The late effect of Kinesio Taping® on handgrip strength

Kinesio Taping^® elastic tape is increasingly used in physiotherapy treatment. However, there is a lack of scientific research regarding the late effects of its use. This study quantified the late effects of applying the Kinesio Taping^® elastic tape by measuring changes in handgrip muscle strength after 24, 48 and 72 h of application. The Kinesio Taping^® elastic tape was applied on the dominant and non-dominant limbs of 36 volunteers randomly assigned to three groups: muscle facilitation, muscle inhibition and control group. The statistical test showed there was a statistically significant difference among all groups of dominant limb and non-dominant limb. However, the analysis on intragroup relationship to periods of application (Initial, 24, 48 and 72 h) and the interaction among repeated measures showed there was no statistically significant difference. This result may contribute to the investigation of the late effects of the Kinesio Taping^® elastic tape on the physical rehabilitation.     

造口袋局部剪裁技巧联合防漏贴环在肠造口旁瘘门诊患儿的应用效果

目的探讨造口袋剪裁技巧联合防漏贴环在肠造口术后并发造口旁瘘伴刺激性皮炎门诊患儿的应用效果。方法采用便利抽样法,选取2017年5月—2019年11月于深圳市儿童医院造口专科护理门诊就诊的肠造口术后并发造口旁瘘伴刺激性皮炎的家庭护理困难患儿21例为研究对象,使用造口袋剪裁技巧(旁瘘处局部微扩增宽1~2 mm剪裁)联合防漏贴环方法进行干预,比较干预前后肠造口周围皮肤状况评分(DET)、造口袋更换间隔时间、主要照护者SAS得分。结果21例患儿首次就诊时DET评分为(8.29±1.15)分,干预1周后复诊时DET评分为(5.14±1.80)分,差异有统计学意义(t=11.65,P<0.01)。干预前造口袋更换间隔时间为(0.45±0.10)d,干预后更换间隔时间为(1.06±0.29)d,差异有统计学意义(t=-10.67,P<0.01)。首次就诊时21例患儿的主要照护者SAS评分为(66.05±5.29)分,干预1周后SAS评分(49.10±3.35)分,差异有统计学意义(t=21.59,P<0.01)。结论肠造口术后并发造口旁瘘伴刺激性皮炎的家庭护理困难患儿使用造口袋局部剪裁技巧联合防漏贴环可缩小刺激性皮炎的范围,减轻刺激性皮炎的严重程度,延长造口袋更换间隔时间,有效改善主要照护者的焦虑症状。     

TEMPORAL PATTERN OF KINESIOLOGY TAPE EFFICACY ON HAMSTRING EXTENSIBILITY

Background

Kinesiology tape has been advocated as a means of improving muscle flexibility, a potential modifiable risk factor for injury, over time. The epidemiology and etiology of hamstring injuries in sport have been well documented.

Purpose

To compare the temporal pattern of efficacy of kinesiology tape and traditional stretching techniques on hamstring extensibility over a five day period.

Study Design

Controlled laboratory study.

Methods

Thirty recreationally active male participants (Mean ± SD: age 20.0 ± 1.55 years; height 179.3 ± 4.94 cm; mass 76.9 ± 7.57 kg) completed an active knee extension assessment (of the dominant leg) as a measure of hamstring extensibility. Three experimental interventions were applied in randomized order: Kinesiology tape (KT), static stretch (SS), proprioceptive neuromuscular facilitation (PNF). Measures were taken at baseline, +1min, + 30mins, + 3days and +5days days after each intervention. The temporal pattern of change in active knee extension was modelled as a range of regression polynomials for each intervention, quantified as the regression coefficient.

Results

Hamstring ROM with KT application at +3days was significantly greater than baseline (129.18 ± 15.46%, p = 0.01), SS (106.99 ± 9.84%, p = 0.03) and PNF (107.42 ± 136.13%, p = 0.03) interventions. The temporal pattern of changes in ROM for SS and PNF were best modelled by a negative linear function, although the strength of the correlation was weak in each case. In contrast, the KT data was optimised using a quadratic polynomial function (r² = 0.60), which yielded an optimum time of 2.76 days, eliciting a predicted ROM of 129.6% relative to baseline.

Conclusion

Each intervention displayed a unique temporal pattern of changes in active knee extension. SS was best suited to immediate improvements, and PNF to +30 minutes in hamstring extensibility, whereas kinesiology tape offered advantages over a longer duration, peaking at 2.76 days. These findings have implications for the choice of intervention, timing and duration to assist clinicians in both a sporting and clinical context.

Level of evidence

2c     

Comparison between the retropubic and transobturator approaches in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications

Objective

This study aimed to compare the effectiveness and complications between the retropubic and transobturator approaches for the treatment of female stress urinary incontinence (SUI) by conducting a systematic review.

Materials and Methods

We selected all randomized controlled trials (RCTs) that compared retropubic and transobturator sling placements for treatment of SUI. We estimated pooled odds ratios and 95% confidence intervals for intraoperative and postoperative outcomes and complications.

Results

Six hundred twelve studies that compared retropubic and transobturator approaches to midurethral sling placement were identified, of which 16 were included in our research. Our study was based on results from 2646 women. We performed a subgroup analysis to compare outcomes and complications between the two approaches. The evidence to support the superior approach that leads to better objective/subjective cure rate was insufficient. The transobturator approach was associated with lower risks of bladder perforation (odds ratio (OR) 0.17, 95% confidence interval (CI) 0.09-0.32), retropubic/vaginal hematoma (OR 0.32, 95% CI 0.16-0.63), and long-term voiding dysfunction (OR 0.32, 95% CI 0.17-0.61). However, the risk of thigh/groin pain seemed higher in the transobturator group (OR 2.53, 95% CI 1.72-3.72). We found no statistically significant differences in the risks of other complications between the two approaches.

Conclusions

This meta-analysis shows analogical objective and subjective cure rates between the retropubic and transobturator approaches to midurethral sling placement. The transobturator approach was associated with lower risks of several complications. However, good-quality studies with long-term follow-ups are warranted for further research.     

女性压力性尿失禁经阴道尿道中段悬吊术后症状持续或复发的补救手术

目的 评估经阴道尿道中段网片耻骨降支悬吊术治疗女性压力性尿失禁(SUI)首次经阴道尿道中段悬吊术(MUSs)后症状持续或复发的效果. 方法 选取2005年6月至2011年6月收治的女性SUI患者32例,年龄44～72岁,平均59岁.首次手术前诊断为单纯SUI 26例,以SUI为主的混合性尿失禁6例.尿失禁程度为中度16例,重度16例.首次手术方式为经阴道尿道中段无张力悬吊术(TVT)2例,经阴道无张力悬带成形术(IVS)4例,经闭孔(由内到外)尿道中段悬吊术(TVT-O) 17例,经闭孔(由外到内)尿道中段悬吊术(TOT)3例,赫美经阴道尿道中段吊带术(Tsling)1例,其他改良吊带MUSs术5例.9例术后即主观无效,随访6个月主观症状仍与术前无异;23例术后6个月症状复发并渐加重,随访12个月主观症状与术前无异.对本组32例采用经阴道尿道中段网片耻骨降支悬吊术治疗,记录手术时间、出血量,于术后3、6、12个月随访,统计分析术后残余尿量、术后疗效、并发症等情况. 结果 本组32例平均手术时间(41.1±13.1)min,平均出血量(70.6±23.8)ml,无手术相关的损伤及并发症发生.30例术后留置导尿6h、2例留置导尿48 h后均可自行排尿.B超检查测残余尿量0～80 ml,平均(23.8±21.4)ml,平均住院时间(4.8±1.1)d.出院时26例主观治愈,4例明显改善,2例症状仍持续.总有效率为93.8％(30/32).随访3、6、12个月时总有效率分别为93.8％(30/32)、93.3％(28/30)、86.2％(25/29).随访12个月时出现2例复发,1例网片侵蚀,无其他并发症发生. 结论经阴道尿道中段网片耻骨降支悬吊术作为MUSs术后症状持续或复发的补救治疗方法具有总有效率高、手术过程简单、易于掌握、经济性好、可重复操作的优点,其手术操作悬吊点位于耻骨降支,避免了其他补救方法需经闭孔或耻骨后操作引起的各种并发症,同时在解剖上支持其疗效的长期性.     

开放性耻骨后顺行根治性前列腺切除术（附光盘）

与逆行方式相比,耻骨后顺行根治性前列腺切除术可降低切缘阳性的发生率,本文简要介绍耻骨后顺行根治性前列腺切除术的操作要点、技巧以及作者所探索的一些技术改进。     

疝环充填式无张力疝修补术在老年腹股沟疝中的应用效果分析

目的探讨疝环充填式无张力疝修补术在老年腹股沟疝治疗中的应用价值。 方法选取2016年11月至2018年2月,三亚市人民医院接受治疗的老年腹股沟疝患者82例,按随机数字表法将患者分为试验组和对照组,每组41例。对照组行Lichtenstein无张力疝修补术,试验组行疝环充填式无张力疝修补术。比较2组手术相关指标、术后不同时间疼痛程度、术后第1天血清β-内啡肽（β-EP）水平,记录2组并发症及复发情况。 结果82例患者顺利完成手术及随访,随访率100%,平均随访时间为（12.45±1.14）个月。相较于对照组,试验组术后伤口疼痛持续时间明显缩短（P<0.05）,2组手术时间、术中出血量、自主活动时间及住院时间无明显差异（P>0.05）。术后2 h 2组VAS评分均最低,术后2 h至7 d 2组患者VAS评分均先升高后降低,且术后12 h及3 d试验组VAS评分均明显低于对照组（P<0.05）。术后第1天,试验组血清β-EP水平明显低于对照组（P<0.05）。试验组术后急性疼痛发生率明显低于对照组。对照组疝复发1例,试验组无疝复发病例。 结论疝环充填式无张力疝修补术对老年腹股沟疝患者产生的应激反应更小,可降低术后疼痛程度,并发症少,安全性高。