肌内效贴对肌筋膜疼痛综合征疼痛治疗效果的Meta分析  

Effect of Kinesio Taping on Pain in Myofascial Pain Syndrome: A Meta-analysis

作　　者：范斌[1] 刘琳 朱欢 FAN Bin;LIU Lin;ZHU Huan(Department of Physical Education, Huaibei Normal University, Huaibei, Anhui 235000, China;Department of Sports Rehabilitation, School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China;Department of Physical Education, Hubei University for Nationalities, Enshi, Hubei 445000, China)

机构地区：[1]淮北师范大学体育学院,安徽淮北市235000 [2]上海体育学院运动科学学院运动康复学系,上海市200438 [3]湖北民族学院体育学院,湖北恩施市445000

出　　处：《中国康复理论与实践》2018年第3期347-352,共6页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的系统评价肌内效贴对肌筋膜疼痛综合征疼痛程度的治疗效果。方法检索Pub Med、EBSCO、Science Direct、Web of Science、Physiotherapy Evidence Database和Cochrane Library等数据库中关于肌内效贴治疗肌筋膜疼痛综合征或肌筋膜触发点的随机对照试验(RCT),检索时限从数据库建库至2017年10月。采用Cochrane协作网中RCT偏倚风险评价标准进行方法学质量评估,采用Rev Man 5.3软件进行Meta分析,采用Stata 12.0软件进行异质性分析和潜在发表偏倚分析。结果共纳入12个RCT,584例患者。与对照组相比,肌内效贴组在干预后和随访时的疼痛治疗效果均具有显著性优势(干预后:MD=-1.14,95%CI-1.88^-0.40,P=0.002。随访时:MD=-0.69,95%CI-1.16^-0.22,P=0.004)。干预时间(P=0.024)和随访时间(P=0.020)是随访结果主要异质性来源。结论肌内效贴在治疗肌筋膜疼痛综合征疼痛方面有优势。治疗时间或随访时间越长,肌内效贴的疗效越好。Objective To assess the effectiveness of Kinesio taping on intensity of pain from myofascial pain syndrome(MPS)or myofascial trigger points(MTrPs).Methods The randomized controlled trials(RCTs)about the Kinesio taping for pain from MPS or MTrPs were retrieved from PubMed,EBSCO,Science Direct,Web of Science,Physiotherapy Evidence Database,Cochrane Library until October,2017.The assessment tools of the bias of risk and Revman5.3of the Cochrane Collaboration were used for the methodological quality assessment and meta-analysis,respectively.The heterogeneity and the potential publication bias were analyzed with Stata12.0.Results Twelve RCTs were included,involving584patients.Kinesio taping group was superior to the control group in relieving pain both after intervention(MD=-1.14,95%CI-1.88to-0.40,P=0.002)and in follow-up(MD=-0.69,95%CI-1.16to-0.22,P=0.004).The time of intervention and follow-up were the main causes to heterogeneity in follow-up.Conclusion Kinesio taping is effective on pain of MPS or MTrPs.The longer the intervention and follow-up,the better the effect.

关 键 词：肌筋膜疼痛综合征 肌筋膜触发点 肌内效贴 META分析 

分 类 号：R686.3[医药卫生—骨科学]