体外冲击波联合肌内效贴治疗跟腱腱病的临床研究

Clinical Study of Extracorporeal Shock Waves Combined with Kinesio Taping for Treating Achilles Tendinopathy

目的:评估体外冲击波联合肌内效贴治疗跟腱腱病的临床疗效。方法:选取20名研究对象,随机分成单纯冲击波治疗(ESWT)组和体外冲击波联合肌内效贴共同治疗(ESWT+KT)组,每组各10人。分别于治疗前、治疗后1个月、治疗后3个月对所有患者采用VISA-A跟腱腱病评分表进行评分。在治疗后3个月时采用6点Likert评分表对患者主观满意度进行评价,在治疗前和治疗后3个月用高频彩超对比跟腱纤维形态变化。结果:(1)VISA-A评分:ESWT、ESWT+KT两组治疗后VISA-A评分与其治疗前比较存在显著的统计学差异(P<0.01);ESWT+KT组治疗后各时间点与治疗前的VISA-A评分差值与ESWT组相比存在统计学差异(P<0.05)。(2)6点Likert评分:ESWT+KT组的患者满意率为100%,高于ESWT组(80%)。(3)高频彩超:ESWT、ESWT+KT两组治疗后的跟腱肿胀比治疗前都有缓解,且ESWT+KT组的肿胀改善程度优于ESWT组。结论:体外冲击波治疗跟腱腱病和联合肌内效贴共同治疗跟腱腱病都能够改善症状,患者满意程度高,且联合治疗组的疗效要优于单独治疗组。

Objective:To evaluate the clinical efficacy of extracorporeal shock wave combined with kinesio taping in the treatment of Achilles tendinopathy.Methods:20 subjects were randomly divided into extracorporeal shock wave treatment group(ESWT)and extracorporeal shock wave treatment combined with kinesio taping treatment group(ESWT+KT)with each group of 10 people.The VISA-A score table was used to assess sufferers before the treatment,and after 1 month and 3 months of treatment respectively.Sufferer's subjective satisfaction was assessed by using a 6-point Likert Scale 3 months after treatment.High-frequency color doppler ultrasound was used to compare the morphological changes of Achilles tendon fibers before treatment and 3 months after treatment.Results:(1)There is significant statistical difference of VISA-A score between ESWT group and ESWT+KT group before and after treatment(P<0.01);there is significant statistical difference of VISA-A score of ESWT+KT group at each period of time compared with ESWT group(P<0.05).(2)In terms of 6-point Likert Scale,the satisfaction rate of sufferers in the ESWT+KT group was 100%,which is higher than that in the ESWT group(80%).(3)In terms of hign-frequency color doppler ultrasound,the Achilles tendon swelling of ESWT and ESWT+KT groups were both relieved after treatment with ESWT+KT group having a better effect.Conclusion:ESWT and ESWT+KT can both improve symptoms with ESWT+KT having a better effect and higher satisfaction from sufferers.