在腕管综合征患者中，运动胶带是静态手腕矫形器的替代方法吗？一项随机临床试验。

IF 1.8 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy Pub Date : 2025-07-01 DOI:10.1016/j.jht.2024.08.002

Didem İnceboy MD , Ebru Aytekin MD , Muhammed Oğuz MD , Burak Tayyip Dede MD , Gül Tuğba Bulut MD , Yasemin Pekin Doğan MD

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引用次数: 0

摘要

背景：腕管综合征（Carpal tunnel syndrome， CTS）是上肢最常见的压迫性神经病变。保守治疗是治疗轻、中度CTS的有效方法。目前仍需要进一步研究保守治疗的优越性。目的：本研究的目的是比较矫形器治疗和肌内效贴（KT）治疗对特发性CTS患者疼痛、功能状态和握力的影响。研究设计：随机临床试验。方法：60例经神经肌电图诊断为轻中度CTS的患者（90%为女性）纳入本研究。患者随机分为两组：矫形器组和KT组。临床评估采用握力计和捏力计测量手部握力和三点捏力、视觉模拟量表（VAS）、波士顿腕管综合征问卷（BCTQ）、利兹神经性症状和体征评估疼痛量表（LANSS）和SF-36健康调查问卷（SF-36）。在基线和治疗4周结束时进行临床评估。结果：KT和静态腕部矫形器在SF-36疼痛、VAS休息、VAS活动、LANSS、握力、三点捏力、BCTQ症状和功能评分方面均有效。VAS活动的变化（组间平均差[MD] = -0.93; CI = -1.83:-0.03; p）结论：KT是一种简单、安全、不限制日常活动的治疗方法，可能为日常生活活跃的轻中度CTS患者提供限制性和不舒服的矫形器治疗的有益选择。

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Is Kinesiotaping an alternative to static wrist orthosis in patients with carpal tunnel syndrome? A randomized clinical trial

Background

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of the upper extremity. Conservative treatments are effective for treating mild and moderate CTS. There is still a need for studies to investigate the superiority of conservative treatments over each other.

Purpose

The aim of our study was to compare the efficacy of orthosis treatment and Kinesio taping (KT) treatment on pain, functional status, and grip strength in patients with idiopathic CTS.

Study Design

Randomized clinical trial.

Methods

Sixty patients (90% women) who were diagnosed with mild or moderate CTS by electroneuromyography were included in this study. Patients were randomized into two groups: the orthosis and KT groups. Hand grip, and three-point pinch strength measuring with a dynamometer and a pinch meter, Visual Analog Scale (VAS), Boston Carpal Tunnel Syndrome Questionnaire (BCTQ), Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale (LANSS), and Short Form-36 Health Survey Questionnaire (SF-36) were used in clinical assessment. Clinical evaluations were made baseline and at the end of 4 weeks of treatment.

Results

Both KT and static wrist orthosis were found to be effective on SF-36 pain, VAS rest, VAS activity, LANSS, grip strength, three-point pinch strength, BCTQ symptom, and functional scores. The changes in VAS activity (between-group mean difference [MD] = −0.93; CI = −1.83:−0.03; p < 0.05; d = 1.74), BCTQ function scores (MD = −2.60; CI = −5.39:0.19; p < 0.05, d = 5.40), and SF-36 mental health scores (MD = 5.87; CI = 1.15:10.59; p < 0.05; d = 9.13) were significantly higher in the KT group compared to the orthosis group.

Conclusions

KT, which is a straightforward and safe treatment that does not restrict daily activities, may offer a beneficial alternative to restrictive and uncomfortable orthosis therapy for treating mild to moderate CTS in those leading active daily lives.

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来源期刊

Journal of Hand Therapy 医学-外科

CiteScore

3.50

自引率

10.00%

发文量

审稿时长

19.2 weeks

期刊介绍： The Journal of Hand Therapy is designed for hand therapists, occupational and physical therapists, and other hand specialists involved in the rehabilitation of disabling hand problems. The Journal functions as a source of education and information by publishing scientific and clinical articles. Regular features include original reports, clinical reviews, case studies, editorials, and book reviews.