_2025_8627_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/12010528/2ab9d2941568/12891_2025_8627_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/12010528/b50fd4055351/12891_2025_8627_Fig2_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/12010528/fc049d2cde36/12891_2025_8627_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/12010528/7797ac467e5d/12891_2025_8627_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/12010528/2ab9d2941568/12891_2025_8627_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/12010528/b50fd4055351/12891_2025_8627_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/12010528/8ef526ffe0c4/12891_2025_8627_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/12010528/fc049d2cde36/12891_2025_8627_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05e/12010528/7797ac467e5d/12891_2025_8627_Fig5_HTML.jpg

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