肌內效貼布治療肩峰下夾擠症候群的系統性文獻回顧

Literature Review on Effects of Kinesio Taping for Individuals with Subacromial Impingement Syndrome

背景與目的：肩關節是身體重要的關節之一，臨床上常見肩關節的骨骼肌肉問題有滑液囊炎、冰凍肩、肌腱發炎、肩峰下夾擠症候群等，其中又以肩峰下夾擠症候群（subacromial impingement syndrome）最常發生。過去研究指出肩峰下夾擠症候群在所有肩關節疾病當中佔 16-40% 之間，且多發生於常從事手高舉過頭（overhead）的活動中，其保守治療的種類很多，包括伸展運動、肌力訓練、關節鬆動術、電刺激治療，以及多種貼紮治療等。其中肌內效貼布貼紮在目前物理治療或運動傷害領域，是一種常用的輔助治療工具，但過去並沒有相關對肩峰下夾擠症候群療效的整理探討，故本研究藉由系統性文獻回顧來探討肌內效貼紮對肩峰下夾擠症候群患者的效果。
方 法：本研究搜尋從 1995 年 1 月至 2014 年 6 月間，於 PubMed、CINAHL、Cochrane library 及 Medline 等資料庫，選取關鍵字為肌內效貼紮（kinesio taping）、貼紮治療（taping）和肩峰下夾擠症候群（subacromial impingement syndrome）之相關文獻。
結果與結論：經過搜尋後選取四篇文獻探討，受試者均為診斷為肩峰下夾擠症候群的患者，貼紮方式多採用 Y 字型貼布，並針對棘上肌（supraspinatus）、三角肌（deltoid），以及小圓肌（teres minor）貼紮。從文獻回顧的結果可知，肌內效貼紮對肩峰下夾擠症候群患者減緩疼痛、改善功能和增加肩關節外展的不痛角度有其功效。本研究限制為搜尋文獻僅以英文發表之研究，並排除了無法取得全文之文獻，結果共選取四篇，文獻篇數不足、所選取的文獻品質不一、有的研究缺乏對受試者和施測者設盲、有的非隨機控制試驗、貼紮治療介入的時間長短不同、受試者年齡上的差異，以及各篇在貼紮方式選取上的不同。

Background and Purpose: One of the important body joints is the shoulder joint. In orthopedic clinics, shoulder pain is a very common musculoskeletal complaint Subacromial impingement syndrome is the most common shoulder complaint, especially among people who do overhead activities. Its prevalence is 16-40%. Kinesio taping is widely used in the field of rehabilitation and sport injuries. This study is a literature review on effects of kinesio taping in individuals with subacromial impingement syndrome.
Methods: Studies that compared the effects of kinesio taping with other treatments in individuals with subacromial impingement syndrome from January 1995 to June 2014 were identified from PubMed, CINAHL, Cochrane library, and Medline.
Results and Discussion: Four articles were identified and reviewed. The findings suggested that kinesio taping could decrease pain, improve function, and increase painless shoulder abduction range of motion in individuals with subacromial impingement syndrome. Limitations of our study included the small number of articles reviewed, which were all published in English, and variations in study design, subject inclusion criteria and taping methods used in the studies.