运动塑形对水肿的影响:系统回顾与荟萃分析

IF 2.2 3区 医学 Q1 REHABILITATION Musculoskeletal Science and Practice Pub Date : 2024-08-22 DOI:10.1016/j.msksp.2024.103168
Denise Alves de Almeida Alcantara , Francielly Natanaelly Andrade dos Santos , José Jamacy de Almeida Ferreira , Marcos de Noronha , Palloma Rodrigues de Andrade
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引用次数: 0

摘要

背景水肿的治疗涉及多种方法,其中运动塑形疗法是最近出现的一种减轻水肿的方法。目的系统总结运动塑形疗法对任何类型水肿的减轻效果的现有证据。方法进行了一项系统性综述,包括比较运动塑形疗法与其他任何干预或无干预对水肿的效果的随机临床试验。由两名独立评审员对研究的筛选、方法学质量评估(PEDro量表)和证据置信度(GRADE)进行了分析。结果共发现了 3750 项研究,其中 70 项被纳入本综述,并按身体部位(面部、上肢和下肢)和治疗时间(短期和长期)进行了分类。研究发现,运动塑形疗法在短期治疗脸部水肿(标准化平均差 [SMD] -1.07; 95%CI -1.48 to -0.65)和下肢水肿(SMD -0.55; 95%CI -1.06 to -0.05)方面优于对比组。此外,在下肢方面,长期运动塑形优于对比组(SMD -0.72;95%CI -1.25 至 -0.18)。结论尽管证据质量很低,但在短期和长期方案中,运动塑形似乎是一种有效的干预措施,可以减轻面部周围的急性水肿,并有可能减轻下肢的急性水肿。然而,上肢却没有观察到这些积极的结果。
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The effect of kinesiotaping on edema: A systematic review and meta-analysis

Background

Treatment for edema involves multiple approaches, with Kinesiotaping having recently emerged as an option for edema reduction.

Objective

To systematically summarize current evidence on the effects of Kinesiotaping on edema reduction on any type of edema.

Methods

A systematic review was performed including randomized clinical trials that compared the effects of Kinesiotaping to any other intervention or no intervention on edema. Screening, assessment of methodological quality (PEDro scale) of studies, and confidence of evidence (GRADE) were analyzed by two independent reviewers. A quantitative summary is presented through meta-analyses.

Results

A total of 3750 studies were identified, of which 70 were included in this review, and were organized by body region (face, upper limbs and lower limbs) and by treatment time (short and long term). It was observed that Kinesiotaping was superior to comparison groups in the short-term for face edema (Standardized mean difference [SMD] −1.07; 95%CI -1.48 to −0.65) and lower limbs (SMD -0.55; 95%CI -1.06 to −0.05). Also, Kinesiotaping was superior to comparison group in the long-term for lower limbs (SMD -0.72; 95%CI -1.25 to −0.18). Kinesiotaping was not superior to the comparison groups for upper limbs in both the short (SMD -0.05; 95%CI -0.89 to 0.80) and long-term (SMD -0.04; 95%CI -0.31 to 0.24) protocols.

Conclusion

Kinesiotaping seems to be an effective intervention to reduce acute edema around the face and potentially in the lower limbs in both short and long-term protocols, although the quality of evidence is very low. However, these positive results were not observed for the upper limbs.

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来源期刊
Musculoskeletal Science and Practice
Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
4.10
自引率
8.70%
发文量
152
审稿时长
48 days
期刊介绍: Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.
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