肌内效贴对膝关节军事训练伤治疗作用的观察

Effects of Kinesio taping on knee joint military training injury

目的观察肌内效贴对膝关节军事训练伤的治疗作用。方法选取2018年12月-2019年3月解放军总医院海南医院康复理疗科收治的军事训练后出现膝关节疼痛的男性战士共40名,随机分为肌内效贴组(n=20)和常规治疗组(n=20),两组均接受常规物理因子治疗,肌内效贴组还同时接受肌内效贴治疗。治疗前及治疗2周、4周时观察患者膝关节疼痛程度和功能改善情况。结果VAS评分结果显示,常规治疗组在治疗2周时评分由5.35±0.99降至4.16±1.46,4周时降至1.70±1.03,肌内效贴组在治疗2周时由5.74±1.15降至2.45±1.09,4周时降至1.90±0.95,差异均有统计学意义(P<0.05);在治疗2周时,肌内效贴组VAS评分明显低于常规治疗组(P<0.05),治疗4周时两组评分无统计学差异(P>0.05)。Lysholm评分结果显示,治疗2周时,肌内效贴组评分由69.99±9.43增至80.81±9.60,治疗4周时增至90.36±7.83,差异均有统计学意义(P<0.05);治疗2周时常规治疗Lysholm组评分与治疗前无统计学差异(P>0.05),治疗4周时由治疗前的76.81±6.95增至89.42±7.62,差异有统计学意义(P<0.05);两组间治疗前后比较差异均无统计学意义。结论肌内效贴用于膝关节军事伤的治疗,可减轻患者疼痛,改善功能状态,并且可提高治疗效果。

Objective To observe the therapeutic effect of kinesio taping on knee pain caused by military training.Methods A total of 40 male soldiers with knee pain after military training were randomly divided into kinesio taping group(n=20)and routine treatment group(n=20).Both groups received routine physical therapy.The kinesio taping group also received kinesio taping.The pain(VAS)and function(Lysholm)of knee were observed before and at 2 and 4 weeks after initiation of treatment.Results The VAS score of the routine treatment group decreased significantly over time,from 5.35±0.99 to 4.16±1.46 at 2 weeks,and 1.70±1.03 at 4 weeks(P<0.05),while it decreased from 5.74±1.15 to 2.45±1.09 at 2 weeks and 1.90±0.95 at 4 weeks in the kinesio taping group with significant difference(P<0.05).At 2 weeks,the vas score of the kinesio taping group was significantly lower than that of the routine treatment group(P<0.05),bu there was no significant difference between the two groups at 4 weeks after treatment(P>0.05).Lysholm score of the kinesio taping group increased significantly from 69.99±9.43 to 80.81±9.60 at 2 weeks,and to 90.36±7.83 at 4 weeks(P<0.05);In the routine treatment group,it increased from 76.81±6.95 to 89.42±7.62 at 4 weeks,with statistically significant difference(P<0.05).No significant difference was found in Lysholm score between the two groups at each timepoint.Conclusion Kinesio taping can be used to treat knee joint injury related to military training,which can alleviate pain,improve function,and has better treatment effect.