肌内效贴结合常规运动疗法对偏瘫患者下肢功能及步态的疗效观察

Clinical observation of kinesio taping with physical therapy on the lower limb function and walking ability in hemiplegic stroke patients

目的:观察肌内效贴结合常规运动疗法对偏瘫患者下肢运动功能及步态的影响。方法:60例脑卒中偏瘫患者分成观察组和对照组各30例。对照组采用常规康复训练方法,观察组在此基础上增加肌内效贴的贴扎治疗。于治疗前及治疗8周后采用下肢Fugl-Meyer运动功能评分(FMA)、功能性步行能力分级(FAC)及足印分析法对2组患者进行评定。结果:治疗8周后,2组患者的FMA评分、FAC分级较组内治疗前均有明显提高(P<0.05),且观察组更高于对照组(P<0.05)。治疗后,2组患者患侧的平均步长、步宽及步速较组内治疗前均有明显提高(P<0.05),且观察组更高于对照组(P<0.05)。结论:使用肌内效贴结合常规运动疗法可进一步改善脑卒中后偏瘫患者的下肢运动功能,提高步行能力。

Objective：To investigate the effects of kinesio taping with physical therapy on the lower limb motor function and walking ability in hemiplegic stroke patients.Methods：Sixty hemiplegic stroke patients were randomly divided into a treatment group and a control group （n=30 each）.Both groups were treated with routine rehabilita-tion,and the treatment group also undertook kinesio taping.All patients were assessed with the Fugl-Meyer lower limb assessment （FMA）,functional ambulation category （FAC）classification and footprint analysis before and 8 weeks after treatment.Results：After 8-week treatment,the FMA scores of motor function,FAC of classification levels and the average step length,stride width,velocity of the affected side were significantly increased as compared with those before treatment in both two groups （P 〈 0.05 for all）,more significantly in treatment group than in control group （P 〈0.05 for all）.Conclusions：Kinesio taping combined with routine rehabilitation training can dis-tinctly improve the motor function of lower limbs and the walking ability in hemiplegic stroke patients.