摘要
目的 探究肌内效贴对中度拇外翻患者的治疗效果。方法 本研究选取中度拇外翻女性患者30名，随机分为实验组和对照组，两组基本资料无显著性差异。实验组采用肌内效贴结合运动疗法干预，对照组采用运动疗法结合矫形器干预。在进行干预前对两组受试者进行外翻角度测评及VAS视觉模拟评分，实验干预30天后再次对两组受试者进行测试。结果 治疗前两组患者外翻角度和VAS评分比较均无明显差异（p>0.05）。经过1个月的治疗干预后，数据统计结果显示：实验组拇外翻的角度减小，疼痛程度减轻，统计学有显著差异（p<0.01）。对照组的治疗方法对于外翻角度改善有统计学差异（p<0.01），而疼痛程度的改善无统计学差异（p>0.05）。运动疗法结合肌内效贴的治疗方法优于运动疗法结合矫形器的治疗方法，且有统计学差异（p<0.01）。结论 运动疗法结合肌内效贴的治疗方法可以改善重度拇外翻患者的外翻角度，同时可以减轻因外翻引起的疼痛。
关键词： 拇外翻；VAS；外翻角度；肌内效贴；矫形器
Abstract
Objective To explore the therapeutic effect of intramuscular adhesive on patients with moderate hallux valgus. Methods In this study, 30 female patients with moderate bunion valgus were randomly divided into experimental group and control group. There was no significant difference in basic data between the two groups. The experimental group was treated with intramuscular adhesive combined with exercise therapy, while the control group was treated with exercise therapy combined with orthosis. Before the intervention, the two groups of subjects were evaluated by valgus Angle and VAS visual simulation score. After 30 days of intervention, the two groups of subjects were tested again. Results Before treatment, there were no significant differences in the valgus Angle and VAS score between the two groups (p>0.05). After 1 month of treatment and intervention, the statistical results showed that the angle of bunion valgus in the experimental group was reduced, and the degree of pain was reduced, with statistically significant differences (p<0.01). In the control group, there was statistical difference in the improvement of valvaration Angle (p<0.01), but no statistical difference in the improvement of pain degree (p>0.05). The treatment method of exercise therapy combined with intramuscular-effect patch was superior to that of exercise therapy combined with orthosis, and the difference was statistically significant (p<0.01). Conclusion Exercise therapy combined with intramusculary adhesive can improve the angle of valgus and relieve the pain caused by valgus.
Key words： Hallux valgus; VAS; Valgus Angle; Intramuscular patch; Orthotics
参考文献 References
[1] Yokozuka, M., Okazaki, K., Sakamoto, Y. et al. Correlation between functional ability, toe flexor strength, and plantar pressure of hallux valgus in young female adults: a cross-sectional study. J Foot Ankle Res 13, 44 (2020).
[2] Barouk, Samuel L. The effect of gastrocnemius tightness on the pathogenesis of juvenile hallux valgus [J]. Foot and Ankle Clinics, 2014, 19(4):807-822.
[3] Hida T, Okuda R, Yasuda T, et al. Comparison of plantar pressure distribution in patients with hallux valgus and healthy matched controls [J]. Journal of Orthopaedic Science, 2017, 22(6):1054-1059.
[4] Buddhadev HH, Barbee CE. Redistribution of joint moments and work in older women with and without hallux valgus at two walking speeds [J].Gait Posture, 2020, 77:112-117
[5] 翟莎莎, 曾祥平, 徐光勇, 张晶. 肌内效贴在拇指内收儿童中的应用效果[ J]. 临床与病理杂志, 2022, 42(9): 2147-2151. doi: 10.3978/j.issn.2095-6959.2022.09.014
[6] Lee SM, Lee JH. Effects of balance taping using kinesiology tape in a patient with moderate hallux valgus [J]. Medicine, 2016, 95(46):53-57.] [Formosa MP, Gat A, Formosa C. Evaluating quality of life in patients with hallux abducto valgus deformity after a taping technique [J]. Am Podiatr Med Assoc, 2017, 107(4):287-291.
[7] Fraser JJ, Hertel J. Effects of a 4-Week Intrinsic Foot Muscle Exercise Program on Motor Function: A Preliminary Randomized Control Trial [J]. Journal of Sport Rehabilitation, 2018:1- 32.
[8] Ozguclu E, Kilic E, Kaymak B. A knee osteoarthritis connected with hallux valgus-related pes planus[J]. Biomech, 2008, 41:3523–3524.
[9] Yeung SS, Yeung EW. Acute Effects of Kinesio Taping on Knee Extensor Peak Torque and Stretch Reflex in Healthy Adults [J]. Medicine, 2016, 95(4):e2615.
[10] Kim MH, Yi CH, Weon J, et al. Effect of toe-spread-out exercise on hallux valgus angle and cross-sectional area of abductor hallucis muscle in subjects with hallux valgus [J]. Journal of Physical Therapy Science, 2015, 27(4):1019-1022.