肌內效貼紮對於小腿延遲性肌肉痠痛後肌肉恢復影響及其機制之探討

The effect of kinesio taping in recovery mechanism after leg delayed onset muscle soreness

冷侑蓉(You-Rong Leng)

指導教授 ： 林槐庭

高雄醫學大學/醫學院/運動醫學系碩士班/碩士(2017年)

摘要

研究背景：延遲性肌肉痠痛為劇烈運動後2到7天產生的肌肉痠痛情形，導致肌肉腫脹與疼痛、關節活動度下降、肌力下降、肌肉僵硬與休息時張力上升情形。近幾年越來越多運動員使用肌內效貼紮促進運動表現，而肌內效貼紮主要功能為減少疼痛、增加血液循環與淋巴循環以及感覺回饋。不過到目前為止，肌內效貼紮對於延遲性肌肉痠痛恢復之影響與機制，在以往研究中還不明確。
研究目的：探討肌內效貼紮對於小腿肌肉產生延遲性肌肉痠痛後恢復之影響及其機制的探討。
研究方法：本研究設計採隨機交叉對照測試，受試者為15位健康大學生，皆須完成在誘發延遲性肌肉痠痛後沒有貼肌貼(控制組)及貼肌貼(肌貼組)兩次實驗，先後次序採隨機，兩次實驗間隔一個月。每次實驗先使用固定式腳踏車暖身五分鐘，再進行前測數據量測，每次測試項目有：踝關節活動度、肌肉痠痛程度、小腿肌壓痛閾值、小腿肌腿圍、肌肉特性、肌力、踝關節本體感覺與側併步，最後再進行靜脈抽血。前測後進行小腿肌離心運動，肌貼組會在運動後進行貼紮，並在貼紮完後立即做T1時間點測試；控制組則在運動完後立即做T1測試，接著間隔24小時(T2)、48小時(T3)與72小時後(T4)各做相同之測驗內容。統計方式使用重複測量變異數分析(Repeated measure ANOVA) 分析受試者在肌貼組與控制組的兩種情況下在五個時間點之差異。
研究結果：肌貼組相較於控制組，肌肉勁度較低、黏彈性性質較有彈性、肌肉張力較小、踝關節活動度較大、肌肉痠痛程度較低、腿圍較小與腳踝等長背屈最大力矩較大(p < 0.05)；CK值、乳酸值、肌肉特性、肌肉痠痛程度、壓痛閾值、腿圍、腳踝等長蹠屈最大力矩在時間部分有顯著差異(p < 0.05)；血液生化值、壓痛閾值、踝關節本體感覺、腳踝等長蹠屈最大力矩與側併步在兩組之間沒有差異(p > 0.05) 。
結論：延遲性肌肉痠痛的發生取決於各項潛在生理機制及神經肌肉的反應，因此肌內效貼紮僅對於部分症狀有正向改善，血液生化因子沒有差異還需要進一步探討。運動防護應用上，肌內效貼紮或許可以當作延遲性肌肉痠痛的輔助治療方法。

關鍵字

延遲性肌肉痠痛 ； 肌內效貼紮

並列摘要

Background: Delayed onset muscle soreness (DOMS) is occurred after high-intensity exercise in two to seven days. DOMS may lead to swelling and painful muscles, decrease joint ROM and muscle strength, increase muscle stiffness and resting tension. In recent years, an increasing number of athletes had been using Kinesio taping for the better performance in many sports competition. The main functions of Kinesio taping are to reduce pain, increase blood and lymph circulation and sensory feedback. Until now, the effect of Kinesio taping in DOMS and its possible mechanism was still unclear. Therefore, the present study intended to explore whether the Kinesio taping is benefit in the recovery of DOMS.

Purpose: The purpose of this study was to investigate the effect of Kinesio taping in recovery of leg after DOMS.

Methods: A randomized crossover study was carried out by 15 healthy college students. All subjects attained two different testing conditions, attached Kinesio taping and without Kinesio taping after DOMS, the testing order was randomized. Before test, the subject was asked to warm up five minutes by using a stationary bike first, and then went on the calf muscle eccentric exercise. The timing of evaluation were before eccentric exercise (T0), immediately after eccentric exercise (T1), 24 hours (T2), 48 hours (T3) and 72 hours (T4) after eccentric exercise. The participants would attach Kinesio taping just after eccentric exercise in taping conditions. The assess parameters include ankle range of motion, muscle soreness, calf muscle tenderness, circumference of calf muscles, sarcous character measurement, muscle strength, ankle proprioception and side step were measured. Use the repeated measure ANOVA to analyze the effect of interventions of Kinesio taping at five evaluation times and within groups over time.

Results: There were significant changes in less muscle stiffness, more elastic, lower muscle tension, larger ankle range of motion, lower muscle soreness, lower leg circumference, and ankle dorsiflexion maximum torque with Kinesio taping (p < 0.05). There were significantly differences between evaluated time in CK, lactate, sarcous character, muscle soreness, muscle tenderness, ankle proprioception, and ankle plantarflexion maximum torque (p < 0.05). There was no significant difference in blood biochemical markers, muscle tenderness, ankle proprioception, ankle plantarflexion maximum torque, and side step between groups (p > 0.05).

Conclusion: The occurrence of delayed onset muscle soreness depends on multiple potential physiological mechanisms and neuromuscular system. Results from this study found that the Kinesio taping has some positive improvement in some syndromes after DOMS, no significant difference results especially in blood biochemistry need further investigated. For the athletic trainer, the Kinesio taping may be helpful as an adjunctive therapy for delayed onset muscle soreness.

並列關鍵字

Delayed onset muscle soreness ； Kinesio taping

參考文獻

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