《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

肌内效贴对脑卒中后上肢痉挛的疗效①

杨雅敬1，朱毅2   

  1. 1. 围场县医院康复医学科，河北承德市067000；2. 海南医学院附属农垦总医院康复治疗中心，海南海口市570311。
  • 出版日期:2016-09-25 发布日期:2016-12-05

Effects of Kinesio Taping on Spasticity of Upper Limbs after Stroke

YANG Ya-jing1, ZHU Yi2   

  1. 1. Department of Rehabilitation Medicine, Weichang County Hospital, Chengde, Hebei 067000, China; 2. Centre of Physical Medicine and Rehabilitation, Hainan Nongken General Hospital, Haikou, Hainan 570311, China
  • Published:2016-09-25 Online:2016-12-05

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摘要： 目的观察肌内效贴对脑卒中后上肢痉挛的临床疗效。方法2015 年3~11 月，39 例脑卒中上肢痉挛患者随机分为肌内效贴组(肌内效贴+康复，n=13)、白贴组(白贴+康复，n=13)和空白组(康复，n=13)。治疗前、治疗4 周及8 周时，采用改良Ashworth量表(MAS)、Fugl-Meyer 上肢功能评定(FMA)及改良Barthel 指数(MBI)进行评定。结果治疗4 周后，三组间FMA及MBI评分无显著性差异(P>0.05)，肌内效贴组MAS优于白贴组和空白组(P<0.05)；治疗8 周后，肌内效贴组MAS、FAM及MBI均优于白贴组和空白组(P<0.05)。结论应用肌内效贴可进一步改善脑卒中患者上肢痉挛、运动功能和日常生活活动能力。

关键词: 脑卒中, 痉挛, 上肢, 肌内效贴

Abstract: Objective To observe the effects of Kinesio taping on upper limb spasticity after stroke. Methods From March to November, 2015, 39 stroke patients were divided into Kinesio taping group (Kinesio taping and rehabilitation, n=13), white taping group (white taping and rehabilitation, n=13) and blank group (rehabilitation, n=13) randomly. They were evaluated with modified Ashworth Scale (MAS), Fugl-Meyer Assessment (FMA) of upper limbs and the modified Barthel Index (MBI) before treatment, four and eight weeks after treatment. Results There was no significant difference among the three groups in the scores of FMA and MBI (P>0.05) four weeks after treatment, but the score of MAS improved more in the Kinesio taping group than in the other two groups (P<0.05). The scores of MAS, FMA and MBI all improved more in the Kinesio taping group than in the other two groups (P<0.05) eight weeks after treatment. Conclusion The application of Kinesio taping can relieve upper limb spasticity, and improve motor function and activities of daily living for patients with stroke.

Key words: stroke, spasticity, upper limbs, Kinesio taping