肌内效贴在前交叉韧带重建术后的应用:Scoping综述

Application of kinesio taping as a treatment for anterior cruciate ligament reconstruction:a scoping review

目的:总结肌内效贴(KT)作为单一治疗方式或辅助其他治疗在前交叉韧带重建术后的应用。方法:检索建库至2022年6月27日的PubMed、Web of Science、Science direct、Embase、The Cochrane Library、VIP Data、中国知网(CNKI)、万方数据等数据库中肌内效贴在前交叉韧带重建术后治疗效果的文献。采用Scoping综述方法提取文献内容。结果:共检索到332篇相关文献,最终纳入2013年到2022年来自6个国家的10篇文献。ACLR的身体结构和功能障碍主要涉及术后疼痛、肿胀、活动度、大腿围度及功能表现。评价工具包括:疼痛指标如VAS、NRS、Laitinen量表、WHO疼痛程度分级;活动度评估工具如量角器;肌力评估工具如等速肌力测试、Baseline手持测力计;肢体围度测量双侧大腿周径;功能评价工具如:Lysholm评分、改良Cincinnati评分、Tampa评定量表(TSK)、星移平衡测试(YBT)、单腿跳跃测试、10码下肢功能测试和Tegner-Lysholm膝关节量表等。贴扎方法以Y形,I形和爪形为主,使用不同贴扎方法联合贴扎。结论:肌内效贴干预前交叉韧带重建术后的疼痛肿胀、肌肉力量及功能恢复等问题是当前的研究热点。未来需要进一步探讨贴扎介入时机、持续时间、贴扎方法、拉力大小等问题,为基于循证医学推广肌内效贴技术提供更充分的理论依据。

Objective:To provide a comprehensive overview of the application of kinesio taping(KT)as a standalone or adjunctive therapy in anterior cruciate ligament reconstruction(ACLR).Methods:Relevant literature was retrieved from various databases including PubMed,Web of Science,Science Direct,Embase,The Cochrane Library,VIP,China National Knowledge Network(CNKI),and Wanfang data until June 27th,2022.The Scoping review method was employed to extract relevant content from the literature.Results:A total of 332 articles were identified spanning from 2013 to 2022 across 6 countries.Postoperative pain management,swelling reduction,range of motion improvement,thigh circumference measurement and functional performance enhancement were found to be key aspects related to ACLR’s structural integrity and dysfunction.Evaluation tools included pain indicators such as Visual Analog Scale(VAS),Numerical Rating Scale(NRS),Laitinen scale and WHO pain scale;Range of scale assessment tools like protractors;Muscle strength assessment tools such as isokinetic muscle strength test and Baseline?handheld dynamometer;Limb circumference measuremeat for bilateral thigh circumference;Functional evaluation tools such as Lysholm score,improved Cincinnati score,Tampa Rating Scale(TSK),Star shift balance test(YBT),one-leg jump test,10-yard lower limb function test and Tegner-Lysholm knee scale.The pasting methods were mainly Y shape,I shape and claw shape,using different pasting methods for combined pasting.Conclusion:Current research focuses on the intervention effects of intramuscular adhesive tape on postoperative pain management,reduction in swelling,muscle strength recovery,and overall functional improvement following ACLR.The studies should further explore optimal timing,duration,application methods,and tension force for taping interven-tions in future,so as to provide a more adequate theoretical basis for the promotion of intramuscular taping technology based on evidence-based medicine.