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夹板之外:肌内效贴布对手指损伤非手术治疗的疗效及安全性

Beyond the splint: efficacy and safety of kinesio taping for non-operative management of finger injuries.

作者信息

Kilinc Bekir Eray, Arikan Halil Ibrahim, Gultekin Onur, Varol Ali, Ondur Bugra, Oc Yunus

机构信息

Department of Orthopedics and Traumatology, Health Sciences University, Fatih Sultan Mehmet Training and Research Hospital, D100 Uzeri Hastane Sok. No:1/8 34752 Icerenkoy Atasehir, Istanbul, Turkey.

Department of Orthopedics and Traumatology, BHT Clinic Istanbul Tema Hospital, Istanbul, Turkey.

出版信息

BMC Musculoskelet Disord. 2025 Aug 8;26(1):767. doi: 10.1186/s12891-025-09044-6.

Abstract

BACKGROUND

This prospective comparative study aimed to evaluate the efficacy of kinesio-taping (KT), buddy taping (BT), and conventional splinting in managing finger joint sprains and fractures across pediatric and adult populations, with a focus on functional recovery and patient-centered outcomes.

MATERIALS AND METHODS

A total of 175 patients were randomized into three treatment arms: KT (Group 1, n = 62), BT (Group 2, n = 52), and splinting (Group 3, n = 61). Participants were stratified into pediatric (5-18 years) and adult (18-60 years) subgroups. Clinical outcomes-including range of motion (ROM), grip strength, and QuickDASH (QD) scores-were assessed by an independent orthopedic surgeon at 3-week and 3-month follow-ups.

RESULTS

Baseline demographics (age, sex, injury laterality, and hand dominance) were comparable across groups (p > 0.05). Group 1 demonstrated statistically superior outcomes, with significantly greater ROM( p < 0.001), lower QD scores (p < 0.001), and higher grip strength (p < 0.001) relative to splinting. Group 2 exhibited intermediate efficacy, outperforming splinting but remaining inferior to Group 1 (p < 0.001). Subgroup analyses confirmed consistent therapeutic advantages for KT in both pediatric and adult cohorts (p < 0.001).

DISCUSSION

KT emerged as the most effective modality, offering enhanced patient comfort, superior pain management, and accelerated functional recovery in finger ligament injuries and fractures. Its capacity to facilitate early mobilization without compromising stability positions it as a preferable alternative to conventional splinting methods in diverse age groups.

摘要

背景

这项前瞻性比较研究旨在评估肌内效贴扎(KT)、伙伴贴扎(BT)和传统夹板固定在治疗儿童和成人手指关节扭伤和骨折中的疗效,重点关注功能恢复和以患者为中心的结果。

材料与方法

总共175名患者被随机分为三个治疗组:KT组(第1组,n = 62)、BT组(第2组,n = 52)和夹板固定组(第3组,n = 61)。参与者被分为儿童亚组(5 - 18岁)和成人亚组(18 - 60岁)。临床结果,包括关节活动范围(ROM)、握力和快速DASH(QD)评分,由一名独立的骨科医生在3周和3个月的随访时进行评估。

结果

各组的基线人口统计学特征(年龄、性别、受伤侧别和利手)具有可比性(p > 0.05)。与夹板固定相比,第1组显示出统计学上更优的结果,ROM显著更大(p < 0.001),QD评分更低(p < 0.001),握力更高(p < 0.001)。第2组表现出中等疗效,优于夹板固定组,但仍不如第1组(p < 0.001)。亚组分析证实,KT在儿童和成人队列中均具有一致的治疗优势(p < 0.001)。

讨论

KT成为最有效的治疗方式,在手指韧带损伤和骨折中能提高患者舒适度、更好地控制疼痛并加速功能恢复。它能够促进早期活动而不影响稳定性,使其成为不同年龄组传统夹板固定方法的更优替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf40/12333271/bce4e77a1101/12891_2025_9044_Fig1_HTML.jpg

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