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不同贴扎方式肌内效贴的回缩力特征及其改变皮下间隙的临床研究

发布时间:2018-03-01 02:20

  本文关键词: 肌内效贴 力学 皮下间隙 出处:《中国康复医学杂志》2016年03期  论文类型:期刊论文


【摘要】:目的:观察不同贴扎方式下肌内效贴的回缩力特征,及贴扎后对健康成人受试者皮下间隙的即刻影响。方法:按测试及干预要求制备肌内效贴(kinesio taping,KT)及具相同颜色、形状及大小的无弹性安慰贴布(placebo taping,PT)。采用济南蓝光XLW型电子拉力机分析施加不同拉力各形状贴布的力学特征。同时选取40例健康成年人,随机配对分为肌内效贴组(KT试验组)与安慰贴扎(PT对照组)各20例。对健康受试者前臂施以不同拉力、回缩方向的Y形贴扎,采用美国通用公司logiq 9型彩超比较贴扎处理前、贴扎后即刻的皮下间隙(subcutaneous space,SS)。结果:1肌内效贴布在施加一定范围的拉力下,回缩力具有等比上升的趋势,但接近极限拉力,会影响其材质的正常特性。贴布长度变长后其整体回缩力反而有所降低。2特定拉力下试验组方法的组内前后比较SS有显著差异(P0.01),对照组各方法前后比较未见显著差异,与试验组组间比较,SS值也有显著差异(P0.01)。试验组拉力增加到100%时,SS组内前后比较未见显著性差异。在相同拉力条件下,贴扎方向并没有明显影响SS。结论:肌内效贴材料的回缩力与外在拉力、贴布形状及长度有关。特定的拉力大小下,肌内效贴可影响局部贴扎处的皮下间隙,但力学因素可能大于方向因素。
[Abstract]:Objective: to observe the retractive force characteristics of intramuscular patch under different binding methods and its immediate effect on subcutaneous space of healthy adult subjects. Methods: according to the requirements of test and intervention, we prepared kinesio taping KT and had the same color. An inelastic comfort patch with shape and size, placebo taping pad, was used to analyze the mechanical characteristics of different shapes of tension applied by Jinan blue light XLW electronic tension machine. 40 healthy adults were selected at the same time. Two groups were randomly divided into intramuscular patch group (KT) group (n = 20) and comfort patch (PT control group) (n = 20). Y-shaped patch with different pulling force and retractive direction was applied to the forearm of healthy subjects, and logiq 9 color Doppler ultrasound was used to compare the effect before ligation. The subcutaneous space immediately after attachment was subcutaneously spaced. Results under a certain range of tensile forces, the retractive force of the 1 / 1 intramuscular patch had an equal upward trend, but was close to the ultimate tensile force. It will affect the normal properties of the material. When the length of the adhesive cloth becomes longer, the overall retractive force of the test group will decrease by .2. 2 under the specific tensile force, there is a significant difference in the SS of the test group before and after the test group (P 0.01), but there is no significant difference between the two groups before and after the comparison of the methods in the control group. There was also a significant difference in SS between the test group and the test group (P 0.01). There was no significant difference in the tensile force between the test group and the control group before and after the increase of the tensile force in the control group. Under the same tension conditions, there was no significant difference between the two groups. Conclusion: the retractive force of the material is related to the external tension, the shape and the length of the adhesive. But the mechanical factors may be larger than the directional factors.
【作者单位】: 上海交通大学附属第一人民医院康复医学科;上海体育学院;
【基金】:2014年上海市残联鼓励立项项目 上海市科委产学研医项目(11DZ1921307)
【分类号】:R49

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