背景:文献中有关在桡骨远端骨折(DRF)患者中去除石膏后应用Kinesio胶带(KT)的结果的数据非常有限。
目的:目的是评估除运动计划外,在去除石膏后立即应用KT的有效性,功能,运动范围,保守性DRF患者的肌肉力量。
方法:随机对照单盲临床研究。
方法:本研究对64例诊断为DRF的患者进行。将患者随机分为Kinesio录音组(KTG)和对照组。两组都接受了常规的家庭锻炼计划。将KT应用于KTG患者10天。在基线和第10天进行周长和体积测量。手臂,肩膀,和残疾手问卷,视觉模拟刻度,握力,和腕关节运动范围测量在基线,第5天和第10天。
结果:在第5天,在腕部水平(<0.001)和腕部近6厘米(p=0.001)的对照组中,受影响的肢体和健康肢体之间的周长差异在统计学上更大。在第10天,在腕部水平(p<0.05)和腕部近6cm处(p=0.01),对照组患肢和健康肢之间的周长差异在统计学上较大。腕部伸展角度(<0.001),腕关节屈曲角度(p=0.001),在第10天,KTG的仰角(p=0.001)更高。在第十天,KTG中的握力(p<0.05)较高,而视觉模拟标度值(p<0.01),手臂,肩膀,残疾评分和手问卷(p<0.01),在KTG中,健康手臂的力量损失百分比较低(p<0.01)。
结论:在使用石膏保守治疗的DRF患者中,在康复计划中加入Kinesio胶带(KT)被发现可以有效减轻水肿和疼痛,以及改进功能,力量,和运动范围。
BACKGROUND: Data in the literature on the results of Kinesio taping (KT) application after cast removal in patients with distal radius fracture (DRF) are quite limited.
OBJECTIVE: It was aimed to evaluate the effectiveness of KT applied immediately after cast removal in addition to the exercise program on edema, functionality, range of motion, and muscle strength in patients with conservatively followed DRF.
METHODS: Randomized controlled single-blinded clinical study.
METHODS: This study was conducted with 64 patients with a diagnosis of DRF. The patients were randomized as Kinesio taping group (KTG) and control group. Both groups received a conventional home exercise program. KT was applied to patients in KTG for 10 days. Circumference and volume measurements were taken at baseline and day 10. Arm, Shoulder, and Hand Questionnaire for Disability, Visual Analog Scale, grip strength, and wrist joint range of motion measurements were taken at baseline, day 5, and day 10.
RESULTS: The circumference difference between the affected extremity and the healthy extremity was statistically greater in the control group on the fifth day at the wrist level (<0.001) and 6 cm proximal to the wrist (p = 0.001). The circumference difference between the affected extremity and the healthy extremity was statistically greater in the control group on the 10th day at the wrist level (p < 0.05) and 6 cm proximal to the wrist (p = 0.01). Wrist extension angle (<0.001), wrist flexion angle (p = 0.001), and supination angle (p = 0.001) were higher in KTG on the 10th day. On the 10th day, the grip strength (p < 0.05) was higher in the KTG, while the Visual Analog Scale value (p < 0.01), Arm, Shoulder, and Hand Questionnaire for Disability score (p < 0.01), and the percentage of strength loss in the healthy arm (p < 0.01) were lower in the KTG.
CONCLUSIONS: In patients with DRF who were treated conservatively with a cast, the inclusion of Kinesio taping (KT) in the rehabilitation program was found to be effective in reducing edema and pain, as well as improving functionality, strength, and range of motion.