| 贾云晓,江加深,庄金刚,邹璇,朱平,陈桐彬.肌内效贴对慢性非特异性腰痛患者疗效的Meta分析[J].中国康复,2026,41(7):424-435 |
| 肌内效贴对慢性非特异性腰痛患者疗效的Meta分析 |
| A Meta-analysis of the therapeutic effect of kinesio taping on chronic non-specific low back pain |
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| DOI：10.3870/zgkf.2026.07.008 |
| 中文关键词: 肌内效贴 非特异性腰痛 慢性腰痛 随机对照实验 Meta分析 |
| 英文关键词: kinesio taping non-specific low back pain chronic low back pain randomized controlled trial Meta-analysis |
| 基金项目:深圳市龙岗区科技创新专项资金（LGWJ2022-87）；龙岗区医学重点学科建设项目（2024-2027年） |
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| 中文摘要: |
| 目的：系统评价肌内效贴（KT）对慢性非特异性腰痛（CNLBP）患者的疗效。方法：计算机检索中国知网、万方、维普、中国生物医学数据库、PubMed、Embase、Web of science、Cochrane Library数据库中关于KT治疗CNLBP的随机对照试验（RCT），检索时限为建库至2025年7月。结局指标包括视觉模拟评分（VAS）或数字评分量表（NRS）、Oswestry功能障碍指数（ODI）、Roland-Morris功能障碍量表（RMDQ）、日本骨科协会评分（JOA）、改良Schober试验（MST）。由两名研究者独立筛选文献、提取数据，并根据Cochrane系统评价手册和物理治疗证据数据库量表进行文献质量评价，采用RevMan 5.4软件和STATA 18软件进行Meta分析、敏感性分析及发表偏倚评估。结果：本研究共纳入29项RCT，包括1627例患者。Meta分析结果表明，与对照组相比，KT可显著改善CNLBP患者疼痛［SMD=-0.85，95% CI（-1.11，-0.58），P＜0.001］、ODI评分［MD=-4.02，95% CI（-5.03，-3.02），P＜0.001］、RMDQ评分［MD=-1.35，95% CI（-2.09，-0.60），P=0.0004］、JOA评分［MD=3.15，95% CI（2.09，4.21），P＜0.001］及MST评分［MD=0.66，95% CI（0.40，0.93），P＜0.001］。各结局指标间存在一定程度异质性，已采用随机效应模型并结合敏感性及亚组分析进行处理。结论：现有证据提示，KT在改善CNLBP患者疼痛、功能障碍及腰椎活动度方面可能具有一定潜在益处，但研究结果存在一定异质性，其临床价值仍需更多高质量研究进一步确认。 |
| 英文摘要: |
| Objective: To systematically evaluate the therapeutic efficacy of kinesio taping (KT) in patients with chronic non-specific low back pain (CNLBP). Methods: A comprehensive search was conducted in CNKI, Wanfang, VIP, SinoMed, PubMed, Embase, Web of Science, and the Cochrane Library for randomized controlled trials (RCT) investigating the effects of KT in the treatment of CNLBP. The search covered all available literature from database inception to July 2025. Outcome measures included the visual analog scale (VAS) or numerical rating scale (NRS), Oswestry disability index (ODI), roland-morris disability questionnaire (RMDQ), Japanese orthopaedic association (JOA) score, and modified schober test (MST). Two independent reviewers screened the literature and extracted data. The methodological quality of the included studies was assessed based on the Cochrane handbook for systematic reviews and the PEDro (Physiotherapy Evidence Database) scale. Meta-analysis, sensitivity analysis, and publication bias assessment were performed using RevMan 5.4 and STATA 18 software. Results: A total of 29 RCT involving 1,627 patients were included. Meta-analysis demonstrated that, compared with control interventions, KT significantly improved pain score ［SMD=-0.85, 95% CI (-1.11, -0.58), P<0.001］, ODI ［MD=-4.02, 95% CI (-5.03, -3.02), P<0.001］, RMDQ ［MD=-1.35, 95% CI (-2.09, -0.60), P=0.0004］, JOA score ［MD=3.15, 95% CI (2.09, 4.21), P<0.001］, and MST results ［MD=0.66, 95% CI (0.40, 0.93), P<0.001］.There was a certain degree of heterogeneity among the outcome measures; therefore, a random-effects model was applied, together with sensitivity and subgroup analyses to address this issue. Conclusion: The current evidence suggests that KT may have potential benefits in improving pain, functional disability, and lumbar range of motion in pa-tients with CNLBP; however, the results exhibit a certain degree of heterogeneity, and its clinical value requires further confirmation through high-quality studies. |
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