肌内效贴治疗肩关节疼痛的应用现状与研究

Kinesiology tape for treating shoulder pain

背景:肩关节运动损伤总是伴随肩痛,影响患者运动表现。肌内效贴在肩关节疾病的预防和治疗中已被广泛应用,然而目前肌内效贴对肩关节疼痛的相关研究有限,研究结果存在较大争议。目的:阐述国内外肌内效贴治疗肩关节疼痛的临床研究进展,旨在为实际应用提供理论和参考依据。方法:检索截止至2022年6月期间在Web of Science、Pub Med、Cochrane、中国知网、万方以及维普等中文数据库中有关肌内效贴应用于肩关节疼痛的研究。中文检索词为“肩痛;肩关节疼痛;肩”和“肌内效贴;运动贴布;贴扎”,英文检索词为“shoulder pain;shoulder” AND“kinesio tap;kinesiology tap;Kinaesthetic tap;tape;taping;taped”。结果与结论:在肩关节疼痛相关疾病中,肌内效贴力学矫正贴扎在短期内对缓解疲劳、疼痛、姿势矫正、增加关节活动范围和肩峰肱骨距离等方面疗效明显,有利于提高上肢功能和运动表现;然而肌内效贴对肌肉疲劳后关节本体感和运动方式的作用有限;肌内效贴对肩关节疼痛的中长期疗效也尚未明确。未来应对肌内效贴拉力大小和不同贴法的组合疗效进行研究,寻找其持续起作用的新方法。

BACKGROUND:Shoulder injury is always accompanied with shoulder pain,which affects patient’s athletic performance.Kinesiology tape has been widely used in the prevention and treatment of shoulder diseases.However,there is limited research on the effect of kinesiology tape on shoulder pain and the res ults are controversial.OBJECTIVE:To describe the advances in clinical research of kinesiology tape on shoulder pain,providing a theoretical reference basis for the practical application of kinesiology tape.METHODS:Lite rature retrieval was performed to search for studies on kinesiology tape for treating shoulder pain in the Web of Science,PubMed,Cochrane,CNKI,Wan Fang,and VIP databases up to June 2022.Keywords were "shoulder pain;shoulder" AND "kinesio tap;kinesiology tap;kinaesthetic tap;tape;taping;taped" in English and Chinese.RESULTS AND CONCLUSION:Mechanical correction of kinesiology tape has certain effects on fatigue and pain relief,posture correction,increasing joint range of motion and acromion humeral distance,which is beneficial to improve upper limb function and locomotor performance.Howeve r,kinesiology tape has limited effects on joint proprioception and motion pattern after muscle fatigue.The long-term efficacy of kinesiology taping for shoulder pain is yet unclea r.Further studies should be conducted on the effect of different tape tensions combined with different taping methods of kinesiology tape,to find new ways to keep it working.