肌内效贴扎对早期脑卒中患者手功能的影响

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

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。

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.