用肌动胶带进行自我伸展运动,治疗出租车司机的慢性非特异性颈部疼痛:单盲随机对照试验

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2023-12-15 DOI:10.1016/j.ctim.2023.103010
Jae-Jung Jeon , Sun-Hee Jeon , Keun-Jung Yang , Han Choi , Hwi-young Cho , Suk-Chan Hahm
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引用次数: 0

摘要

目的出租车司机在驾驶过程中会因姿势问题而出现慢性颈部疼痛。本研究旨在探讨使用肌动胶带进行自我伸展运动对该人群的疼痛、压力、压痛阈值(PPT)、残疾和颈椎活动范围(CROM)的影响。方法在实验组中,每天进行 3 次自我伸展运动,每周 5 天,持续 4 周,并在驾驶时贴上肌动贴。在对照组中,4 周的驾驶过程中仅使用肌动贴。对干预前、干预后和干预后 4 周的疼痛强度、压力强度、PPT、颈部残疾和 CROM 进行了评估。结果在休息时的疼痛强度(p = 0.048)和驾驶时的疼痛强度(p = 0.001)方面观察到了显著的时间和组间交互作用。实验组的干预前-干预后-随访平均值(95% CI)为 4.41(4.14 至 4.68)-3.82(3.57 至 4.07)-3.78(3.55 至 3.99)。在对照组中,休息时疼痛的前-后-随访平均值(95% CI)为 4.29(4.01 至 4.56)-3.86(3.60 至 4.11)-4.05(3.82 至 4.27)。在实验组中,驾驶时疼痛的前-后-随访平均值(95% CI)为 4.91(4.63 至 5.19)-4.00(3.76 至 4.24)-3.69(3.69 至 4.22),而在对照组中,前-后-随访平均值(95% CI)为 4.81(4.53 至 5.09)-4.38(4.13 至 4.63)-4.57(4.30 至 4.85)。右侧 PPT(p = 0.029)和左侧 PPT(p < 0.001)以及颈部残疾(p = 0.001)也显示出显著的时间和组间交互作用。根据最小临床重要差异,NDI 没有临床意义。除伸展外,所有 CROM 均显示出显著的时间和组间交互作用(屈曲,p = 0.008;右侧屈,p = 0.009;左侧屈,p = 0.004;右旋,p = 0.001;左旋,p = 0.001)。临床试验注册本研究于 2020 年 9 月 22 日在临床研究信息服务机构(世界卫生组织国际临床试验注册平台)注册(KCT0005406)。
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Self-stretching exercises with kinesio taping for management of chronic nonspecific neck pain in taxi drivers: A single-blind, randomized controlled trial

Objectives

Taxi drivers experience chronic neck pain owing to their posture while driving. The aim of this study was to investigate the effect of self-stretching exercises with kinesio taping on pain, stress, pressure pain threshold (PPT), disability, cervical range of motion (CROM) in this population.

Design

A single-blind, randomized controlled trial

Setting

Forty-three taxi drivers with nonspecific chronic nonspecific neck pain were randomly assigned to experimental (n = 22) and control (n = 21) groups.

Methods

In the experimental group, self-stretching exercises were performed 3 times a day, 5 days per week, for 4 weeks, with kinesio taping applied while driving. In the control group, only kinesio taping was applied while driving for 4 weeks. Pain intensity, stress intensity, PPT, neck disability, and CROM were assessed pre-intervention, post-intervention, and at 4 weeks post-intervention.

Results

Significant time and group interactions were observed in pain intensity at rest (p = 0.048) and while driving (p = 0.001). In the experimental group, the Pre - Post - Follow-up mean (95% CI) was 4.41 (4.14 to 4.68) - 3.82 (3.57 to 4.07) - 3.78 (3.55 to 3.99). In the control group, the Pre - Post - Follow-up mean (95% CI) was 4.29 (4.01 to 4.56) - 3.86 (3.60 to 4.11) - 4.05 (3.82 to 4.27) for pain at rest. In the experimental group, the Pre - Post - Follow-up mean (95% CI) was 4.91 (4.63 to 5.19) - 4.00 (3.76 to 4.24) - 3.69 (3.69 to 4.22), while in the control group, the Pre - Post - Follow-up mean (95% CI) was 4.81 (4.53 to 5.09) - 4.38 (4.13 to 4.63) - 4.57 (4.30 to 4.85) for pain while driving. PPT on the right (p = 0.029) and left (p < 0.001) sides, and neck disability (p = 0.001) also showed significant time and group interactions. NDI was not clinically significant based on the minimum clinically important difference. All CROM showed significant time and group interactions (flexion, p = 0.008; right lateral flexion, p = 0.009; left lateral flexion, p = 0.004; right rotation, p = 0.001; left rotation, p = 0.001), except for extension.

Conclusion

This study showed that self-stretching exercises with kinesio taping provided benefits over kinesio taping alone on pain intensity, PPT, disability, and CROM in taxi drivers with nonspecific chronic neck pain.

Clinical trial registration

This study registered with the Clinical Research Information Service (WHO International Clinical Trials Registry Platform) on September 22, 2020 (KCT0005406).

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CiteScore
7.20
自引率
4.30%
发文量
567
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