运动贴布对脑卒中后肩关节半脱位的疗效

Effect of Athletic Taping on Subluxation of Shoulder after Stroke

目的观察运动贴布对脑卒中后偏瘫患者肩关节半脱位的治疗效果。方法 2017年3月至2018年3月,40例脑卒中患者随机分为对照组(n=20)和治疗组(n=20),两组均予常规康复训练,治疗组训练前使用运动贴布贴扎,训练后取下。治疗前及治疗4周后,测量肩峰下缘至肱骨头中心的距离(AHD),采用疼痛视觉模拟评分(VAS)、简式Fugl-Meyer评定量表上肢部分(FMA-UE)和功能综合评定量表(FCA)进行评定。结果治疗后,两组AHD,以及VAS、FMA-UE和FCA评分均显著改善(Z> 3.508, t> 4.544, P <0.001),治疗组VAS、FMA-UE和FCA评分明显优于对照组(Z=-3.151, t> 2.843, P <0.01)。结论运动贴布能缓解脑卒中后肩部疼痛,促进患侧上肢运动功能恢复,提高日常活动能力。

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.