Short-Term Effects of Kinesio Taping on Pain and Functionality in Patients With Cervical Spine Surgery

IF 3.5 2区 医学 Q1 ANESTHESIOLOGY
Masoud Amir Rashedi Bonab, Tugba Kuru Colak, Ipek Yeldan, Deniz Konya, Zafer O. Toktaş
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Abstract

Background

Effective postoperative pain management following cervical spine surgery is essential for optimal recovery. This study was conducted to determine the short-term effects of Kinesio Taping (KT) on pain and functionality in patients undergoing cervical spine surgery.

Methods

Ninety patients diagnosed with cervical disc herniation, cervical stenosis or cervical spondylolisthesis who underwent posterior cervical spine surgery were randomly assigned to three groups: Group I (conventional rehabilitation [CR] + KT, n = 30), Group II (CR, n = 30) and Group III (KT, n = 30). The Visual Analogue Scale (VAS), pressure pain threshold (PPT), range of motion (ROM), Neck Pain and Disability Scale (NPAD), Upper Extremity Functional Index-15 (UEFI-15) and short form-36 (SF-36) were assessed at baseline, on the first and third days after intervention, and after the follow-up period.

Results

Statistically significant difference in mean changes across all scores was observed among the three groups, favouring the CR + KT group (p < 0.001). CR + KT intervention significantly improved VAS, PTT, NPAD and SF-36 emotional scores after treatment, with improvements maintained at 2-week follow-up (p < 0.001). In terms of treatment interaction, CR + KT intervention showed a significantly larger effect size on PPT and NPAD scores (p < 0.001). CR + KT and CR groups demonstrated similar improvements in functionality (p > 0.05).

Conclusion

Integrating KT into a CR programme during the early postoperative phase of cervical spine surgery may improve clinical outcomes, specifically in pain intensity, PPT, disability levels and emotional components. However, the addition of KT to the CR programme does not appear to provide any meaningful benefits in terms of functionality compared to the CR programme alone.

Significance

This study reveals that integrating the KT method into the CR programme during the early postoperative period after cervical spine surgery can serve as a supportive and complementary intervention, particularly for painful conditions.

肌内效贴敷对颈椎手术患者疼痛和功能的短期影响
背景:有效的颈椎手术后疼痛管理是最佳恢复的必要条件。本研究旨在确定肌内效贴贴(KT)对颈椎手术患者疼痛和功能的短期影响。方法90例诊断为颈椎间盘突出、颈椎管狭窄或颈椎管滑脱的患者行颈椎后路手术,随机分为3组:I组(常规康复[CR] + KT, n = 30)、II组(CR, n = 30)和III组(KT, n = 30)。在基线、干预后第1天和第3天以及随访结束后,评估视觉模拟量表(VAS)、压痛阈值(PPT)、活动范围(ROM)、颈部疼痛和残疾量表(NPAD)、上肢功能指数-15 (UEFI-15)和短表-36 (SF-36)。结果三组间各评分的平均变化差异有统计学意义,CR + KT组更有利(p < 0.001)。CR + KT干预显著改善治疗后VAS、PTT、NPAD和SF-36情绪评分,并在随访2周时保持改善(p < 0.001)。在治疗相互作用方面,CR + KT干预对PPT和NPAD评分的影响显著较大(p < 0.001)。CR + KT组和CR组表现出相似的功能改善(p > 0.05)。结论在颈椎手术术后早期将KT纳入CR方案可以改善临床结果,特别是在疼痛强度、PPT、残疾水平和情绪成分方面。然而,与单独的CR计划相比,在功能方面,将KT添加到CR计划中似乎没有提供任何有意义的好处。本研究表明,在颈椎手术后早期将KT方法纳入CR方案可以作为一种支持性和补充性的干预措施,特别是对于疼痛的情况。
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来源期刊
European Journal of Pain
European Journal of Pain 医学-临床神经学
CiteScore
7.50
自引率
5.60%
发文量
163
审稿时长
4-8 weeks
期刊介绍: European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.
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