髕骨貼紮對於髕股骨疼痛症候群之療效探討－系統性回顧與統合分析

背景：髕股骨疼痛症候群(Patellofemoral pain syndrome)為常見的前膝疼痛問題，常見於運動員如長跑者身上。近年來由McConnell所提出的髕骨貼紮方式在臨床可減輕其疼痛症狀，但其臨床效果未曾有統合分析(meta-analysis)作整體性討論。本研究目的為藉由統台分析方式，整理過去相關文獻，檢視髕骨貼紮對於髕骨股疼痛症候群所帶來的療效。研究方法：以電腦資料庫及文交互比對方式進行文獻蒐集。收集的研究須符合下列條件：1.必須使用McConnell所提出或類似的髕骨貼紮的方式；2.受試者需為髕股骨疼痛症候群或前膝疼痛之病人，且排除健康人或其他膝問題之病人；3.療效測量需包含有疼痛或生物力學參數；4.必須提供成果測量的前後測測試值及標準差以利計算成效值(effect size)。結果：共有十篇研究被納入本研究，療效測量包含：膝疼痛指數、股四頭內、外肌肌電圖資料、上下樓梯膝關節角度，以及在角速度60°/sec及180°/sec下測得股四頭肌的等速肌力。結果顯示，髕骨貼紮可有效立即改善髕股疼痛患者在活動中的疼痛（成效值－0.973）和增加股四頭肌在60°/sec及180°/sec下之等速肌力（成效值為0.068及0.408)；合併運動治療與貼紮可達最好效果。結論：McConnell提出的髕骨貼紮，可有效地減輕疼痛並增加股四頭肌的等速肌力，建議施用於髕骨疼痛症候群患的治療上。

關鍵字

體股骨疼痛症候群；貼紮；系統性回顧；統合分析

並列摘要

The patellar taping developed by McConnell was widely used to reduce pain and increase functional ability in patients with patellofemoral pain syndrome. However, the research investigating the effect of McConnell taping showed diverse results and there had been no meta-analysis to integrate the findings on its therapeutic effects. The purpose of this study was therefore to systemically review and analyze studies in this field to examine the treatment effect of McConnell taping in patients with patellofemoral pain syndrome. Methods: Studies were identified by a systematic computer database and cross-reference search. The inclusion criteria included: studies that were designed with a compared condition, and with patients diagnosed of patellofemoral pain syndrome or anterior knee pain, clearly defined taping procedure. publish date up to August 2007, outcome measures containing at least one of the following items: pain reduction. electromyography (EMG), kinematic or kinetic variables, and giving pre-and-post taping scores with means and standard deviations for computation of effect size. Results: Ten articles were recruited with the outcome measurements of pain, vasti EMG, knee flexion angle during stair climbing, and isokinetic torques of the quadriceps at angular velocities of 60°/sec and 180°/sec. The results revealed patellar taping was able to decrease pain immediately (effect siz+-0.973) during activity and itscrease isokinetic knee extension torques at angular velocity 60°/sec and 180°/sec (effect size=-0.608 and 0.408 respectively). Conclusion: McConnell patellar taping could effectively improve the symptoms and function in patients with patellofemoral pain syndrome, and would be recommended for the management of patellofemoral pain.

並列關鍵字

Patellofemoral pain syndrome ； Taping ； Systematic review ； Meta-analysis

國際替代計量

髕骨貼紮對於髕股骨疼痛症候群之療效探討－系統性回顧與統合分析

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