目的:比较I-tape和ButtonHolebinesiotaping(KT)技术在治疗腕管综合征(CTS)运动中的有效性。
方法:前瞻性随机对照盲法研究设置:物理医学和康复门诊参与者:共有108例(165个手腕)被诊断为CTS干预:纽扣孔技术(BG),I波段技术(IG),和运动(CG)。
方法:视觉模拟量表(VAS),DouleurNeuropathique4个问题(DN4),波士顿腕管综合征问卷(BCTQ),还有Jamar测功机.中值感觉神经动作电位(SNAP),复合肌肉动作电位(CMAP),中位远端感觉潜伏期(DSL),中位远端运动潜伏期(DML),感觉传导速度,并记录电机传导速度。测量是在基线进行的,第3周和第12周。
结果:每组36例患者。与CG相比,在BG和IG中发现VAS和DN4评分的显著统计学改善(p<0.05)。与CG相比,在IG中观察到手握力的统计学显著改善(p<0.05)。与CG相比,在BG和IG中观察到DML水平和运动传导速度的显著改善(p<0.05)。与其他组相比,BG中的感觉传导速度显着增加(p<0.05)。
结论:两种KT技术在疼痛方面都有效,功能,症状严重程度,握力和电生理。纽扣孔技术在DSL中更有效,感觉传导速度,CMAP振幅和SNAP。
OBJECTIVE: To compare the effectiveness of I-tape and button hole kinesio taping (KT) techniques added to exercises in the treatment of carpal tunnel syndrome (CTS).
METHODS: Prospective randomized controlled blinded
study.
METHODS: Physical Medicine and Rehabilitation Outpatient Clinic.
METHODS: A total of 108 patients (165 wrists) diagnosed with CTS (N=108).
METHODS: Button hole technique (BG), I-band technique (IG), and exercises (EG).
METHODS: Visual analog scale (VAS), Douleur Neuropathique 4 Questions (DN4), Boston carpal tunnel syndrome questionnaire, and Jamar dynamometer were used. Median sensory nerve action potential (SNAP), compound muscle action potential (CMAP), median distal sensory latency (DSL), median distal motor latency (DML), sensory conduction velocity, and motor conduction velocity were recorded. Measurements were made at baseline, week 3, and week 12.
RESULTS: Thirty-six patients were in each group. Significant statistical improvements in VAS and DN4 scores were found in the BG and IG compared with EG (P<.05). Statistically significant improvements in hand grip strength were observed in the IG compared with the EG (P<.05). Significant improvements in DML levels and motor conduction velocity were observed in the BG and IG compared with the EG (P<.05). A significant increase in sensory conduction velocity was detected in the BG compared with the other groups (P<.05).
CONCLUSIONS: Both KT techniques are effective in terms of pain, functionality, symptom severity, grip strength, and electrophysiologically. The button hole technique was more effective in DSL, sensory conduction velocity, CMAP amplitude, and SNAP.