两种肌内效贴贴扎方法对脑卒中后偏瘫痉挛期患者肩痛的效果

Effect of Two Kinds of Kinesio Taping Methods on Shoulder Pain in Hemiplegic Patients with Stroke during Spasm Period

目的观察两种贴扎方法对脑卒中后偏瘫痉挛期患者肩痛的疗效。方法 2015年10月至2017年9月,75例脑卒中后偏瘫痉挛期肩痛患者随机分为A组(n=25)、B组(n=25)和对照组(n=25)。三组常规治疗相同,A组和B组分别运用两种贴扎方法进行治疗。治疗前、治疗4周后,分别采用视觉模拟评分(VAS)评定患侧肩痛,Fugl-Meyer评定量表(FMA)评定上肢运动功能,改良Barthel指数(MBI)评定日常生活活动能力。结果治疗4周后,三组VAS评分均显著降低(P<0.001),A组和B组均低于对照组(P<0.05),A组明显低于B组(P<0.01);三组FMA和MBI评分均显著升高(P<0.001),A组和B组均高于对照组(P<0.05),A组高于B组(P<0.05)。结论肌内效贴联合康复训练能有效减轻脑卒中偏瘫痉挛期患者的肩痛,提高上肢运动功能和日常生活活动能力;且不同的贴扎方法,疗效不一。

Objective To observe the effect of two kinds of Kinesio taping methods on shoulder pain in hemiplegic patients with stroke during spasm period.Methods From October, 2015 to September, 2017, 75 stroke hemiplegic patients with shoulder pain during spasm period were randomly divided into group A(n=25), group B(n=25) and control group(n=25). Three groups were given conventional treatment, and group A and group B received two kinds of Kinesio taping methods, respectively. Before and four weeks after treatment, the shoulder pain was assessed with Visual Analogue Scale(VAS), the motor function of upper limb was assessed with Fugl-Meyer Assessment(FMA), and their activities of daily living was assessed with modified Barthel Index(MBI).Results After treatment, the score of VAS significantly decreased in all groups(P<0.001), and was lower in groups A and B than in the control group(P<0.05), especially in group A(P<0.01); the scores of FMA and MBI significantly increased(P<0.001), and was higher in groups A and B than in the control group(P<0.05), especially in group A(P<0.05).Conclusion Kinesio taping combined with rehabilitation training for the treatment of stroke patients following hemiplegia during spasm period can relieve the shoulder pain and improve the motor function of upper limb and activi-ties of daily living. The curative effect varies with different taping methods.