运动塑形并不比安慰剂效果好:对前交叉韧带重建患者进行运动塑形以控制体位的随机对照试验》(Kinesiotaping Is Not Better Than A Placebo: Kinesiotaping for Postural Control in Anterior Cruciate Ligament-Ronstructed Patients-A Randomized Controlled Trial)。

IF 1.3 4区 医学 Q3 REHABILITATION
Journal of Sport Rehabilitation Pub Date : 2024-03-26 Print Date: 2024-05-01 DOI:10.1123/jsr.2023-0185
Salman Nazary-Moghadam, Zahra Abbasi, Reyhaneh Sekandari, Amin Razi, Afsaneh Zeinalzadeh, Somayyeh Rostami, Mohammad Hossein Khabbaz Kababi
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引用次数: 0

摘要

研究目的本研究的主要目的是调查运动磁带(KT)对前交叉韧带重建患者在挑战性条件下的姿势控制和患者报告结果测量的即时和延迟影响:32名前交叉韧带重建术后6个月的患者被随机分配到KT组(16人,年龄21.8 [5.5]岁)或安慰剂KT组(16人,年龄24.0 [5.1]岁)。最初,两组患者都赤脚站在受力平台上,同时在 4 种随机条件下(睁眼、闭眼、认知任务和泡沫)执行姿势任务。实验前,患者会将写在折叠纸上的 4 个条件逐一带来,这样就确定了考官的条件顺序。患者的评估分别在使用 KT 后立即和 48 小时后进行。体位控制测量,包括压力中心(CoP)在前后和内外侧方向的面积和位移,以及压力中心的平均总速度位移(MVELO CoP)作为因变量。此外,还测量了治疗前和治疗后 48 小时的国际膝关节文献委员会评分:结果:在内侧-外侧方向的 COP 位移(P = .002)和 MVELO CoP(P = .034)方面,观察到显著的组间时间交互作用。与使用 KT 前相比,MVELO CoP 在使用 KT 后立即明显下降(平均差 = 0.60,P = .009)。在安慰剂组中,KT 术后 48 小时的 MVELO CoP 与术前值相比出现了统计学意义上的显著下降(平均差 = 0.869,P = .001)。两组患者在使用 KT 48 小时后的国际膝关节文献委员会评分均有明显改善(P < .05):结论:尽管观察的时间点不同,但发现 KT(干预后立即使用)和安慰剂 KT(干预后 48 小时使用)都能改善姿势控制措施。看来,姿势控制的变化可能与 KT 带来的本体感觉增强更有关系,而不是特定的 KT 模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Kinesiotaping Is Not Better Than a Placebo: Kinesiotaping for Postural Control in Anterior Cruciate Ligament-Reconstructed Patients-A Randomized Controlled Trial.

Objective: The primary aim of this study was to investigate the immediate and delayed effects of kinesiotape (KT) on postural control and patient-reported outcome measures under challenging conditions in individuals with anterior cruciate ligament reconstructions.

Methods: Thirty-two anterior cruciate ligament-reconstructed patients for whom 6 months had passed since their operation were randomly assigned to either the KT (n = 16, aged 21.8 [5.5] y) or the placebo KT (n = 16, aged 24.0 [5.1] y) groups. Initially, both groups stood barefoot on a force platform while performing postural tasks in 4 randomized conditions (eyes open, eyes closed, cognitive task, and foam). Before the experiment, patients would bring the 4 conditions, which were written on folded papers, one by one, and in this way, the order of conditions for the examiners was determined. The patients' evaluations were conducted immediately and 48 hours after KT application. Postural control measures, with area and displacement of the center of pressure (CoP) in anterior-posterior and medial-lateral directions, and mean total velocity displacement of CoP (MVELO CoP) served as dependent variables. In addition, the International Knee Documentation Committee score was measured pretreatment and 48 hours posttreatment.

Results: Significant group-by-time interactions were observed for displacement of COP in medial-lateral direction (P = .002) and MVELO CoP (P = .034). MVELO CoP significantly decreased (mean difference = 0.60, P = .009) immediately after KT application compared with preapplication measures. In the placebo group, a statistically significant decrease in MVELO CoP (mean difference = 0.869, P = .001) was observed at 48 hours post-KT compared with preapplication values. International Knee Documentation Committee scores significantly improved at 48 hours post-KT application in both groups (P < .05).

Conclusions: Though observed at different time points, both KT (immediately after the intervention) and placebo KT (48 h after the intervention) were found to improve postural control measures. It appears that the changes in postural control may be more related to proprioceptive enhancement due to KT rather than the specific KT pattern.

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来源期刊
Journal of Sport Rehabilitation
Journal of Sport Rehabilitation 医学-康复医学
CiteScore
3.20
自引率
5.90%
发文量
143
审稿时长
>12 weeks
期刊介绍: The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant. JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.
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