Combination of manual lymphatic drainage and Kinesio taping for treating pigmented villonodular synovitis:A case report

BACKGROUND Pigmented villonodular synovitis(PVNS)is a benign proliferative disorder that affects the synovial joints,bursae,and tendon sheaths.To date,few studies have reported on the treatment of postoperative pain and edema in patients with PVNS.Herein,we present the case of a woman who developed pain and edema in the left lower limb 1 wk after synovectomy and arthroscopic partial meniscectomy and was unable to walk due to limited flexion and extension of the left knee.CASE SUMMARY A 32-year-old woman underwent synovectomy and arthroscopic partial meniscectomy successively and was treated with a combination of manual lymphatic drainage(MLD)and kinesio taping(KT)in our hospital to alleviate postoperative pain and edema.The following parameters were assessed at 2 wk post-treatment and 1 wk post-discharge follow up:suprapatellar circumference,infrapatellar circumference,visual analog scale score,knee range of motion,pittsburgh sleep quality index score,hamilton anxiety rating scale(HAMA)score,and hamilton depression rating scale(HAMD)score.After treatment,the postoperative pain and edema in the patient’s left knee were effectively relieved,resulting in improved sleep quality and remarkably attenuated HAMA and HAMD scores.CONCLUSION Combined MLD and KT may be an effective approach for relieving postoperative pain and edema in patients with PVNS.

Kinesio胶带改善膝骨关节炎病人疼痛和功能的临床研究

目的探讨Kinesio胶带(kinesio taping,KT)疗法对膝关节骨关节炎(osteoarthritis,OA)病人疼痛、功能、活动范围和肌肉力量的有效性。方法我院2021年1月~2023年1月诊断为膝关节OA病人40例。随机分为两组,每组各20例,观察组使用Kinesio胶带疗法(KT组),对照组采用假绑带疗法。采用视觉模拟量表(visual analogue score,VAS)评估活动和夜间疼痛程度,KOOS评分评估病人的功能状况,数字测角器来测量活动范围,手持式测力计评估肌肉力量,评估时间包括使用治疗前和治疗12天时。结果与治疗前相比,对照组和KT组治疗后病人疼痛、功能、活动范围及肌肉力量均明显改善。与对照组比较,KT组治疗后上述指标也明显改善。结论KT疗法在缓解膝关节OA短期疼痛及改善功能受限上有显著疗效。

Comparison of the Effects of Kinesio Taping to Local Injection of Methyl Prednisolone in Treating Brachial Biceps Tendonitis

Objectives: This study compared the effect of Kinesio Taping (KT) with local Methyl Prednisolone injection in patients with biceps tendonitis based on visual analog scale (VAS) and range of motion (ROM). Methods: Thirty-eight patients (15 females and 23 males;mean age: 29.87 ± 6.31, years) with biceps tendonitis were participated in this study during 2014-2015. The patients were randomly assigned into two groups: 19 patients in KT group and 19 patients in injection group. In the first group, KT was used three times for 24 hours sequentially with four-day intervals;in the second group, one dose of Methyl Prednisolone (40 mg) plus 1% lidocaine was injected in the bicipital fissure around the long head of the biceps muscle. The injections and KT therapy were performed by the same physician. The patients were investigated for VAS and ROM in the first, second, seventh and twelfth days. Results: VAS and ROM indices were significantly improved in the second and seventh days (p 0.05). Conclusion: Regarding the more immediate effect of KT on ROM and VAS and the fast restoring of the patient to normal life, it could be used as a noninvasive alternative to injection and as the first line of treatment specially in patients who need the immediate effect of treatment.

Effect of tendon and bone setting manipulation combined with Kinesio Taping on de Quervain disease

Objective:To observe the effect of the treatment of tendon-regulation and bone-setting manipulation and Kinesio Taping on patients with de Quervain Disease.Methods:60 cases with de Quervain Disease were divided into 30 treatment group and 30 control group according to random number table.The observation group was treated withtendon-regulation and bone-setting manipulation and Kinesio Taping,and the control group was given Votalin emulsion combined with Kinesio Taping.The patients were evaluated and compared according to the VAS before and after treatment,the degree of tenderness,the methods of electric integral value(integral electromyogram,iEMG),the degree of wrist ulnar deviation,and the cooney wrist score,and the curative effect was observed using the diagnostic curative effect criteria of TCM disease(the evaluation process was blinded).Results:Compared with the same group before treatment,after treatment,the pain and tenderness of the two groups were reduced,iEMG value increased,the ulnar deviation of the wrist increased,and the cooney wrist score increased(all P<0.05);the improvement of the treatment group was significantly better.In the control group,the difference was statistically significant(P<0.05)and the total effective rate of the treatment group was 93%higher than that of the control group 80%(P<0.05).Conclusion:The combination of the tendon-regulation and bone-setting manipulation combined with the Kinesio Taping can effectively reduce the pain and tenderness of the patients withde Quervain Disease,increase the ulnar mobility of the wrist joint,and improve the joint function of the wrist joint.

Kinesio tape in the treatment of postoperative lymphedema of breast cancer

The Kinesio tape was originally developed by Dr. Kenzo Kase, a Japanese chiropractor, which was used for pain of joint and muscle, the elastic tape is capable of stretching up to 130-140% of its resting static length ensuring free mobility of the applied muscle or joint. It is claimed that Kinesio tape supports injured muscles and joints and helps relieve pain by lifting the skin and allowing improved blood and lymph flow. Therefore, Kinesio Taping has become a very popular treatment for several health conditions over the last decade. Nowadays, lymphatic drainage is a new function of Kinesio taping in the field of physical therapy. This article explores the application of Kinesio tape in breast cancer-related lymphedema in order to provide a new treatment for patients with lymphedema after breast cancer surgery.

Effect of kinesio taping on shoulder pain after stroke

Objective:To discuss the clinical effect of kinesio taping on shoulder pain after stroke. Methods: A total of 60 patients with shoulder pain after stroke in our hospital between July 2016 and March 2018 were divided into the treatment group and the control group according to the SPSS random method, 30 in each group. The treatment group was treated with kinesio taping and combined comprehensive rehabilitation therapy, while the control group received simple comprehensive rehabilitation therapy for 4 weeks. The visual analogue scale (VAS), simplified Fugl-Meyer motor function score (FMA) and range of motion (ROM) were used to evaluate the pain degree, upper limb function and shoulder joint activity of the patients before and 2 and 4 weeks after treatment.Results: There was no difference in VAS score between the two groups before treatment (P>0.05),and the VAS score of the treatment group were significantly lower than those of the control group after 2 weeks and 4 weeks (P<0.05).There was no difference in FMA score between the two groups before treatment (P>0.05), and the FMA scores of the treatment group were significantly higher than that of the control group after 2 weeks and 4 weeks (P<0.05).There was no difference in the shoulder flexion, extension, abduction, internal rotation and external rotation of the two groups before treatment (P>0.05), and the shoulder flexion, extension, abduction, internal rotation and external rotation of the patients in the treatment group were significantly greater than those in the control group after 2 and 4 weeks of treatment (P<0.05).Conclusion:Kinesio taping combined with rehabilitation therapy can alleviate the pain and improve the upper limb function and shoulder motion function after stoke. It worth of clinical use.

Progress in clinical application of Kinesio taping

Kinesio taping is actually a kind of elastic treatment band which is stuck on the skin surface and is used for treating sports injuries and various other conditions[1].Kinesio taping was first invented and created by Dr.Kenzo Kase in 1973 and applied in the field of sports medicine[2].After improvement,it has become an elastic patch with low allergy and no drug ingredients.It has certain air permeability and waterproof characteristics.it is mainly made of waterproof elastic cotton cloth,release material and medical acrylic glue[3].The application of kinesio taping is not only limited to sports injuries with obvious clinical symptoms,but also widely used in prevention and treatment of sports injuries,improvement of sports performance and treatment of lymphedema in clinical.

Effects of Kinesio Taping in Supraspinatus Tendinitis

Background:Shoulder pain is one of the most commonly reported musculoskeletal problems after low back pain.One common reason for the shoulder pain is supraspinatus tendinitis that is often associated with impingement syndrome.Objective:To find the effects of kinesio taping in reducing pain and disability in subjects with supraspinatus tendinitis.Methodology:In this study,patients were randomly allocated the treatment using a set of predefined inclusion and exclusion criteria.Subjects were managed with kinesio taping.Pre-and post-evaluation of the patients was done using Numerical Pain Rating Scale(NPRS)and Disability of Arm Shoulder&Hand Questionnaire(DASH)score and the data gathered was entered and analyzed using SPSS version 23.Results:Mean difference of 2.65 was reported between the pretreatment and post treatment values of NPRS in KT taping group which was significant(P<0.05).Mean difference of 27.25 was reported between the pre-treatment and post-treatment values of DASH score in KT taping group which was significant(P<0.05).Conclusion:Kinesio taping is an effective Program in management of supraspinatus tendinitis.

肌内效贴对前交叉韧带重建后康复疗效的Meta分析

目的:一些研究显示肌内效贴在提升前交叉韧带重建后患者肌肉力量、改善关节稳定性、减轻疼痛及水肿方面具有积极效应,然而现有研究关于肌内效贴的临床疗效存在相互矛盾的结果。文章采用Meta分析方法,系统评价肌内效贴对前交叉韧带重建术后康复疗效的影响。方法:应用计算机检索PubMed、Web of Science、Embase、The Cochrane Library、EBSCO、中国知网、万方、维普数据库,搜集有关肌内效贴对前交叉韧带重建后患者影响的随机对照试验,检索时限均从各数据库建库至2022-12-06,结局指标包括股四头肌力量、腘绳肌力量、膝关节肿胀、膝关节活动度、Lysholm膝关节功能评分、目测类比评分6个连续型变量。运用EndNote X9.1筛选文献,采用Cochrane风险偏倚评估工具和Jadad量表评估纳入文献质量,采用RevMan 5.3软件进行Meta分析。结果:①共纳入6项随机对照试验,包括252例前交叉韧带重建后患者,其中对照组126例,肌内效贴组126例;②Meta分析结果显示,与对照组相比,肌内效贴组患者腘绳肌力量显著增加[SMD=0.68,95%CI(0.12,1.23),P=0.02]、目测类比评分显著降低[MD=-0.56,95%CI(-1.04,-0.08),P=0.02],两组患者间股四头肌力量、膝关节肿胀、膝关节活动度及Lysholm膝关节功能评分比较差异均无显著性意义(P>0.05)。结论:当前证据显示,肌内效贴可能有助于提升前交叉韧带重建后患者腘绳肌力量、减轻患者疼痛,然而并不能显著改善患者股四头肌力量、膝关节肿胀、膝关节活动度和功能评分。

髋膝踝关节周围肌群肌力训练联合肌内效贴在前交叉韧带重建术后的应用效果分析

目的探讨前交叉韧带重建术后患者采用髋膝踝关节周围肌群肌力训练联合肌内效贴的应用效果。方法选取2022年3月至2023年3月延安大学附属医院收治的123例前交叉韧带损伤患者,均行前交叉韧带重建术,按简单随机数法分为两组。对照组(62例)术后进行髋膝踝关节周围肌群肌力训练,研究组(61例)在对照组基础上应用肌内效贴。训练4周后,评估并比较两组的关节肿胀程度、疼痛视觉模拟评分(Visual analogue scale,VAS)、膝关节活动度、等速肌力、膝关节功能及生活质量变化情况。结果训练后,与对照组比较,研究组关节肿胀程度与VAS评分降低(P<0.05),屈伸、内旋、外旋关节活动度提升(P<0.05),伸膝力矩峰值、屈膝力矩峰值、Lysholm膝关节评分、Barthel指数(Barthel index,BI)评分提高(P<0.05)。结论对前交叉韧带重建术后患者采用髋膝踝关节周围肌群肌力训练联合肌内效贴有助于减轻肿胀和疼痛,促进膝关节功能的恢复,提高患者生活质量。

醒窍通督针灸疗法联合肌内效贴治疗小儿痉挛型脑瘫尖足的临床疗效

目的探讨醒窍通督针灸疗法联合肌内效贴治疗小儿痉挛型脑瘫尖足的临床疗效。方法选取2018年10月至2021年10月于江西省儿童医院确诊的90例小儿痉挛型脑瘫尖足患儿作为研究对象,按照随机数字表法分为观察组与对照组,每组45例。观察组接受醒窍通督针灸疗法联合肌内效贴治疗,对照组接受肌内效贴治疗。比较两组足尖评分法结合足背屈角测量评分、综合痉挛量表(CSS)评分、踝关节R1和R2及不良反应发生情况。结果两组足尖评分法结合足背屈角测量评分、CSS评分及踝关节R1和R2组间、时间、交互比较差异有统计学意义(P<0.05)。治疗后1、2和3个月,观察组足尖评分法结合足背屈角测量评分均高于对照组,CSS评分均低于对照组,踝关节R1和R2均高于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较差异无统计学意义。结论窍通督针灸疗法联合肌内效贴治疗小儿痉挛型脑瘫尖足可有效改善患儿足部及下肢活动作用。

全膝关节置换术患者肢体肿胀管理方案的构建及实施

目的 加强全膝关节置换术患者肢体肿胀管理,以促进膝关节功能康复。方法 将76例全膝关节置换术患者按照入院时间分为对照组与试验组,每组37例。对照组实施全膝关节置换术常规护理措施。试验组实施全膝关节置换术肢体肿胀管理方案,包括术前训练、加强止血带时间管理、冷疗管理、徒手淋巴引流管理、肌内效贴管理、康复运动管理等。比较两组患肢肿胀值及消肿率、膝关节功能、疼痛程度、首次下床活时间及住院时间。结果 试验组36例、对照组37例完成研究。术后第5、7天试验组患肢肿胀值显著低于对照组,两组比较,组间效应、时间效应差异有统计学意义(均P<0.05);试验组术后第7天消肿率、膝关节功能评分及疼痛评分显著优于对照组,首次下床活动时间、住院时间显著短于对照组(均P<0.05)。结论 全膝关节置换术肢体肿胀管理方案的实施能有效缓解全膝关节置换术后患者肢体肿胀及疼痛程度,加速膝关节功能恢复,促进患者术后康复。

运动贴扎联合体外冲击波治疗足底筋膜炎的疼痛、功能活动及足底压力评估

目的:结合足底压力评估,探究运动贴扎联合体外冲击波治疗足底筋膜炎的临床疗效。方法:本研究纳入67例来院就诊的单侧足底筋膜炎患者,随机分为对照组和试验组,两组患者均予以健康宣教及体外冲击波治疗(ESWT),试验组在此基础上联合运动贴扎(KT)治疗。采用疼痛视觉模拟评分、AOFAS踝与后足功能评分量表,评估患者疼痛程度及功能活动;采用鞋垫式足底压力测量系统测量患者足底各区压力峰力值。比较治疗前、治疗第3周、治疗第5周的临床疗效及患侧足底压力变化。结果:治疗前两组患者各项指标差异均无显著性意义(P>0.05)。与治疗前相比,治疗第3周、治疗第5周,两组患者的疼痛程度及功能活动的量表评分、足底压力均出现明显改善,差异有显著性意义(P<0.05)。治疗第3周,两组患者的疼痛程度及功能活动的量表评分的组间差异不显著(P>0.05),而足底压力分析存在显著性差异(P<0.05),运动贴扎联合治疗组足跟内侧的峰力值体重比显著大于对照组。治疗第5周,两组患者的疼痛程度及功能活动的量表评分、足底压力的组间差异均存在显著性意义(P<0.05),运动贴扎联合治疗组在疼痛改善情况、功能活动情况显著优于对照组,中足、后足负重也显著高于对照组。结论:相比单纯的体外冲击波治疗,辅以运动贴扎进行联合治疗能够更好地缓解疼痛、改善后足功能、纠正异常的足底负重、改善患者步态。

不同足姿受试者运动贴扎后步行及慢跑时的足底压力变化

背景:运动贴扎技术常用于各种运动损伤的处理,足踝部运动贴扎方式复杂多样,其中足底筋膜贴扎法所适用的人群更广泛,可用于不同足姿类型,但尚缺乏实际验证,所发挥的具体生物力学作用也不明晰。目的:观察不同足姿受试者使用足底筋膜贴扎法后,在步行和慢跑时足底压力特征的变化。方法:于滨州医学院烟台校区招募37名年轻健康受试者进行试验,按照足姿指数6项进行评分,分为旋后位组、中立位组、旋前位组。分别于运动贴扎前后,采集并计算静态足部形态学指标(包括舟骨下降高度、弓高指数、足纵弓的弓高适应性、足横弓的弓高适应性)与步行和慢跑时足部各分区的压力时间积分,分析足底筋膜贴扎法具体的生物力学作用机制。结果与结论:①一般资料:3组受试者的性别、身高、身体质量指数等一般资料无统计学差异(P>0.05);贴扎前,不同足姿组间足部形态学各指标及前足外侧、中足、后足区域差异均有显著性意义(P<0.01)。②静态足部形态学指标:贴扎后,舟骨下降高度、足纵弓弓高适应性、足横弓的弓高适应性3项指标的组间差异无显著性意义(P>0.05),而弓高指数的组间差异仍有显著性意义(P<0.05);旋后位组弓高指数略增大,但贴扎前后差异不显著(P>0.05);旋前位组舟骨下降高度与足纵弓弓高适应性显著减小、弓高指数增加,贴扎前后差异有显著性意义(P<0.05)。③步行时的足底压力指标:贴扎后,前足外侧、中足内侧区域的3组组间差异无显著性意义(P>0.05)。旋前位组贴扎后前足外侧负重增加(P<0.05),旋后位组贴扎后前足外侧、中足区域负重显著增大(P<0.05),而后足区域贴扎前后差异不显著(P>0.05)。④慢跑时的足底压力指标:贴扎后,前足外侧区域的组间差异无显著性意义(P>0.05);旋前位组贴扎后,前足内侧区域负重显著增大(P<0.05);旋后位组贴扎后,前足外侧、中足及后足区域负重均显著增大(P<0.05)。⑤结果表明:足底筋膜贴扎法适用于不同足姿受试者,不仅能矫正足部静态结构,还能在步行及慢跑的动态活动过程中,调节异常的足底压力分布,使得旋后足姿与旋前足姿的中足、前足、后足负重趋于正常足姿的负重水平。

基于六经辨证的热敏灸联合肌内效贴治疗腰椎间盘突出症临床观察

目的探究基于六经辨证的热敏灸联合肌内效贴治疗腰椎间盘突出症(LDH)的临床效果。方法选取2020年1月—2021年10月南方医科大学南方医院赣州医院收治的88例LDH患者,以随机数字表法分为观察组和对照组,各44例。对照组采用常规热敏灸联合肌内效贴(KT)治疗,观察组则采用基于六经辨证的热敏灸联合KT治疗。观察2组疼痛情况、情绪状态、腰痛症状、腰椎活动度、临床疗效和血清相关指标的差异。结果治疗后,观察组疼痛视觉模拟量表(VAS)评分、汉密尔顿抑郁量表(HAMD)评分和血清白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)以及单核细胞趋化蛋白-1(MCP-1)含量均显著低于对照组(P<0.05);观察组日本骨科协会腰痛评价量表(JOA)评分、腰椎前屈和后伸的活动度均显著高于对照组(P<0.05)。观察组临床总有效率为93.18%(41/44),高于对照组的81.82%(36/44)。结论基于六经辨证的热敏灸相对于常规热敏灸疗法,在联合KT治疗腰LDH时,具有更佳的临床效果,值得推广应用。

中医“理筋归槽”手法联合肌内效贴治疗产后腹直肌分离临床观察

目的观察中医“理筋归槽”手法联合肌内效贴对产后腹直肌分离的治疗效果。方法选取产后腹直肌分离患者80例,分为试验组与对照组各40例,对照组给予单纯的中医“理筋归槽”手法治疗,试验组给予中医“理筋归槽”手法治疗后再进行肌内效贴治疗,每3天1次,共治疗5次。分别在治疗前后评估患者腰痛视觉模拟量表(VAS)评分、腹围、超声下腹直肌分离距离。结果两组治疗后,腰痛VAS评分、腹围、超声下腹直肌分离距离均有明显改善(P<0.05),试验组的各项数据均优于对照组(P<0.05)。结论中医“理筋归槽”手法能够有效改善产后腹直肌分离,配合肌内效贴治疗效果更佳。

肌内效贴技术在肿瘤内科治疗中的应用经验分享

肌内效贴技术采用特殊弹性贴布、经特定方法贴扎于体表,通过力学及神经生理学效应实现保护肌肉骨骼系统、促进运动功能恢复或其他治疗目的,目前已广泛应用于康复医学和运动医学领域,在肌肉骨骼系统、神经系统和淋巴系统疾患的治疗与康复中有重要价值,但鲜有其在肿瘤内科的应用报道或经验分享。多学科综合治疗是目前恶性肿瘤治疗方案的发展趋势,肿瘤患者的症状管理、功能保护及生活质量改善愈发得到重视,本文分享笔者团队在肿瘤患者常规内科治疗中应用肌内效贴改善患者不适症状的临床经验,为该技术临床应用提供新的视野。

肌内效贴对下肢侧切运动中生物力学特征的影响

背景:肌内效贴扎作为一种运动防护手段已被广泛应用,但作为纠正侧切动作时下肢生物力学异常变化手段的研究,其作用尚不明确。目的:对比受试者膝关节在肌内效贴扎、安慰剂贴扎及空白对照情况下,完成侧切动作时下肢运动学、动力学特征的变化。方法:招募39名篮球专项男性大学生为受试者,每位受试者分别在肌内效贴扎、安慰剂贴扎以及不进行任何贴扎情况下进行测试。采取力学矫正的贴扎方式对受试者优势侧膝关节进行贴扎干预。选取4.5-5.5 m/s的助跑速度完成45°侧切动作,并运用三维动态捕捉系统及测力台同步采集运动学及动力学数据。选取初始触地时刻、地面反作用力峰值时刻的运动学及动力学参数进行数据分析。采用SPSS 27.0软件对测试数据进行统计学分析。结果与结论:①运动学指标:肌内效贴条件下与无贴扎及安慰剂贴扎相比,初始触地时刻髋关节外展、膝关节外翻角度显著减小(P<0.05);侧向地面反作用力峰值时刻,髋关节外展、膝关节外翻及踝关节跖屈角度显著减小(P<0.05),膝关节屈曲角度显著增加(P<0.05)。②动力学指标:与无贴扎相比,肌内效贴扎及安慰剂贴扎条件下均可显著减小初始触地时刻髋关节外展、外旋力矩及膝关节外翻、外旋力矩(P<0.05),显著减小垂直地面反作用力峰值、水平向后地面反作用力峰值(P<0.05);与无贴扎及安慰剂贴扎相比,肌内效贴扎可显著减小侧向地面反作用力峰值(P<0.05)。③结果表明,对膝关节进行肌内效贴扎可在一定程度上改善篮球专项大学生在完成侧切动作时与下肢损伤风险因素相关的部分运动学、动力学指标,可能对预防侧切过程中损伤的发生有一定积极作用;此外,膝关节安慰剂贴扎与肌内效贴扎在部分指标变化方面的作用趋势较为一致,提示肌内效贴扎的作用机制可能存在安慰剂效应。

肌内效贴对全膝关节置换术后患者康复疗效的Meta分析

目的系统评价肌内效贴对全膝关节置换术(TKA)术后患者康复疗效的影响。方法系统检索PubMed、The Cochrane Library、Web of Science、Ovid、中国生物医学文献服务系统(SinoMed)、中国知网、万方、维普数据库中关于肌内效贴对TKA术后患者康复疗效的随机对照试验,检索时间为建库至2023年6月,由2名研究者独立对纳入文献进行质量评价及数据提取与汇总,采用Review Manager 5.3软件进行Meta分析。结果最终纳入文献8篇,涉及患者538例,其中肌内效贴组264例,对照组274例。Meta分析结果显示:肌内效贴组患者与对照组患者相比,在改善患肢膝关节活动角度ROM[MD=5.21,95%CI(1.31,9.11),P=0.009]、减轻术后患肢肿胀程度[MD=-3.04,95%CI(-5.28,-0.80),P=0.008]、减轻疼痛VAS评分[MD=-0.64,95%CI(-1.06,-0.22),P=0.003]、改善膝关节HSS功能评分[MD=4.63,95%CI(1.14,8.12),P=0.009]方面差异有统计学意义,在起立-行走测试TUGT[MD=-2.19,95%CI(-5.26,0.89),P=0.16]方面差异无统计学意义。结论TKA术后患者使用肌内效贴可提升术后患肢膝关节功能状态,降低疼痛体验及肿胀程度,表明肌内效贴可能是一种更具吸引力的术后康复干预方式。建议可综合考虑患者个体差异、实际临床场景与患者意愿等多因素应用肌内效贴,提升患者术后康复疗效,实现患者受益最大化。

肌内效贴联合皮内针对肩袖损伤后肩关节夜间疼痛及活动度的影响

目的观察肌内效贴联合皮内针对肩袖损伤后肩关节夜间疼痛及活动度的影响并探讨其作用机制。方法60例患者随机分为对照组与观察组各30例。对照组予口服塞来昔布胶囊治疗,观察组选择肌内效贴联合皮内针治疗。观察比较两组视觉模拟量表(VAS)评分、美国加州大学(UCLA)肩关节评分系统、肩关节活动度变化情况。结果两组治疗后VAS疼痛评分下降,且观察组低于对照组(均P<0.05)。两组治疗后肩关节活动量表评分与治疗前比较,均升高(均P<0.05),且观察组高于对照组(P<0.05)。对照组治疗前后肩关节活动度情况除前屈外其余方向活动较治疗前有所降低,但差别比较均不大(均P>0.05)。观察组治疗后前屈、外展、后伸、外旋情况与治疗前比较均改善且均优于对照组(均P<0.05)。结论肌内效贴联合皮内针可有效改善肩袖损伤后夜间疼痛及关节活动度。