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貼紮治療對肌筋膜疼痛症候群的療效:前驅研究

The Effect of Taping Therapy on Patients with Myofascial Pain Syndrome: A Pilot Study

摘要


Taping therapy has been widely used for treating soft tissue pain. It has been suggested that this therapy can provide pain relief and prevent over-contraction of the treated muscles. There are few studies about its application on the treatment of myofascial pain syndrome (MPS). The aim of this study is to investigate the therapeutic effect of taping therapy on MPS with involvement of the upper trapezius muscle. Thirty-three participants having active myofascial trigger points (MTrPs) in upper trapezius muscles were enrolled in this study. They were randomized to two groups; a Treatment Group (N=17) and a Control Group (N=16). The visual analogue scale (VAS), pain pressure threshold (PPT) and maximal pain tolerance (MPT) of active MTrPs were used to assess before, immediately after, and 24 hours after the application of tape. Kinesio(superscript ®) Tex Tape (Tokyo, Japan) was used in the Treatment Group, and Micropore tape (3M, St. Paul, MN, US) was used in the Control Group. The statistical method used was ANOVA with repeated measures with SPSS software (Chicago, IL, US). Immediately after treatment, mean VAS was significantly reduced, and both mean PPT and mean MPT were significantly increased, when compared to the pre-treatment data in the Treatment Group. Twenty-four hours after treatment, the improvement in VAS remained statistically significant, but was not significant for PPT and MPT. The PPT value immediately after taping was the only one which significantly improved in the Control Group. Taping therapy using Kinesio tape provided statistically significant pain relief immediately after treatment in patients with MPS involving the upper trapezius muscles. Further study to assess the long-term therapeutic effect and its working mechanism is suggested.

並列摘要


Taping therapy has been widely used for treating soft tissue pain. It has been suggested that this therapy can provide pain relief and prevent over-contraction of the treated muscles. There are few studies about its application on the treatment of myofascial pain syndrome (MPS). The aim of this study is to investigate the therapeutic effect of taping therapy on MPS with involvement of the upper trapezius muscle. Thirty-three participants having active myofascial trigger points (MTrPs) in upper trapezius muscles were enrolled in this study. They were randomized to two groups; a Treatment Group (N=17) and a Control Group (N=16). The visual analogue scale (VAS), pain pressure threshold (PPT) and maximal pain tolerance (MPT) of active MTrPs were used to assess before, immediately after, and 24 hours after the application of tape. Kinesio(superscript ®) Tex Tape (Tokyo, Japan) was used in the Treatment Group, and Micropore tape (3M, St. Paul, MN, US) was used in the Control Group. The statistical method used was ANOVA with repeated measures with SPSS software (Chicago, IL, US). Immediately after treatment, mean VAS was significantly reduced, and both mean PPT and mean MPT were significantly increased, when compared to the pre-treatment data in the Treatment Group. Twenty-four hours after treatment, the improvement in VAS remained statistically significant, but was not significant for PPT and MPT. The PPT value immediately after taping was the only one which significantly improved in the Control Group. Taping therapy using Kinesio tape provided statistically significant pain relief immediately after treatment in patients with MPS involving the upper trapezius muscles. Further study to assess the long-term therapeutic effect and its working mechanism is suggested.

被引用紀錄


林家惠(2019)。頭頸部癌症存活者的多層面疼痛管理彰化護理26(1),9-13。https://doi.org/10.6647/CN.201903_26(1).0004
Chao, Y. W. (2013). 貼紮治療對於肌筋膜疼痛症候群短期的療效 [master's thesis, National Taiwan University]. Airiti Library. https://doi.org/10.6342/NTU.2013.11111
程信翰、顏韻珊、龔聖淳、蕭珮琦、周偉倪、駱逸明(2016)。肌內效貼紮對下背痛及背部肌肉耐力的立即性效應於腰椎椎間盤突出病人的研究台灣復健醫學雜誌44(4),171-177。https://doi.org/10.6315/2016.44(4)01
駱逸明(2016)。肌內效貼紮對下背痛及背部肌肉耐力的立即性效應於腰椎椎間盤退化病人的研究〔碩士論文,高雄醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0011-2506201617533300

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