- 學位論文
肌能系貼布不同貼法對於小腿後肌群延遲性肌肉痠痛之效益
The Effect of Different Taping Method of Kinesio® Tex Gold FP on Calf Muscle with Delayed Onset Muscle Soreness
摘要
背景與目的： 現今運動風氣盛行下，一般人或是運動員執行高強度離心肌力訓練或是訓練新的動作時，都有可能導致延遲性肌肉酸痛的產生，導致關節活動角度下降、影響本體感覺。肌貼常用來加速延遲性肌肉酸痛的恢復，本研究是探討以指紋型機能系貼布於一般健康成人運動後小腿後側肌群產生的延遲性肌肉痠痛處執行表皮真皮筋膜貼紮法和空間矯正貼紮兩種貼紮方法效益的差別。 方法： 本研究為交叉性實驗設計(Crossover Design)，共收錄20位健康受試者，受試者以隨機測試先後次序進行兩次實驗。在引發延遲性肌肉痠痛24小時後，分別以空間矯正貼法(Space Correction Kinesio Taping, SPKT)及表皮真皮筋膜貼紮法(Epidermis, Dermis & Fascia Kinesio Taping, EDFKT)兩種方式介入，並在貼紮前(Pre KT)、貼紮後(Post KT)、貼紮後一小時(Post KT 1hr)、貼紮後兩小時(Post KT 2hr)進行評估。使用肌肉張力測試儀量測肌肉僵硬程度；以杜卜勒超音波檢查儀量測脛後動脈的阻力係數(RI) ；以關節量角器來量測慣用腳踝關節活動角度；使用等速肌力測試系統量測踝關節主動本體感覺；以視覺類比量表量測疼痛指數。二因子變異數分析方法用來比較兩種不同貼紮方法在不同時間點對於神經肌肉系統影響的差異。 結果： 小腿後側中段僵硬程度、慣用腳踝關節活動度和後側小腿疼痛指數的檢測結果顯示，SPKT和EDFKT在三個貼紮介入後的時間點和貼紮前相比均有顯著改善，其中EDFKT差異皆顯著大於SPKT。踝關節主動本體感覺在貼紮後三個時間點及三個測量角度，兩組都有顯著提升，而EDFKT的本體感覺誤差較SPKT少，但未達顯著差異。小腿脛後動脈血管阻力係數的檢測，EDFKT在三個貼紮介入後的時間點Post KT、Post KT 1hr、Post KT 2hr和Pre KT相比均有顯著差異(p =0.011, p =0.003, p =0.004)，而SPKT則僅有貼紮介入後Post KT 1hr、Post KT 2hr與Pre KT有顯著差異(p =0.033, p =0.018)。 結論： 以指紋款肌能系貼布執行SPKT和EDFKT可以改善延遲性肌肉酸痛後該處肌肉的僵硬程度、關節活動度、疼痛指數以及本體感覺，有效改善疼痛造成的不適感並促進其恢復，臨床上可運用於高強度運動後或是工作任務負重後出現延遲性肌肉痠痛的族群。
並列摘要
Background and purpose: Doing exercises is prevalent nowadays. When people or athletes perform high-intensity eccentric contraction training or doing new exercise, it may lead to delayed onset muscle soreness (DOMS). DOMS may cause joint range of motion decreased and affecting the proprioception. Recently, the Kinesio taping is often use to relieve the DOMS symptoms. Therefore, the purpose of this study was to compare the benefits differences of epidermal dermal fascia kinesio taping and space-correction kinesio taping methods when application the Kinesio® Tex Gold FP tape in the DOMS. Method: This study is crossover design. A total of 20 healthy adults were included and the subjects were randomly assigned to two groups. After induced delayed onset muscle soreness in 24 hours, they were intervened in two ways: space-correction kinesio taping (SPKT) and epidermal dermal fascia kinesio taping (EDFKT), and the assessment was carried out before taping, immediately after taping, one hour after taping and two hours after taping. Several neuromuscular properties or abilities were detected. The muscle stiffness was measured by muscle tone tester. The resistance index (RI) of posterior tibial artery was measured by the SonoSite TITAN Ultrasound System. The ankle range of motion was measured by goniometer. The ankle joint active proprioception was measured by isokinetic dynamometer. The pain index of calf and ankle was measured by Visual Analogue Scale (VAS). Two-way ANOVA was used to detect the results differences between two taping methods and different measured time points after DOMS. Results: The results showed that the posterior medial stiffness of the lower leg, the ankle joint mobility and the posterior calf pain index in two taping methods were significantly different between the three time points after taping and before the taping. Moreover, the differences of epidermal dermal fascia kinesio taping were all significantly greater than space-correction kinesio taping group. The active proprioception of the ankle joint of two groups were both significantly improved immediately after taping, one hour after taping and two hours after taping. While the proprioception error of epidermal dermal fascia kinesio taping group was less than that space-correction kinesio taping group, but it was not statistically significant different. The result of resistance index of posterior tibial artery was significantly different between the three time points after taping and before the taping in epidermal dermal fascia kinesio taping group (p = 0.011, p = 0.003, p = 0.004). However, space-correction kinesio taping group was only significantly different between after taping one hour, two hours and before taping (p = 0.033, p = 0.018). Conclusion: Using the Kinesio® Tex Gold FP tape to implement space-correction kinesio taping and epidermal dermal fascia kinesio taping can improve the muscle stiffness, joint mobility, pain and proprioception from delayed onset muscle soreness, effectively improve the discomfort caused by pain and facilitate the recovery of soft tissues. These can be clinically application to people with delayed onset muscle soreness after high-intensity exercises or after the work need to carry heavy goods.