临床荟萃

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肌内效贴扎对早期脑卒中患者手功能的影响

  

  1. 1.上海市第五康复医院  康复医学科, 上海 201600;2.上海交通大学附属上海市第一人民医院 康复医学科, 上海200080
  • 出版日期:2019-11-20 发布日期:2020-01-09
  • 通讯作者: 阚世锋, Email: 896578065@qq.com
  • 基金资助:
    上海市残疾人康复科研项目----肌内效贴对脑卒中患者手痉挛后功能障碍的影响(K2016018)

Effect of  kinesio taping on hand function in patients with stroke in early  stage

  1. 1. Department of Rehabilitation Medicine, the Fifth Rehabilitation Hospital of Shanghai, Shanghai 201600, China;
    2.Department of Rehabilitation Medicine, Shanghai First People'sHospital,  4Shanghai 200080, China
  • Online:2019-11-20 Published:2020-01-09
  • Contact: Corresponding author: Kan Shifeng, Email: 896578065@qq.com

摘要: 目的  观察肌内效贴对早期脑卒中患者手功能的临床疗效。方法  选取60例符合入选标准的早期脑卒中患者,随机分为肌内效贴组(肌内效贴+康复,n=20,脱落2例)、白贴组(白贴+康复,n=20,脱落1例)和空白组(康复,n=20,脱落1例)。分别于治疗前、治疗3周及治疗6周后采用改良Ashworth(MAS)量表、手肿胀程度(手体积)、FuglMeyer运动功能(FMA)评分上肢部分、简易上肢机能检查(STEF)进行评定。结果  治疗3周及6周后,3组MAS评分差异无统计学意义(P>0.05),肌内效贴组FMA评分、STEF评分及手体积差值均优于白贴组和空白组(P<0.05);肌内效组MAS评分较治疗前有明显改善(P<0.05)。结论  应用肌内效贴扎可改善早期脑卒中患者的患手痉挛、肿胀,从而改善手功能。

关键词: 卒中, 肌内效贴, 手功能, 康复

Abstract: Objective  To observe the clinical effect of Kinesio taping on hand function in patients with stroke  in early  stage. Methods   Totally 60 patients with early stroke who met the inclusion criteria were randomly divided into three groups: Kinesio taping group (Kinesio taping + rehabilitation, n=20, 2 cases dropped off), white patch group (white patch + rehabilitation, n=20, 1 case dropped off) and blank group (rehabilitation, n=20, 1 case dropped off). Before the treatment, 3 weeks after treatment and 6 weeks after treatment, the modified Ashworth Scale (MAS), the degree of hand swelling (hand volume), Fugl Meyer motor function score (FMA) and simple upper extremity function examination (STEF) were used for evaluation. Results  After 3 weeks and 6 weeks of treatment, there was no statistically  significant difference in MAS score among three groups (P>0.05).  FMA score, STEF and hand volume in Kinesio taping group were better than those in other two groups (P<0.05).  MAS score in Kinesio taping group was significantly increased compared with that before treatment (P<0.05). Conclusion  Kinesio taping can be applied to improve hand spasms and swelling in patients with early stroke so as to improve the hand function.

Key words: stroke, kinesio, hand function, recovery