肌内效贴对不同恢复阶段脑卒中患者下肢功能的影响

doi:10.3969/j.issn.1006-9771.2021.06.013

摘要/Abstract

摘要： 目的

观察肌内效贴对不同恢复期的脑卒中偏瘫患者下肢运动功能的临床疗效。

方法

2015年8月至2017年8月，选择Brunnstrom Ⅲ期和Ⅳ期脑卒中偏瘫患者各30例，每期再随机分为对照组和治疗组各15例。患者均接受综合康复训练，治疗组在此基础上采用肌内效贴治疗，共4周。治疗前后采用Fugl-Meyer评定量表下肢部分(FMA-LE)、计时起立-行走测试(TUGT)和步态分析进行评定。

结果

治疗后，所有患者各项评定成绩均较治疗前显著改善(P < 0.001)；组间比较，Brunnstrom Ⅳ期治疗组FMA-LE评分和步速较对照组明显改善(P < 0.01)；Brunnstrom Ⅲ期治疗组FMA-LE评分、步速、TUGT时间、髋关节伸展角度和步态对称性较对照组改善(P < 0.05)。

结论

肌内效贴有助于进一步改善脑卒中后偏瘫患者下肢运动功能，对Brunnstrom Ⅲ期患者效果更好。

关键词: 脑卒中, 偏瘫, 肌内效贴, 下肢, 运动功能, 步行

Abstract: Objective

To observe the effect of Kinesio taping on lower limb motor function in patients with hemiplegia at different stages of stroke.

Methods

From August, 2015 to August, 2017, 60 patients at stages of Brunnstrom III (n = 30) and Brunnstrom IV (n = 30) were randomly divided into control group (n = 15) and treatment group (n = 15). All the patients received comprehensive rehabilitation training, while the treatment group taped Kinesio taping in the lower extremities, for four weeks. They were assessed with Fugl-Meyer Assessment-Lower Extremity (FMA-LE), Time 'Up & Go' Test (TUGT) and gait analysis before and after treatment.

Results

The results of all the measurements improved after treatment in all the groups (P < 0.001). For the patients at Brunnstrom IV, FMA-LE score and walking speed improved more in the treatment group than in the control group after treatment (P < 0.01); for those at Brunnstrom III, FMA-LE score, walking speed, TUGT time, hip extension angle and gait symmetry improved more in the treatment group than in the control group after treatment (P < 0.05).

Conclusion

Kinesio taping is effective on the lower limb motor function for patients with hemiplegia after stroke, especially for patients at Brunnstrom III.

Key words: stroke, hemiplegia, Kinesio taping, lower limb, motor function, walking

中图分类号:

R743.3

刘元旻,恽晓萍,丁玎,杜雪晶,朱晓敏. 肌内效贴对不同恢复阶段脑卒中患者下肢功能的影响[J]. 《中国康复理论与实践》, 2021, 27(6): 712-718.

Yuan-min LIU,Xiao-ping YUN,Ding DING,Xue-jing DU,Xiao-min ZHU. Effects of Kinesio Taping on Lower Limb Function for Stroke Patients at Different Recovery Stages[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(6): 712-718.

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组别	n	性别(男/女, n)	年龄(岁)	病程(月)	性质(出血/梗死, n)
对照组	30	21/9	48.47±9.46	4.03±1.00	16/14
治疗组	30	17/12	48.57±8.80	4.17±0.91	19/11
χ²/t值		0.659	-0.042	-0.540	1.684
P值		0.417	0.996	0.592	0.194

组别	n	治疗前	治疗后	Z值	P值
对照组	15	10.27±1.10	15.13±1.13	-4.713	< 0.001
治疗组	15	9.73±1.62	18.07±1.28	-4.722	< 0.001
Z值		-1.430	-4.372
P值		0.153	< 0.001

组别	n	治疗前	治疗后	Z值	P值
对照组	15	23.87±1.73	30.53±0.74	-4.774	< 0.001
治疗组	15	24.80±1.08	31.33±0.72	-4.778	< 0.001
Z值		-1.192	-2.697
P值		0.153	0.007

组别	n	治疗前	治疗后	F值	P值
对照组	15	27.19±1.63	19.78±1.59	3045.133	< 0.001
治疗组	15	27.30±1.53	17.03±0.94	918.661	< 0.001
F值		0.024	21.573
P值		0.879	< 0.001

组别	n	治疗前	治疗后	F值	P值
对照组	15	50.71±1.44	70.44±2.41	566.617	< 0.001
治疗组	15	51.77±0.56	81.07±2.49	1106.505	< 0.001
F值		3.402	95.868
P值		0.086	< 0.001