Efficacy of knee tape in the management of osteoarthritis of the knee: blinded randomised controlled trial
Efficacy of knee tape in the management of osteoarthritis of the knee: blinded randomised controlled trial
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DOI：
10.1136/bmj.327.7407.135
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发表时间：
2003-07-19
影响因子：
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通讯作者：
Bennell, KL
中科院分区：
文献类型：
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作者：
Hinman, RS;Crossley, KM;Bennell, KL
目的验证治疗性膝贴能改善膝关节骨性关节炎患者的疼痛和残疾，并在停止治疗后仍有益处的假设。设计随机单盲对照试验，有三个干预组（治疗胶带、对照胶带和无胶带），持续时间为三周，随访时间为三周。结果评估在大学实验室进行。在大都会私人执业的八名物理治疗师应用了录音干预。参与者有87例由美国风湿病学会定义的膝骨关节炎症状。主要结果测量主要结果测量是疼痛，通过视觉模拟量表和参与者感知变化评分来测量。疼痛和残疾的次要测量包括西安大略大学和麦克马斯特大学骨关节炎指数、膝关节疼痛量表和SF-36。结果：与其他两组相比，治疗胶带组在所有主要结果上都有更大的疼痛减轻。干预与三周疼痛变化之间存在显著相关性（P = 0.000），治疗组有73%（21/29）报告疼痛改善，对照组有49%（14/29）报告疼痛改善，无治疗组有10%（3/29）报告疼痛改善。与无胶带组相比，治疗胶带组在大多数次要结果上观察到明显更大的疼痛和残疾改善。治疗胶带的疗效在停止治疗后持续三周。结论治疗性膝贴是治疗膝关节骨性关节炎患者疼痛和残疾的有效方法。
Objectives To test the hypotheses that therapeutic taping of the knee improves pain and disability in patients with osteoarthritis of the knee and that benefits remain after stopping treatment.Design Randomised single blind controlled trial with three intervention arms (therapeutic tape, control tape, and no tape) of three weeks' duration and three week follow tip.Setting Outcome assessment was performed in a university based laboratory. Taping interventions were applied by eight physiotherapists in metropolitan private practice.Participants 87 patients with symptoms of knee osteoarthritis as defined by the American College of Rheumatology.Main outcome measures Primary outcome measure was pain as measured by visual analogue scale and participant perceived rating of change. Secondary measures of pain and disability included the Western Ontario and MacMaster Universities osteoarthritis index, knee pain scale, and the SF-36.Results The therapeutic tape group reported a greater reduction in pain on all primary outcomes than either of the other two groups. A significant association was evident between intervention and change in pain at three weeks (P = 0.000), with 73% (21/29) of the therapeutic tape group reporting improvement compared with 49% (14/29) of the control tape group and 10% (3/29) of the no tape group. Significantly greater improvement in pain and disability was observed on most secondary outcomes in the therapeutic tape group compared with the no tape group. Benefits of therapeutic tape were maintained three weeks after stopping treatment.Conclusions Therapeutic knee taping is an efficacious treatment for the management of pain and disability in patients with knee osteoarthritis.