肌内效贴对前交叉韧带重建后康复疗效的Meta分析  

Rehabilitative efficacy of kinesio taping following anterior cruciate ligament reconstruction:a Meta-analysis

作　　者：王娟[1] 王玲 左会武 郑成[2] 王广兰[1] 陈鹏[1] Wang Juan;Wang Ling;Zuo Huiwu;Zheng Cheng;Wang Guanglan;Chen Peng(School of Sports Medicine,Wuhan Sports University,Wuhan 430079,Hubei Province,China;Department of Sports Medicine,Affiliated Hospital of Wuhan Sports University,Wuhan 430079,Hubei Province,China)

机构地区：[1]武汉体育学院运动医学院,湖北省武汉市430079 [2]武汉体育学院医院运动医学科,湖北省武汉市430079

出　　处：《中国组织工程研究》2024年第4期651-656,共6页Chinese Journal of Tissue Engineering Research

基　　金：湖北省教育厅教学研究项目(2021407),项目负责人:王娟;武汉体育学院东湖学者计划及武汉体育学院青年教师科研基金项目(20Z01),项目负责人:郑成。

摘　　要：目的:一些研究显示肌内效贴在提升前交叉韧带重建后患者肌肉力量、改善关节稳定性、减轻疼痛及水肿方面具有积极效应,然而现有研究关于肌内效贴的临床疗效存在相互矛盾的结果。文章采用Meta分析方法,系统评价肌内效贴对前交叉韧带重建术后康复疗效的影响。方法:应用计算机检索PubMed、Web of Science、Embase、The Cochrane Library、EBSCO、中国知网、万方、维普数据库,搜集有关肌内效贴对前交叉韧带重建后患者影响的随机对照试验,检索时限均从各数据库建库至2022-12-06,结局指标包括股四头肌力量、腘绳肌力量、膝关节肿胀、膝关节活动度、Lysholm膝关节功能评分、目测类比评分6个连续型变量。运用EndNote X9.1筛选文献,采用Cochrane风险偏倚评估工具和Jadad量表评估纳入文献质量,采用RevMan 5.3软件进行Meta分析。结果:①共纳入6项随机对照试验,包括252例前交叉韧带重建后患者,其中对照组126例,肌内效贴组126例;②Meta分析结果显示,与对照组相比,肌内效贴组患者腘绳肌力量显著增加[SMD=0.68,95%CI(0.12,1.23),P=0.02]、目测类比评分显著降低[MD=-0.56,95%CI(-1.04,-0.08),P=0.02],两组患者间股四头肌力量、膝关节肿胀、膝关节活动度及Lysholm膝关节功能评分比较差异均无显著性意义(P>0.05)。结论:当前证据显示,肌内效贴可能有助于提升前交叉韧带重建后患者腘绳肌力量、减轻患者疼痛,然而并不能显著改善患者股四头肌力量、膝关节肿胀、膝关节活动度和功能评分。OBJECTIVE:Some studies have shown that kinesio taping has positive effects in elevating muscle strength,improving joint stability and reducing pain and oedema in patients after anterior cruciate ligament reconstruction.However,existing studies have divergent results on the clinical efficacy of kinesio taping.In this study,a meta-analysis was conducted to systematically evaluate the effect of kinesio taping in postoperative rehabilitation period following anterior cruciate ligament reconstruction.METHODS:Randomized controlled trials about the effects of kinesio taping on anterior cruciate ligament reconstruction were electronically searched in PubMed,Web of Science,Embase,The Cochrane Library,EBSCO,CNKI,WanFang,and VIP databases,from database inception to December 06,2022.The outcome measures included six continuous variables:quadriceps strength,hamstring strength,knee swelling,knee range of motion,Lysholm knee function score,and Visual Analogue Scale score.EndNote X9.1 was used to screen the literature.The Cochrane Risk Bias Assessment Tool and Jadad Scale were used to evaluate the quality of the included literature.RevMan 5.3 software was used for Meta-analysis.RESULTS:A total of 6 randomized controlled trials involving 252 patients undergoing anterior cruciate ligament reconstruction were finally included.There were 126 cases in control group and 126 in kinesio taping group.The results of Meta-analysis showed that compared with the control group,kinesio taping significantly improved hamstring strength[standardized mean difference(SMD)=0.68,95%confidence interval(CI):0.12 to 1.23,P=0.02)and reduced Visual Analogue Scale score[mean difference(MD)=-0.56,95%CI:-1.04 to-0.08,P=0.02).However,for quadriceps strength,knee swelling,knee range of motion,and Lysholm knee function score,kinesio taping did not show significant difference from the control group(P>0.05).CONCLUSION:Kinesio taping may help to improve hamstring strength and reduce pain in patients after anterior cruciate ligament reconstruction.However,it cannot

关 键 词：肌内效贴 前交叉韧带重建 肌肉力量 膝关节功能 关节活动度 疼痛评分 META分析 

分 类 号：R459.9[医药卫生—治疗学] R312[医药卫生—临床医学] R-331