肌内效贴贴扎疗法治疗面肌痉挛疗效观察

Therapeutic effect of kinesio-taping therapy on hemifacial spasm

目的探讨肌内效贴贴扎疗法治疗面肌痉挛的临床效果。方法将2015年6月-2018年12月四川大学华西医院康复医学中心纳入的面肌痉挛患者,通过随机数字表法分为肌内效贴组与对照组。对照组接受五官超短波疗法与面部肌肉功能训练,1次/d,10 d为1个疗程,每个疗程间休息2 d,共治疗3个疗程。肌内效贴组在原有治疗基础上加肌内效贴贴扎疗法,1次/d,10次为1个疗程,每个疗程间休息2 d,共治疗3个疗程。观察两组患者的临床治疗效果。结果共纳入患者60例,两组各30例。治疗前,两组面部肌肉痉挛分级比较,差异无统计学意义(Z=-0.233,P=0.816)。治疗后,两组面部肌肉痉挛分级比较,差异有统计学意义(Z=-3.062,P=0.002);肌内效贴组(Z=-4.688,P<0.001)和对照组(Z=-3.804,P<0.001)较同组治疗前比较,差异均有统计学意义。肌内效贴组[93.33%(28/30)]的疗效优于对照组[76.67%(23/30)],差异有统计学意义(Z=-3.073,P=0.002)。结论肌内效贴贴扎疗法可缓解面肌痉挛产生的僵硬和疼痛感,促进面部肌肉感觉功能以及双侧协调运动的恢复,改善患者的临床症状,操作简单,疗效较好。

Objective To explore the clinical effect of kinesio-taping therapy on hemifacial spasm.Methods Patients with hemifacial spasm in the Rehabilitation Medical Center of West China Hospital, Sichuan University from June 2015 to December 2018 were included. They were randomly divided into the kinesio-taping group and control group. The patients in the control group underwent ultrashort wave therapy and facial muscle function training: once a day, 10 days as a course of treatment;2 days rest between each course;a total of 3 courses of treatment. In the kinesio-taping group, besides the original treatment, the kinesio-taping therapy was added: once a day, 10 times as a course of treatment;2 days rest between each course;a total of 3 courses of treatment. The clinical effect of the two groups was observed. Results A total of 60 patients were included, with 30 in each of the two groups. There was no significant difference in the classification of facial muscle spasm between the two groups before the treatment(Z=-0.233,P=0.816). After the treatment, the difference in the classification of facial muscle spasm between the two groups was statistically significant(Z=-3.062, P=0.002);while both the kinesio-taping group(Z=-4.688, P< 0.001) and the control group(Z=-3.804, P< 0.001) improved compared with those before the treatment. The effect of kinesio-taping group[93.33%(28/30)] was better than that of the control group [76.67%(23/30)](Z=-3.073, P=0.002). Conclusion Kinesiotaping therapy can relieve the stiffness and pain caused by facial spasm, promote the recovery of facial muscle sensory function and bilateral coordinated movement, and relieve the clinical symptoms of patients,with the advantages of simple operation and good effect.