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

Abstract

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

CLC Number:

R743.3

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.

References

[1] Stolzenberg D, Siu G, Cruz E.Current and future interventions for glenohumeral subluxation in hemiplegia secondary to stroke[J]. Top Stroke Rehabil, 2012, 19(5): 444-456.
[2] 中华医学会神经病学分会神经康复学组,中华医学会神经病学分会脑血管病学组,卫生部脑卒中筛查与防治工程委员会办公室. 中国脑卒中康复治疗指南(2011完全版)[J]. 中国康复理论与实践, 2012, 18(4): 301-318.
[3] Lindgren I, Jönsson AC, Norrving B, et al.Shoulder pain after stroke. A prospective population-based study[J]. Stroke, 2007, 38(2): 343-348.
[4] Nadler M, Pauls MMH.Shoulder orthoses for the prevention and reduction of hemiplegic shoulder pain and subluxation: systematic review[J]. Clin Rehabil, 2016, 31(4): 444-453.
[5] Dall'Agnol MS, Cechetti F. Kinesio taping associated with acupuncture in the treatment of the paretic upper limb after stroke[J]. J Acupunct Meridian Stud, 2018, 11(2): 67-73.
[6] Arya KN, Pandian S, Puri V.Rehabilitation methods for reducing shoulder subluxation in post-stroke hemiparesis: a systematic review[J]. Top Stroke Rehabil, 2018, 25(1): 68-81.
[7] van Bladel A, Lambrecht G, Oostra KM, et al. A randomized controlled trial on the immediate and long-term effects of arm slings on shoulder subluxation in stroke patients[J]. Eur J Phys Rehab Med, 2017, 53(3): 400-409.
[8] Chatterjee S, Hayner K, Arumugam N, et al.The California tri-pull taping method in the treatment of shoulder subluxation after stroke: a randomized clinical trial[J]. N Am J Med Sci, 2016, 8(4): 175-182.
[9] Heo MY, Kim CY, Nam CW.Influence of the application of inelastic taping on shoulder subluxation and pain changes in acute stroke patients[J]. J Phys Ther Sci, 2015, 27(11): 3393-3395.
[10] Gulpinar D, Tekeli Ozer S, Yesilyaprak SS.Effects of rigid and kinesio taping on shoulder rotation motions, posterior shoulder tightness, and posture in overhead athletes: a randomized controlled trial[J]. J Sport Rehabil, 2018. doi: 10.1123/jsr.2017-0047.[Epub ahead of print].
[11] 饶明俐. 中国脑血管病防治指南[M]. 北京:人民卫生出版社, 2007: 30-50.
[12] Joshi D, Chitra J.Effect of scapular proprioceptive neuromuscular facilitation on shoulder pain, range of motion, and upper extremity function in hemiplegic patients: a randomized controlled trial[J]. Indian J Health Sci Biomed Res, 2017, 10(3): 276.
[13] Manigandan JB, Ganesh GS, Pattnaik M, et al.Effect of electrical stimulation to long head of biceps in reducing gleno humeral subluxation after stroke[J]. NeuroRehabilitation, 2014, 34(2): 245-252.
[14] Abián-Vicén J, Alegre LM, Fernández-Rodríguez JM, et al.Prophylactic ankle taping: elastic versus inelastic taping[J]. Foot Ankle Int, 2009, 30(3): 218-225.
[15] Paci M, Nannetti L, Rinaldi LA.Glenohumeral subluxation in hemiplegia: an overview[J]. J Rehabil Res Dev, 2005, 42(4): 557-568.
[16] See J, Dodakian L, Chou C, et al.A standardized approach to the Fugl-Meyer Assessment and its implications for clinical trials[J]. Neurorehabil Neural Repair, 2013, 27(8): 732-741.
[17] 范文可,胡永善,吴毅,等. 功能综合评定量表效度的研究[J]. 中国康复医学杂志, 2003, 18(6): 325-329.
[18] 冯洪,方玉美,李淑会. 脑卒中肩关节半脱位患者使用肩吊带的护理观察[J]. 中国康复理论与实践, 2011, 17(1): 98-99.
[19] Kim JY, Chung JS, Jang GU, et al.The effects of non-elastic taping on muscle tone in stroke patients: a pilot study[J]. J Phys Ther Sci, 2015, 27(12): 3901-3905.
[20] Keenan MA, Namdari S, Keenan MA.Outcomes of the biceps suspension procedure for painful inferior glenohumeral subluxation in hemiplegic patients[J]. J Bone Joint Surg Am, 2010, 92(15): 2589-2597.
[21] Lee SC, Kim AR, Chang WH, et al.Hemiplegic shoulder pain in shoulder subluxation after stroke: associated with range of motion limitation[J]. Brain Neurorehabil, 2018, 11(1): 1-9.
[22] Barlak A, Unsal S, Kaya K, et al.Poststroke shoulder pain in Turkish stroke patients: relationship with clinical factors and functional outcomes[J]. Int J Rehabil Res, 2009, 32(4): 309-315.
[23] Kumar P, Mardon M, Bradley M, et al.Assessment of glenohumeral subluxation in poststroke hemiplegia: comparison between ultrasound and fingerbreadth palpation methods[J]. Phys Ther, 2014, 94(11): 1622-1631.
[24] Kumar P, Cruziah R, Bradley M, et al.Intra-rater and inter-rater reliability of ultrasonographic measurements of acromion-greater tuberosity distance in patients with post-stroke hemiplegia[J]. Top Stroke Rehabil, 2016, 23(3): 147-153.
[25] 胡永善,吴毅. 功能综合评定量表的研究——(一)量表设计[J]. 中国康复医学杂志, 2002, 17(1): 35-38.
[26] Stinear CM, Barber PA, Smale PR, et al.Functional potential in chronic stroke patients depends on corticospinal tract integrity[J]. Brain, 2006, 130(1): 170-180.
[27] Jang SH, Yi JH, Chang CH, et al.Prediction of motor outcome by shoulder subluxation at early stage of stroke[J]. Medicine, 2016, 95(32): e4525.

Effect of Athletic Taping on Subluxation of Shoulder after Stroke

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