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髌骨内侧贴扎:膝关节骨关节炎的一种新疗法?

Taping the patella medially: a new treatment for osteoarthritis of the knee joint?

作者信息

Cushnaghan J, McCarthy C, Dieppe P

机构信息

University of Bristol Rheumatology Unit, Bristol Royal Infirmary.

出版信息

BMJ. 1994 Mar 19;308(6931):753-5. doi: 10.1136/bmj.308.6931.753.

Abstract

OBJECTIVE

To test the hypothesis that medial taping of the patella reduces the symptoms of osteoarthritis of the knee when the patellofemoral joint is affected.

DESIGN

Randomised, single blind, crossover trial of three different forms of taping of the knee joint. Each tape (medial, lateral, or neutral) was applied for four days, with three days of no treatment between tape positions.

SUBJECTS

14 patients with established, symptomatic osteoarthritis of the knee and both clinical and radiographic evidence of patellofemoral compartment disease.

MAIN OUTCOME MEASURES

Daily visual analogue scale ratings for pain; patients' rating of change with each treatment; and tape preference.

RESULTS

Medial taping of the patella was significantly better than the neutral or lateral taping for pain scores, symptom change, and patient preference. The medial tape resulted in a 25% reduction in knee pain.

CONCLUSION

Patella taping is a simple, safe, cheap way of providing short term pain relief in patients with osteoarthritis of the patellofemoral joint.

摘要

目的

检验以下假设:当髌股关节受累时,髌骨内侧贴扎可减轻膝关节骨关节炎的症状。

设计

对三种不同形式的膝关节贴扎进行随机、单盲、交叉试验。每种贴扎(内侧、外侧或中性)应用四天,不同贴扎位置之间有三天不进行治疗。

研究对象

14例确诊为有症状的膝关节骨关节炎且有髌股关节疾病临床及影像学证据的患者。

主要观察指标

每日疼痛视觉模拟评分;患者对每种治疗效果变化的评分;以及对贴扎的偏好。

结果

在疼痛评分、症状变化及患者偏好方面,髌骨内侧贴扎显著优于中性或外侧贴扎。内侧贴扎使膝关节疼痛减轻了25%。

结论

髌骨贴扎是为髌股关节骨关节炎患者提供短期疼痛缓解的一种简单、安全、廉价的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/036b/2539631/8d0fb282cbee/bmj00432-0030-a.jpg

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