运动贴布对脑卒中后肩关节半脱位的疗效

doi:10.3969/j.issn.1006-9771.2018.12.020

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (12): 1461-1464.doi: 10.3969/j.issn.1006-9771.2018.12.020

运动贴布对脑卒中后肩关节半脱位的疗效

江汉宏, 叶赛青, 梁邱, 魏清川, 张楚雪, 高强

四川大学华西医院康复医学中心,四川成都市 610000

收稿日期:2018-07-20 修回日期:2018-09-03 出版日期:2018-12-25 发布日期:2019-01-04
通讯作者: 高强(1982-),男,汉族,四川南充市人,博士,副主任治疗师,主要研究方向：神经系统疾病的康复治疗。高强。E-mail: gaoqiang_hxkf@163.com
作者简介:江汉宏(1992-),男,汉族,广东梅州市人,治疗师,主要研究方向：脑卒中后姿势控制和步态矫正。
基金资助:
四川省卫计委课题(No. 17PJ175)

Effect of Athletic Taping on Subluxation of Shoulder after Stroke

JIANG Han-hong, YE Sai-qing, LIANG Qiu, WEI Qing-chuan, ZHANG Chu-xue, GAO Qiang

Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610000, China

Received:2018-07-20 Revised:2018-09-03 Published:2018-12-25 Online:2019-01-04
Contact: GAO Qiang. E-mail: gaoqiang_hxkf@163.com
Supported by:
Sichuan Health and Family Planning Commission Research Project (No. 17PJ175)

摘要/Abstract

摘要： 目的观察运动贴布对脑卒中后偏瘫患者肩关节半脱位的治疗效果。方法 2017年3月至2018年3月,40例脑卒中患者随机分为对照组(n = 20)和治疗组(n = 20),两组均予常规康复训练,治疗组训练前使用运动贴布贴扎,训练后取下。治疗前及治疗4周后,测量肩峰下缘至肱骨头中心的距离(AHD),采用疼痛视觉模拟评分(VAS)、简式Fugl-Meyer评定量表上肢部分(FMA-UE)和功能综合评定量表(FCA)进行评定。结果治疗后,两组AHD,以及VAS、FMA-UE和FCA评分均显著改善(Z > 3.508, t > 4.544, P < 0.001),治疗组VAS、FMA-UE和FCA评分明显优于对照组(Z = -3.151, t > 2.843, P < 0.01)。结论运动贴布能缓解脑卒中后肩部疼痛,促进患侧上肢运动功能恢复,提高日常活动能力。

关键词: 脑卒中, 肩关节半脱位, 运动贴布

Abstract: Objective To observe the effect of athletic taping on shoulder subluxation in stroke patients with hemiplegia. Methods From March, 2017 to March, 2018, 40 stroke patients with hemiplegia were randomly divided into control group (n = 20) and experiment group (n = 20). They all accepted routine rehabilitation training, and the experiment group accepted athletic taping before the training. They were measured acromio-humeral distance (AHD) before and after four weeks of treatment. Meanwhile, the were assessed with Visual Analogue Scale (VAS) of pain, simplified Fugl-Meyer Assessment-upper extremity (FMA-UE) and Functional Comprehensive Assessment (FCA). Results AHD, and scores of VAS, FMA-UE and FCA improved in both the groups after treatment (Z > 3.508, t > 4.544, P < 0.001), and improved more in the scores of VAS, FMA-UE and FCA in the experiment group than in the control group (Z = -3.151, t > 2.843, P < 0.01). Conclusion Athletic taping can alleviate shoulder pain, promote upper limb functional recovery and improve the ability of daily living for stroke patients with hemiplegia.

Key words: stroke, shoulder subluxation, athletic taping

中图分类号:

R743.3

江汉宏, 叶赛青, 梁邱, 魏清川, 张楚雪, 高强. 运动贴布对脑卒中后肩关节半脱位的疗效[J]. 《中国康复理论与实践》, 2018, 24(12): 1461-1464.

JIANG Han-hong, YE Sai-qing, LIANG Qiu, WEI Qing-chuan, ZHANG Chu-xue, GAO Qiang. Effect of Athletic Taping on Subluxation of Shoulder after Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(12): 1461-1464.

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运动贴布对脑卒中后肩关节半脱位的疗效

Effect of Athletic Taping on Subluxation of Shoulder after Stroke

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