肌内效贴敷对肌筋膜疼痛综合征疼痛管理和压力痛阈的疗效的系统回顾和荟萃分析。

IF 3 3区 医学 Q2 CLINICAL NEUROLOGY
Pain Research & Management Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI:10.1155/prm/8881632
Mahmoud Kandeel, Mohamed Marzok, Sheryar Afzal, Ahmed Meligy, Maryam Mahmoud, Ibrahim Albokhadaim, Khalid M Al Khodair, Sameer Alhojaily
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引用次数: 0

摘要

肌筋膜疼痛综合征(MPS)是一种以肌筋膜触发点(MTrPs)为特征的普遍肌肉骨骼疾病,它可以显著影响个体的生活质量。本研究旨在评估肌内效贴敷(KT)对MPS患者减轻疼痛强度和增加压力痛阈(PPT)的疗效。从成立到2024年5月,对五个电子数据库(PubMed, Web of Science, Cochrane Library, Embase和SCOPUS)进行了全面的搜索。随机对照试验(rct)将MPS患者的KT与对照组进行比较,包括不干预、安慰剂或假胶带。采用RevMan 5.4软件对疼痛强度和PPT数据进行提取和汇总。系统评价和荟萃分析共纳入15项随机对照试验。综合分析显示,与对照组相比,KT组在干预后立即(平均差值[MD] = -1.07, 95%可信区间(CI) [-1.93, -0.20], p = 0.02)、第一周内(标准化平均差值[SMD] = -1.44, 95% CI [-2.39, -0.49], p = 0.003)和2-3周后(SMD = -0.97, 95% CI [-1.46, -0.49], p < 0.0001)疼痛强度显著降低。然而,4-6周后效果减弱(MD = -0.90, 95% CI [-1.65, -0.14], p = 0.02)。在PPT方面,KT在第一周内显著提高PPT (MD = 4.32, 95% CI [2.47, 6.16], p < 0.00001),但在干预后立即或2-3周和4-6周后没有显著提高PPT。这项荟萃分析提供了证据,证明KT在减轻MPS患者的疼痛强度和增加PPT方面是有效的,特别是在即时和短期内。然而,随着时间的推移,疼痛减轻和PPT的效果逐渐减弱,这表明需要重新应用或与其他干预措施联合使用以获得持续的长期益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A Systematic Review and Meta-Analysis of the Efficacy of Kinesio Taping for Pain Management and Pressure Pain Threshold in Myofascial Pain Syndrome.

A Systematic Review and Meta-Analysis of the Efficacy of Kinesio Taping for Pain Management and Pressure Pain Threshold in Myofascial Pain Syndrome.

A Systematic Review and Meta-Analysis of the Efficacy of Kinesio Taping for Pain Management and Pressure Pain Threshold in Myofascial Pain Syndrome.

A Systematic Review and Meta-Analysis of the Efficacy of Kinesio Taping for Pain Management and Pressure Pain Threshold in Myofascial Pain Syndrome.

Myofascial pain syndrome (MPS) is a prevalent musculoskeletal disorder characterized by myofascial trigger points (MTrPs), which can significantly impact an individual's quality of life. This study aimed to evaluate the efficacy of Kinesio taping (KT) in reducing pain intensity and increasing pressure pain threshold (PPT) in individuals with MPS. A comprehensive search was performed across five electronic databases (PubMed, Web of Science, Cochrane Library, Embase, and SCOPUS) from inception to May 2024. Randomized controlled trials (RCTs) comparing KT to a control group, including no intervention, placebo, or sham taping, in individuals with MPS were included. Data on pain intensity and PPT were extracted and pooled using RevMan 5.4 software. A total of 15 RCTs were included in the systematic review and meta-analysis. The pooled analysis showed a significant reduction in pain intensity in the KT group compared to the control group immediately after intervention (mean difference [MD] = -1.07, 95% confidence interval (CI) [-1.93, -0.20], p = 0.02), within the first week (standardized mean difference [SMD] = -1.44, 95% CI [-2.39, -0.49], p = 0.003), and after 2-3 weeks (SMD = -0.97, 95% CI [-1.46, -0.49], p < 0.0001). However, the effect diminished after 4-6 weeks (MD = -0.90, 95% CI [-1.65, -0.14], p = 0.02). Regarding PPT, KT significantly increased PPT within the first week (MD = 4.32, 95% CI [2.47, 6.16], p < 0.00001) but not immediately after intervention or after 2-3 and 4-6 weeks. This meta-analysis provides evidence that KT is effective in reducing pain intensity and increasing PPT in individuals with MPS, particularly in the immediate and short-term periods. However, the effects on pain reduction and PPT diminish over time, suggesting a need for reapplication or combination with other interventions for sustained long-term benefits.

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来源期刊
Pain Research & Management
Pain Research & Management CLINICAL NEUROLOGY-
CiteScore
5.30
自引率
0.00%
发文量
109
审稿时长
>12 weeks
期刊介绍: Pain Research and Management is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of pain management. The most recent Impact Factor for Pain Research and Management is 1.685 according to the 2015 Journal Citation Reports released by Thomson Reuters in 2016.
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