不同张力肌内效贴贴扎对慢性非特异性下腰痛患者疼痛及本体感觉的影响

Different Tension Kinesiology Taping on Pain and Proprioception in Patients with Chronic Nonspecific Low Back Pain

目的:探讨不同张力肌内效贴(KT)贴扎对慢性非特异性下腰痛患者疼痛及本体感觉的影响。方法:于山东第一医科大学内招募受试者25例,分别在无贴扎、白贴、10%张力KT、30%张力KT和50%张力KT五种条件下用视觉模拟评分及Biodex Systems 4型等速肌力系统评估患者的疼痛及本体感觉,躯干本体感觉用再现角度与目标角度之间的绝对误差表示,采用单因素重复测量方差分析进行数据处理,事后检验采用LSD法。结果:与无贴扎和白贴相比,10%、30%、50%张力KT贴扎能显著减轻慢性非特异性下腰痛患者的疼痛(P<0.05),并使躯干主动屈曲及后伸30°的绝对误差显著减小(P<0.05);与10%张力KT贴扎相比,30%、50%张力KT贴扎能显著减轻慢性非特异性下腰痛患者的疼痛(P<0.05),并使躯干主动后伸30°的绝对误差显著减小(P<0.05);与10%张力KT贴扎相比,30%张力KT贴扎时躯干主动屈曲30°的绝对误差显著减小(P<0.05)。结论:中等张力以上的肌内效贴贴扎可能能较好地改善慢性非特异性下腰痛患者的疼痛及本体感觉。

Objective:To investigate the effect of different tension kinesiology taping(KT)on pain and proprioception in patients with chronic non‐specific low back pain.Methods Methods:25 patients were recruited in Shandong First Medical University to assess pain and proprioception under five condi‐tions:no intervention,sports tape,10%tension KT,30%tension KT and 50%tension KT,using visual analogue scores and the Biodex Systems type 4 isokinetic strength system.Torso proprioception is expressed by the absolute error between the reproduction angle and the target angle.Repeated measurement ANOVA was used for data processing,and LSD test was used for post-hoc testing.Results Results:Compared with no intervention and the sports tape,10%,30%and 50%tension KT can significantly relieve pain(P<0.05)and reduce the absolute error of 30°of active trunk flexion(P<0.05)and posterior extension(P<0.05)in patients with chronic non-specific low back pain;compared with 10%tension KT,30%and 50%tension KT can significantly relieve pain(P<0.05)and reduce the absolute error of 30°active trunk extension(P<0.05)in patients with chronic non-specific low back pain;compared with 10%tension KT,the absolute error of 30°active trunk flexion during 30%tension KT was significantly reduced(P<0.05).Conclusion Conclusion:Kinesiology taping with moderate tension or above probably can better relieve pain and improve proprioception in patients with chronic nonspecific low back pain.