肌内效贴对急性踝关节扭伤病人康复疗效的Meta分析

Rehabilitation effect of kinesio taping on patients with acute ankle sprain: a Meta-analysis

目的:通过Meta分析评价肌内效贴对急性踝关节扭伤病人踝关节肿胀程度、疼痛程度及踝关节功能的影响。方法:计算机检索the Cochrane Library、PubMed、Web of Science、中国知网、中国生物医学文献数据库、万方数据库、维普数据库(VIP)中关于肌内效贴治疗急性踝关节扭伤病人的随机对照试验(RCT),检索时间为各数据库建库至2022年1月。由2名研究者按照纳入和排除标准独立进行文献筛选和数据提取,采用Cochrane风险评估工具对纳入的文献进行方法学质量评价,使用RevMan 5.3软件进行Meta分析。结果:共纳入10篇文献。Meta分析结果显示:干预后第1天,干预组足踝肿胀程度低于对照组[MD=-1.08,95%CI(-1.94,-0.22),P=0.01];干预后即刻及随访时,干预组疼痛评分低于对照组[SMD=-0.79,95%CI(-1.30,-0.29),P=0.002)][SMD=-0.87,95%CI(-1.52,-0.22),P=0.009];干预组踝关节功能优于对照组[SMD=1.15,95%CI(0.39,1.92),P=0.003],差异均有统计学意义。结论:现有证据表明,肌内效贴对急性踝关节扭伤的消肿治疗短期有效,但长期治疗效果不明显,肌内效贴能减轻病人的疼痛、改善踝关节功能。

Objective:To evaluate the effects of kinesio taping on ankle swelling degree, pain degree and ankle function in patients with acute ankle sprain through Meta-analysis.Methods:Randomized controlled trials on kinesio taping in the treatment of patients with acute ankle sprain were searched from the Cochrane Library, PubMed, Web of Science, CNKI,CBM,WanFang Database and VIP.The retrieval time was from the establishment of each database to January 2022.Two researchers independently conducted literature screening and data extraction according to inclusion criteria and exclusion criteria.Cochrane risk Assessment Tool was used to evaluate the methodological quality of the included literature, and RevMan5.3 software was used for Meta-analysis.Results:A total of 10 articles were included.Meta-analysis results showed that on the first day after intervention, the degree of swelling in the intervention group was lower than that in the control group[MD=-1.08,95%CI(-1.94,-0.22),P=0.01];Immediately after intervention and during follow-up, the pain score of the intervention group was lower than that of the control group[SMD=-0.79,95%CI(-1.30,-0.29),P=0.002][SMD=-0.87,95%CI(-1.52,-0.22),P=0.009];The ankle function of the intervention group was better than that of the control group[SMD=1.15,95%CI(0.39,1.92),P=0.003],the difference was statistically significant.Conclusion:Current evidences show that kinesio taping is effective in the short-term detumescence treatment of acute ankle sprain, but the long-term treatment effect is not obvious.Kinesio taping can relieve the pain of patients and improve the ankle function.