肌内效贴扎对髂胫束综合征膝外侧痛患者感觉输入的影响  

The effects of kinesio taping on sensory input in patients with iliotibial band syndrome experiencing lateral knee pain

作　　者：何霏 王肖旋 余梦莲 陈依依 袁海新 余波 陈文华 刘宇 闾坚强 He Fei;Wang Xiaoxuan;Yu Menglian;Chen Yiyi;Yuan Haixin;Yu Bo;Chen Wenhua;Liu Yu;Lyu Jian-qiang(School of Kinesiology,Shanghai University of Sport,Shanghai 200438,China;Department of Rehabilitation Medi-cine,Shanghai General Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200080,China;Department of Rehabilitation Medicine,Shanghai Sixth People′s Hospital Affiliated to the School of Medicine,Shang-hai Jiaotong University,Shanghai 200233,China;Shanghai Fifth Rehabilitation Hospital,Shanghai 201699,China)

机构地区：[1]上海体育大学运动健康学院,200438 [2]上海交通大学医学院附属第一人民医院康复医学科,200080 [3]上海交通大学医学院附属第六人民医院康复医学科,200233 [4]上海市第五康复医院康复医学科,201699

出　　处：《中华物理医学与康复杂志》2024年第4期325-330,共6页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：国家重点研发计划“日常生活及运动康复辅具的智能适配及示范应用”项目(2020YFC2005700)。

摘　　要：目的探讨不同形式肌内效贴扎对髂胫束综合征(ITBS)膝外侧痛患者感觉输入的影响。方法共选取30例ITBS膝外侧痛患者作为研究对象,利用等速系统和数字震动感觉检查仪,分别在无贴扎、股外侧肌放松位贴扎、股外侧肌拉伸位贴扎三种条件下,检测ITBS患者膝关节位置觉、运动觉及股骨外侧髁处震动觉数据,并利用光学空间坐标采集系统观察患者在端坐位时其股外侧肌表面皮肤长度变化情况。结果30例入选患者其膝关节位置觉被动角度重现测试值(PAR)、运动觉被动运动阈值测量值(TDPM)、股骨外侧髁处皮肤震动感觉阈值(VPT)及股外侧肌表面皮肤长度D0,在NT(无肌内效贴扎)、T1(股外侧肌放松位贴扎)、T2(股外侧肌拉伸位贴扎)三种贴扎条件下均存在统计学差异(P<0.001),在NT条件下PAR、TDPM及D0数值均最大,在T1条件下上述指标数值次之,在T2条件下上述指标数值最小。在T1及T2条件下,入选患者PAR(T1:r=0.370,T2:r=0.411)、TDPM(T1:r=0.513,T2:r=0.562)及VPT(T1:r=0.492,T2:r=0.599)均与股外侧肌表面皮肤长度具有正相关性(P<0.05)。结论肌内效贴扎可能通过产生局部皮肤形变,影响ITBS膝外侧痛患者感觉输入,在肢体拉伸摆位时贴扎可使皮肤产生更显著的各向形变,进而获得更多的感觉输入,有助于改善患者本体感觉功能.Objective To explore the impact of different forms of kinesio taping on sensory input in patients with iliotibial band syndrome(ITBS)experiencing lateral knee pain.Methods Thirty ITBS patients were tested u-sing an isokinetic system and a digital vibration sensory analyzer when the lateral thigh muscle was not taped,taped in the relaxed position,and taped in the stretched position.Their positioning,motor sensation at the knee joint and vi-bration sensation at the lateral condyle were recorded.In addition,an optical motion capture system was used to ob-serve any changes in the length of the skin on the surface of the lateral thigh muscle in a seated position.Results The three taping methods produced significant differences in terms of passive knee angle reproduction,passive move-ment detection threshold,vibration perception threshold,and local skin length at the lateral condyle of the femur.Ta-ping in the stretched position produced the greatest sensitivity and the best passive positioning,followed by taping while relaxed and then no taping at all.All of the indicators were significantly positively correlated with the observed skin length.Conclusion Kinesio taping may affect sensory input by generating local skin deformation.Moreover,taping in a stretched position results in more multidirectional skin deformation,leading to increased sensory input and improved proprioception.

关 键 词：肌内效贴扎 髂胫束综合征 感觉输入 皮肤形变 本体感觉 

分 类 号：R68[医药卫生—骨科学]