KinesioTaping: impact on non-motor symptoms in cervical dystonia patients treated with botulinum toxin injection.

IF 2.9 4区 医学 Q2 CLINICAL NEUROLOGY
Neurologia i neurochirurgia polska Pub Date : 2024-01-01 Epub Date: 2023-06-28 DOI:10.5603/PJNNS.a2023.0042
Małgorzata Dec-Ćwiek, Katarzyna Sawczyńska, Karolina Porębska, Marcin Kubala, Magdalena Witkowska, Kinga Żmijewska
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引用次数: 0

Abstract

Aim of the study: To assess whether combined therapy with botulinum toxin injections (BoNT) and KinesioTaping could be helpful in managing non-motor symptoms (NMS) of cervical dystonia (CD).

Material and methods: Seventeen patients with CD were enrolled in this single-centre, prospective, evaluator-blinded, randomised, crossover trial. We compared three forms of treatment: BoNT treatment alone, or combined with KinesioTaping, or combined with ShamTaping. NMS were assessed using the 14-item self-reported questionnaire proposed by Klingelhoefer, the Hospital Anxiety and Depression Scale (HADS) and the Pittsburgh Sleep Quality Index (PSQI).

Results: There were no significant differences between the groups concerning mean results of HADS and PSQI scales, or mean total number of NMS after the procedures. The mean change from baseline HADS and PSQI scores, and total number of NMS after the procedure, also did not differ significantly between groups. ShamTaping combined with BoNT significantly increased the prevalence of pain.

Conclusions and clinical implications: Our study did not confirm the effectiveness of combined therapy of BoNT and KinesioTaping in the management of NMS in patients with CD. Due to a potential negative effect of improper taping on pain in CD, patients with CD should only experience KinesioTaping as an adjunctive therapy, and if it is performed by a trained, experienced physiotherapist.

KinesioTaping:对接受肉毒杆菌毒素注射治疗的颈肌张力障碍患者非运动症状的影响。
研究目的评估肉毒杆菌毒素注射(BoNT)和KinesioTaping联合疗法是否有助于控制颈肌张力障碍(CD)的非运动症状(NMS):这项单中心、前瞻性、评估者盲法、随机、交叉试验共招募了 17 名 CD 患者。我们比较了三种治疗方式:单独使用 BoNT 治疗,或与 KinesioTaping 结合使用,或与 ShamTaping 结合使用。NMS采用克林格霍夫提出的14项自我报告问卷、医院焦虑抑郁量表(HADS)和匹兹堡睡眠质量指数(PSQI)进行评估:手术后,各组的 HADS 和 PSQI 量表平均结果以及 NMS 平均总数无明显差异。与基线相比,治疗后 HADS 和 PSQI 评分的平均变化以及 NMS 总数在组间也无显著差异。ShamTaping结合BoNT会明显增加疼痛的发生率:我们的研究并未证实 BoNT 和 KinesioTaping 联合疗法对治疗 CD 患者的 NMS 有效。由于不适当的绑带可能会对 CD 患者的疼痛产生负面影响,因此 CD 患者只能将 KinesioTaping 作为一种辅助疗法,而且必须由训练有素、经验丰富的物理治疗师进行。
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来源期刊
Neurologia i neurochirurgia polska
Neurologia i neurochirurgia polska 医学-临床神经学
CiteScore
4.20
自引率
27.60%
发文量
128
审稿时长
6-12 weeks
期刊介绍: Polish Journal of Neurology and Neurosurgery is an official journal of the Polish Society of Neurology and the Polish Society of Neurosurgeons, aimed at publishing high quality articles within the field of clinical neurology and neurosurgery, as well as related subspecialties. For more than a century, the journal has been providing its authors and readers with the opportunity to report, discuss, and share the issues important for every-day practice and research advances in the fields related to neurology and neurosurgery.
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