《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (2): 184-190.doi: 10.3969/j.issn.1006-9771.2018.02.013

• 临床研究 • 上一篇    下一篇

两种肌内效贴贴扎方法对脑卒中后偏瘫痉挛期患者肩痛的效果

李威1, 2, 李丹3, 赵宜莲1, 2, 章荣2, 胥慧敏1, 周蜜娟1, 2, 牟杨1   

  1. 1.四川卫生康复职业学院,四川自贡市 643000;
    2.四川卫生康复职业学院附属自贡市第一人民医院康复医学科,四川自贡市643000;
    3.四川省自贡市妇幼保健院儿童保健科,四川自贡市643000
  • 收稿日期:2017-12-11 修回日期:2018-01-03 出版日期:2018-02-25 发布日期:2018-03-02
  • 通讯作者: 章荣。E-mail: 1803849138@qq.com
  • 作者简介:李威(1988-),男,汉族,湖北监利县人,助理讲师,康复治疗师,主要从事神经康复方面的研究。
  • 基金资助:
    1.四川省教育厅项目(No. 17ZB0368); 2.四川卫生康复职业学院项目(No. CWKY-2016-02)

Effect of Two Kinds of Kinesio Taping Methods on Shoulder Pain in Hemiplegic Patients with Stroke during Spasm Period

LI Wei1, 2, LI Dan3, ZHAO Yi-lian1, 2, ZHANG Rong2, XU Hui-min1, ZHOU Mi-juan1, 2, MOU Yang1   

  1. 1. Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan 643000, China;
    2 Department of Rehabilitation Medicine, Zigong First People's Hospital Affiliated to Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan 643000, China;
    3 Department of Children Health Care, Zigong Maternal and Child Health-Care Hospital, Zigong, Sichuan 643000, China
  • Received:2017-12-11 Revised:2018-01-03 Published:2018-02-25 Online:2018-03-02
  • Contact: ZHANG Rong. E-mail:1803849138@qq.com

摘要: 目的 观察两种贴扎方法对脑卒中后偏瘫痉挛期患者肩痛的疗效。方法 2015年10月至2017年9月,75例脑卒中后偏瘫痉挛期肩痛患者随机分为A组(n=25)、B组(n=25)和对照组(n=25)。三组常规治疗相同,A组和B组分别运用两种贴扎方法进行治疗。治疗前、治疗4周后,分别采用视觉模拟评分(VAS)评定患侧肩痛,Fugl-Meyer评定量表(FMA)评定上肢运动功能,改良Barthel指数(MBI)评定日常生活活动能力。结果 治疗4周后,三组VAS评分均显著降低(P<0.001),A组和B组均低于对照组(P<0.05),A组明显低于B组(P<0.01);三组FMA和MBI评分均显著升高(P<0.001),A组和B组均高于对照组(P<0.05),A组高于B组(P<0.05)。结论 肌内效贴联合康复训练能有效减轻脑卒中偏瘫痉挛期患者的肩痛,提高上肢运动功能和日常生活活动能力;且不同的贴扎方法,疗效不一。

关键词: 脑卒中, 偏瘫, 肩痛, 肌内效贴, 上肢, 运动功能

Abstract: Objective To observe the effect of two kinds of Kinesio taping methods on shoulder pain in hemiplegic patients with stroke during spasm period.Methods From October, 2015 to September, 2017, 75 stroke hemiplegic patients with shoulder pain during spasm period were randomly divided into group A (n=25), group B (n=25) and control group (n=25). Three groups were given conventional treatment, and group A and group B received two kinds of Kinesio taping methods, respectively. Before and four weeks after treatment, the shoulder pain was assessed with Visual Analogue Scale (VAS), the motor function of upper limb was assessed with Fugl-Meyer Assessment (FMA), and their activities of daily living was assessed with modified Barthel Index (MBI).Results After treatment, the score of VAS significantly decreased in all groups (P<0.001), and was lower in groups A and B than in the control group (P<0.05), especially in group A (P<0.01); the scores of FMA and MBI significantly increased (P<0.001), and was higher in groups A and B than in the control group (P<0.05), especially in group A (P<0.05).Conclusion Kinesio taping combined with rehabilitation training for the treatment of stroke patients following hemiplegia during spasm period can relieve the shoulder pain and improve the motor function of upper limb and activi ties of daily living. The curative effect varies with different taping methods.

Key words: stroke, hemiplegia, shoulder pain, Kinesio taping, upper limb, motor function

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