目的 观察基于具身认知理论的肌内效贴导向疗法治疗脑卒中后面瘫及流涎的临床疗效。方法 2018年1月至7月，脑卒中后中枢性面瘫患者30例随机分成对照组和观察组，各15例。对照组采用冰棉块刷擦刺激、面部手法按摩、面肌功能训练和低频脉冲电刺激治疗；观察组在面部手法、面肌功能训练的同时，使用“Y”形或“O”形贴布交替进行肌内效贴导向治疗，并嘱患者尽量保持贴扎至第2天。治疗前和治疗4周后，采用教师流涎量表(TDS)、House-Brackmann (H-B)分级和面神经功能临床评定量表进行评估。结果 治疗后，两组TDS分级、H-B分级和面神经功能临床评定量表评分均改善(Z > 2.460, t > 4.971, P < 0.05)，观察组明显优于对照组(Z > 2.817, t > 4.964, P < 0.01)。结论 肌内效贴导向疗法治疗脑卒中后中枢性面瘫和流涎有效。
Objective To observe the clinical efficacy of Kinesio Taping guided therapy on facial paralysis and salivation after stroke.Methods From January to July, 2018, 30 patients with central facial palsy were randomly divided into control group (n = 15) and observation group (n = 15). The control group accepted ice stimulation, facial massage, facial muscle function training and low-frequency electrical stimulation, while the observation group accepted Kinesio Taping of "Y" or "O" shape alternately during massage and facial muscle function training, and kept taping for a day if possible. They were assessed with Teacher Drooling Scale (TDS), House-Brackmann (H-B) Scale and Facial Nerve Function Scale before and four weeks after treatment. Results Both groups improved in the scores of TDS, H-B Scale and Facial Nerve Function Scale after treatment (Z > 2.460, t > 4.971, P < 0.05), and improved more in the observation group than in the control group (Z > 2.817, t > 4.964, P < 0.01). Conclusion Kinesio Taping guided therapy is effective on central facial paralysis and salivation after stroke.
1 晏小华,廖琼,周永辉,等. 贴扎技术联合面肌训练治疗卒中后面瘫的疗效[J]. 临床医药实践, 2018, 27(3): 174-177.
2 王少华. 肌内效贴治疗中枢性面瘫疗效研究[J]. 中国康复, 2018, 33(1): 26-28.
3 秦宏,马丹,罗峰,等. 肌内效贴布治疗脑卒中后肩手综合征患者疼痛肿胀疗效观察[J]. 中国运动医学杂志, 2014, 33(12): 1149-1152.
4 姜文君,史佩佩,王盛. 肌内效贴在中枢神经系统损伤康复中的应用进展[J]. 中国康复理论与实践, 2014, 20(11): 1047-1049.
5 许佳,胡世红,周亚飞,等. 肌内效贴结合常规运动疗法对偏瘫患者下肢功能及步态的疗效观察[J]. 中国康复, 2016, 31(6): 446-449.
6 贾建平,陈生弟. 神经病学[M]. 7版. 北京:人民卫生出版社, 2014: 40-42.
7 赵燕玲,王正敏,周梁,等. 王正敏改良面瘫主观评价体系对比研究[J]. 北京医学, 2005, 27(1): 61.
8 朱伟芳,唐春林,梅麟凤,等. 穴位贴敷加针刺配合闪罐治疗周围性面瘫的临床观察[J]. 针灸临床杂志, 2011, 27(10): 18-20.
9 王忠华. 早期电针疗法对急性脑出血患者运动功能恢复的影响[J]. 中国康复医学杂志, 2008, 23(6): 554-555.
10 肖红梅. 电针结合肌内效贴治疗难治性周围性面瘫疗效观察[J]. 实用中医药杂志, 2015, 31(8): 752-753.
11 吴杰贤,黄绮娟,陈超云,等. 肌内效贴贴扎疗法治疗周围性面瘫的临床效果[J]. 中国实用神经疾病杂志, 2017, 20(4): 3-5.
12 赵承坤,曲峰. 肌内效贴在运动生物力学领域应用研究进展[J]. 中国运动医学杂志, 2015, 34(6): 609-613.
13 李旅萍,苑媛,欧阳冬方. 针刺结合肌内效贴治疗面神经炎的临床观察[J]. 甘肃医药, 2016, 35(10): 755-757.
14 ÖztürkG, GelerK D, NilgünM, et al. Efficacy of Kinesio tape application on pain and muscle strength in patients with myofascial pain syndrome: a placebo-controlled trial [J]. J Phys Ther Sci, 2016, 28(4): 1074-1079.
15 陈文华. 软组织贴扎技术临床应用精要[M]. 上海:上海浦江教育出版社, 2012.
16 王美倩,郑旭东. 具身认知与学习环境:教育技术学视野的理论考察[J]. 开放教育研究, 2015, 21(1): 53-61.
17 AdamsF. Embodied cognition [J]. Phenom Cogn Sci, 2010, 9(4): 619-628.
18 AktasG, BaltaciG. Does Kinesio taping increase knee muscles strength and functional performance [J]. Isokinet Exerc Sci, 2011, 19(3): 149-155.
19 VithoulkaI, MalliouA B, AggelousisN, et al. The effects of Kinesio-Taping on quadriceps strength during isokinetic exercise in healthy non athlete women [J]. Isokinet Exerc Sci, 2010, 18(1): 1-6.
20 陆亮,黄黎明. 肌内效贴在康复医学中的应用[J]. 按摩与康复医学, 2016, 7(18): 6-8.
21 陈超云,吴杰贤,翟青. 肌内效贴贴扎疗法治疗周围性面瘫疗效观察[J]. 海南医学, 2017, 28(9): 1490-1491.
22 黄美欢,曹建国,贠国俊,等. 肌内效贴在脑瘫儿童康复中的应用进展[J]. 中国康复医学杂志, 2016, 31(1): 102-105.
23 张国海,王人卫. 肌内效贴对人体运动能力影响与相关机理的研究进展与展望[J]. 中国体育科技, 2015(1): 73-80.
24 刘佩婉,葛丽君,王思远,等. 肌内效贴改善脑卒中吞咽障碍的疗效观察[J]. 中日友好医院学报, 2016, 30(3): 175-176.
25 屈菲,颜海霞,刘言薇,等. 针刺联合肌内效贴治疗周围性面神经炎的疗效观察[J]. 中国康复医学杂志, 2017, 32(4): 424-427.
26 GonzáleziglesiasJ, FernándezdelaspeñasC, ClelandJ A, et al. Short-term effects of cervical Kinesio taping on pain and cervical range of motion in patients with acute whiplash injury: a randomized clinical trial [J]. J Orthop Sports Phys Ther, 2009, 39(7): 515-521.
