肌内效贴结合常规康复训练对脑卒中偏瘫患者肩关节半脱位及肩痛的影响

目的:探讨肌内效贴结合常规康复训练对脑卒中偏瘫患者肩关节半脱位合并肩痛患者的影响。方法:将符合入选标准的脑卒中偏瘫患者60例采用随机数字表法分为治疗组30例和对照组30例。治疗组采用肌内效贴技术结合常规康复训练,而对照组采用外贴关节镇痛膏结合常规康复训练。两组患者均于治疗前和治疗4周后进行疼痛视觉模拟评分(Visual analogue scale,VAS)、肩峰和肱骨头间距(Acromio-humeral interval,AHI)、上肢运动功能量表(Fugl-Meyer Assessment Upper Limb,FMA-U)得分及改良日常生活能力(Modified Barthel Index,MBI)测试。结果:治疗4周后,两组治疗前后VAS评分和AHI值与治疗前比较均显著改善,差异均有统计学意义(P<0.05),但VAS评分组间比较无显著改善,差异无统计学意义(P>0.05),而AHI值组间比较显著改善,差异有统计学意义(P<0.05);治疗4周后,两组治疗前后FMA-U和MBI与治疗前比较均显著改善,差异有统计学意义(P<0.05,P<0.001),但FMA-U组间比较显著改善,差异有统计学意义(P<0.05),而MBI组间比较无显著改善,差异无统计学意义(P>0.05)。结论:肌内效贴结合常规康复训练能有效缓解脑卒中后偏瘫患者患肩痛,减轻肩关节半脱位的程度,提高上肢运动功能,改善生活质量,值得在临床康复治疗中推广应用。

Effectives of Kinesio Taping Combined with Conventioanl Rehabilitation Training for Stroke Patients with Shoulder Subluxation and Pain

Objective:To evaluate the effect of Kinseio taping combined with conventional rehabilitation training for stroke patients with shoulder subluxation and Pain.Methods:60 stroke patients who were eligible for inclusion criteria on the basis of random number table which were randomly divided into the treatment group(n=30)and the control group(n=30).The patients in treatment group received Kinseio taping combined with conventional rehabilitation training and the patients in control group just received normal rehabilitation training combined with analgesic plaster.All patients were assessed using Visual Analogue scale(VAS),Acrolnio-Humeral Interval(AHI),Fugl-Meyer Assessment,Upper Scale(FMA-U)and Modified Barthel index(MBI).Assessments were carried out after a minimum of 4 weeks.Results:After 4 weeks of treatment,the VAS and AHI scores of both groups had improved significantly which compared with before and after treatment(P<0.05),but the VAS scores which there were no significantly improved in comparison among group(P>0.05),while the AHI scores which there were significantly improved in comparison among group(P<0.05);after 4 weeks of treatment,significant differences were found in FMA-U and MBI scores compared with before the treatment in both groups(P<0.05,P<0.001),but the FMA-U scores were significantly improved in between group(P<0.05);at the same time,the MBI scores were no significantly improved in between group(P>0.05).Conclusion:This study corroborates evidence that Kinseio taping combined with conventional rehabilitation training can effectively relieve the hemiplegia after stroke patients with shoulder pain,reduce the degree of shoulder joint subluxation,improve upper limb motor function and quality of life,which is worth popularizing and applying in clinical rehabilitation therapy.