Effect of Kinesio Taping on Knee Symptoms in Patients with Hemophilia: A Prospective Study

肌能系貼紮對於血友病患者其膝關節症狀的影響：一個前驅研究

柯彥良(Yen-Liang Ke) ； 黃慈恩(Cih-En Huang) ； 許勝榮(Sheng-Lung Hsu) ； 陳志丞(Chih-Cheng Chen) ； 賴逸軒(Yi-Hsuan Lai) ； 伍芝穎(Chih-Ying Wu) ； 陳建旻(Chien-Min Chen)

《台灣復健醫學雜誌》 48卷1期 (2020/06) Pp. 15-24

https://doi.org/10.6315/TJPMR.202006_48(1).0002

摘要

Background: Kinesio Taping is effective for treating knee symptoms in various diseases. However, the outcome of using this method in hemophilia patients with knee symptoms has not been previously studied. Objective: To evaluate the therapeutic effects of Kinesio Taping on the knee symptoms in patients with hemophilia who had knee symptoms in the previous year. Methods: Kinesio Tape was applied on the anterior thigh and knee in all subjects. To measure the outcome, we collected the visual analogue scale (VAS) score of the knee during walking, knee-flexion and knee-extension muscle strength, active knee-flexion and knee-extension range of motion, Hemophilia Joint Health Score of the knee, and 6-min walk test (6MWT) before and 2 days after the taping. Results: Totally, 12 patients were enrolled during 2018. The VAS score decreased significantly from pre-taping (1.8 ± 2.3) to post-taping (0.7 ± 1.3) (p = 0.021). The post-taping distance of the 6MWT (418.9 ± 98.0 m) was significantly longer than the pre-taping distance (398.8 ± 98.6 m) (p ＜ 0.001). No significant difference existed in the pre-taping and post-taping values of the other parameters. Only mild adverse effects such as itchy skin were observed in 4 patients after taping Conclusion: Two-day Kinesio Taping on the knee may reduce knee pain and enhance performance while walking in patients with hemophilia.

關鍵字

hemophilia ； kinesio taping ； knee pain ； walk test

並列摘要

背景：肌能系貼紮能有效改善多種與膝關節症狀有關的疾病，但這種方式用於有膝關節症狀的血友病患者在過去並無文獻報告過其療效。目的：評估過去一年有膝關節症狀的血友病患者接受肌能系貼紮的效果。方法：肌能系貼紮在大腿前側與膝關節兩天，成效評估方面使用行走時疼痛視覺類比量表（visual analogue scale），膝關節的彎曲與伸展肌力、彎曲與伸展主動關節活動度、血友病關節健康分數（Hemophilia Joint Health Score），六分鐘行走測試，在貼紮前與貼紮後兩天作測量。結果：在2018年期間共有12位患者參與研究。疼痛視覺類比量表分數由貼紮前的1.8 ± 2.3分顯著降到貼紮後的0.7 ± 1.3分（p = 0.021）。六分鐘行走測試由貼紮前的398.8 ± 98.6公尺顯著增加到貼紮後的418.9 ± 98.0公尺（p ＜ 0.001）。其他成效評估分數貼紮前後無明顯差異。貼紮後的副作用很輕微，只有4位患者被觀察到有皮膚搔癢。結論：兩天的肌能系貼紮能有效減少血友病患者的行走時膝關節疼痛並增加行走能力。

並列關鍵字

血友病（hemophilia） ； 肌能系貼紮（kinesio taping） ； 膝關節疼痛（knee pain） ； 行走測試（walk test）

參考文獻

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