肌内效贴在预防脑卒中偏瘫患者膝过伸的应用研究

目的:探讨肌内效贴在预防脑卒中偏瘫患者膝过伸中的应用。方法:将80例早期脑卒中偏瘫患者随机分为对照组和观察组各40例。2组患者均进行常规康复训练,观察组在对照组的基础上对患侧膝关节周围肌群进行肌内效贴早期贴扎预防膝过伸的干预。分别于治疗前后对2组患者的膝过伸发生率、简式Fugl-Meyer下肢评分(FMA)及功能性步行量表(FAC)评分。结果:治疗12周后,观察组与对照组膝过伸发生率分别为32.5%和57.5%,对照组明显高于观察组(P0.05);同时发现2组患者下肢FMA、FAC评分与治疗前比较有明显提高(P0.05),观察组明显优于对照组(P0.05)。结论:肌内效贴早期应用能有效预防脑卒中偏瘫患者膝过伸的发生及提高患者的下肢功能和步行能力。

Application of kinesio taping in the prevention of knee extension in patients with hemiplegia after stroke

Objective:To explore the application of kinesio taping in the prevention of knee extension in patients with hemiplegia after stroke. Methods:Eighty patients with hemiplegia after stroke at the early stage were divided into the control group and the treatment group by random with 40 cases in each group. Two groups of patients were treated with routine rehabilitation training. Additionally, the treatment group was given kinesio taping on the muscle group around the knee joint of the affected side to prevent the knee extension. Before and 12 weeks after treatment, knee extension rate, simple Fugl-Meyer lower limb score (FMA) and functional walking scale (FAC) score were measured and analyzed statistically. Results: After treatment for 12 weeks, knee extension rate in the treatment group and the control group was 32.5% and 57.5% respectively with the difference being statistically significant (P<0.05). The FMA and FAC scores in two groups were significantly increased after treatment as compared with those before treatment (P<0.05). After treatment for 12 weeks, knee extension rate, FMA and FAC scores in the treatment group were significantly increased as compared with the control group (P<0.05). Conclusion: The early application of kinesio taping can effectively prevent the occurrence of knee extension in patients with stroke and improve the function of lower limbs and walking ability.