Javier Fernández Vázquez, L. A. Justo-Cousiño, Iria Da Cuña-Carrera, Alejandra Alonso-Calvete, Yoana González-González
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引用次数: 0
摘要
神经肌肉贴敷或运动贴敷是一种广泛应用于脊柱疾病的技术。然而,其在椎间盘突出症和退行性脊柱病理中的应用的科学证据尚不清楚。本研究旨在分析已发表的神经肌肉贴敷治疗椎间盘突出症和退行性脊髓损伤的临床试验。为此,按照PRISMA指南在以下数据库中进行文献检索:PubMed、Web of Science (WOS)、Scopus、Medline和Cinahl。在分析偏倚和方法学质量时,我们使用了PEDro量表、Van Tulder标准和Cochrane Collaboration的偏倚风险分析。共纳入5篇文章,平均PEDro评分为6.2分。有中度证据表明,在短期内,神经肌肉贴敷可以减少镇痛药的消耗,并改善后肌组织的活动范围和肌肉力量。此外,它可以提高质量的证据有限,而神经肌肉贴敷对疼痛的影响的科学证据是矛盾的。在获得更明确的结果并评估其长期影响之前,应谨慎应用神经肌肉胶布治疗脊柱脱位和退行性病变。证据等级I;系统的回顾。
KINESIOTAPING IN DISCOPATHIES AND DEGENERATIVE SPINAL DISEASES: SYSTEMATIC REVIEW
ABSTRACT Neuromuscular taping or kinesiotaping is a technique widely used in spinal disorders. However, the scientific evidence of its use in discopathies and degenerative spine pathology is unknown. This study aimed to analyze the published clinical trials on neuromuscular taping in subjects with discopathies and degenerative spinal injuries. For this purpose, a literature search was performed following PRISMA guidelines in the following databases: PubMed, Web of Science (WOS), Scopus, Medline, and Cinahl. In analyzing bias and methodological quality, we used: the PEDro scale, Van Tulder criteria, and risk of bias analysis of the Cochrane Collaboration. A total of 5 articles were included that obtained a mean score of 6.2 on the PEDro scale. There is moderate evidence that, in the short term, neuromuscular taping reduces analgesic consumption and improves the range of motion and muscle strength in the posterior musculature. In addition, there is limited evidence that it can improve quality, while the scientific evidence on the effect of neuromuscular taping on pain is contradictory. The application of neuromuscular taping on discopathies and degenerative processes of the spine should be cautiously undertaken until more conclusive results are obtained, and the long-term effects are assessed. Level of evidence I; Systematic review.