肌内效贴结合肩部强化训练对脑卒中后偏瘫痉挛期患者肩痛的影响

Effectiveness of kinesio taping combined with shoulder strengthening training for shoulder pain in hemiplegic patients with stroke during spasm period

目的:观察肌内效贴结合肩部强化训练对脑卒中后偏瘫痉挛期患者肩痛的影响。方法:70例脑卒中后偏瘫痉挛期肩痛患者随机分为观察组和对照组各35例。对照组给予常规治疗加肩部强化训练,观察组在此基础上辅以肌内效贴治疗。治疗前、治疗4周后分别采用视觉模拟评分法(VAS)评定患侧肩痛,Fugl-Meyer运动评分量表中上肢部分(FMA)评定上肢运动功能和改良Barthel指数(MBI)评定日常生活活动(ADL)能力。结果:治疗4周后,2组患者VAS评分较治疗前显著降低(均P<0.01),且观察组更低于对照组(P<0.01);2组患者FMA和MBI均显著高于治疗前(均P<0.01),且观察组更高于对照组(均P<0.05)。结论:肌内效贴结合肩部强化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ADL能力。

Objective：To observe the effects of kinesio taping combined with shoulder strengthening training on shoulder pain in hemiplegic patients with stroke during spasm period.Methods：Seventy patients with stroke hemiplegic shoulder pain during spasm period were randomly divided into observation group（n=35）and control group（n=35）.Two groups were given conventional treatment,and observation group received treatment of kinesio taping additionally.Visual analogue scale（VAS）for the hemiplegic shoulder pain,Fugl-Meyer motor assessment（FMA）for the motor function of upper limb and modified Barthel index（MBI）for activities of daily living（ADL）were evaluated at the beginning and at the end of the 4 th week of treatment course respectively.Results：The scores of VAS significantly decreased after treatment as compared with pre-treatment in both groups（P〈0.01）,and those in the observation group were significantly lower than those in the control group（P〈0.01）.The scores of FMA and MBI significantly increased after treatment as compared with pre-treatment in both groups（P〈0.01）,and those in the observation group were significantly higher than those in the control group（P〈0.05）.Conclusion：Kinesio taping combined with shoulder strengthening training for the treatment of stroke patients following hemiplegia during spasm period can relieve the shoulder pain,and improve the function of upper limb and ADL.