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肌内效贴布、手腕夹板和肱骨外上髁炎绷带治疗外侧肱骨外上髁炎:一项前瞻性比较研究。

Kinesio Taping, Wrist Splinting, and Epicondylitis Bandaging in Managing Lateral Epicondylitis: A Prospective Comparative Study.

作者信息

Bilgin Yücel, Birişik Fevzi, Guler Saltuk Bugra

机构信息

Department of Orthopedics and Traumatology, Bursa Uludag University, Bursa, Turkey.

Department of Orthopedics and Traumatology, Istanbul Education and Research Hospital, Istanbul, Turkey.

出版信息

Med Sci Monit. 2025 May 4;31:e947642. doi: 10.12659/MSM.947642.

Abstract

BACKGROUND We assessed the treatment outcomes of patients assigned by sequential randomization to 3 groups: epicondylitis bandaging, wrist dorsiflexion splinting, and kinesio taping. MATERIAL AND METHODS Fifty-four patients diagnosed with lateral epicondylitis were included in the study and randomly divided into 3 groups (n=18): epicondylitis bandage, wrist dorsiflexion splint, and kinesio tape. Patients were evaluated using a visual analog score (VAS), Disabilities of the Arm, Shoulder (DASH) score, PRTEE (Patient-Rated Tennis Elbow Evaluation) score, and hand grip strength at baseline and at 3 and 6 weeks. RESULTS Lateral epicondylitis was diagnosed in the right elbow in 40 patients and the left elbow in 14 patients. Lateral epicondylitis was on the dominant side in 39 patients and on the opposite side in 15. When the VAS, PRTEE, DASH, and wrist grip strengths of the patients who used epicondylitis bandage, wrist dorsiflexion splint, and kinesio tape in the treatment were compared, no significant difference was found between the results before treatment and at 3 and 6 weeks after treatment. CONCLUSIONS We found no significant differences between conservative treatment of lateral epicondylitis via epicondylitis bandage, wrist dorsiflexion splint, and kinesio tape at baseline and at 3 and 6 weeks after treatment as assessed by VAS, DASH score, PRTEE score, and hand grip strength.

摘要

背景 我们评估了通过序贯随机化分配至3组患者的治疗结果:肱骨外上髁炎绷带包扎、腕背伸夹板固定和肌内效贴布。

材料与方法 本研究纳入了54例诊断为外侧肱骨外上髁炎的患者,并随机分为3组(n = 18):肱骨外上髁炎绷带组、腕背伸夹板固定组和肌内效贴布组。在基线以及3周和6周时,使用视觉模拟评分(VAS)、手臂、肩部功能障碍(DASH)评分、患者自评网球肘评估(PRTEE)评分和握力对患者进行评估。

结果 40例患者右侧肘部诊断为外侧肱骨外上髁炎,14例患者左侧肘部诊断为此病。39例患者外侧肱骨外上髁炎位于优势侧,15例位于对侧。比较治疗中使用肱骨外上髁炎绷带、腕背伸夹板固定和肌内效贴布的患者的VAS、PRTEE、DASH和腕部握力,治疗前与治疗后3周和6周的结果之间未发现显著差异。

结论 通过VAS、DASH评分、PRTEE评分和握力评估,我们发现,在基线以及治疗后3周和6周时,使用肱骨外上髁炎绷带、腕背伸夹板固定和肌内效贴布对外侧肱骨外上髁炎进行保守治疗之间无显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc95/12060738/3d8f2e0cb925/medscimonit-31-e947642-g001.jpg

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