肌内效贴联合常规康复治疗脑卒中偏瘫患者肩关节半脱位的效果及对患侧上肢运动功能的影响

Effect of kinesio taping combined with conventional rehabilitation training in the treatment of shoulder subluxation in stroke patients with hemiplegia and the influence of side upper limb motor function

目的探讨肌内效贴联合常规康复训练治疗脑卒中偏瘫患者肩关节半脱位的效果及对患侧上肢运动功能的影响。方法选取2016年3月~2019年3月我院收治的80例脑卒中偏瘫伴肩关节半脱位患者,采用随机数字表法分为观察组和对照组,每组各40例。对照组给予安慰贴布联合常规的康复训练治疗,观察组给予肌内效贴联合常规的康复训练治疗。比较两组患者影像学上肩峰到肱骨头的间距(AHI值)、简式Fugl-Meyer评分表的上肢功能部分(FMA-UE)评分。结果对照组治疗后的AHI值与治疗前比较,差异无统计学意义(P>0.05);观察组治疗后的AHI值长于治疗前(P<0.05),且观察组治疗后的AHI值长于对照组(P<0.05);两组治疗后的FMA-UE评分高于治疗前(P<0.05),且观察组治疗后的FMA-UE评分高于对照组(P<0.05)。结论肌内效贴联合常规康复治疗可改善脑卒中偏瘫患者肩关节半脱位,提高患侧上肢运动功能,提升临床治疗效果,值得在临床推广使用。

Objective To investigate the effect of kinesio taping combined with conventional rehabilitation training in treating shoulder subluxation of stroke patients with hemiplegia and the influence of affected side upper limb motor function.Methods A total of 80 cases of shoulder subluxation in stroke patients with hemiplegia admitted to our hospital from March 2016 to March 2019 were selected and divided into the observation group and the control group according to random number table method,40 cases in each group.The control group was given placebo patch combined with conventional rehabilitation training,while the observation group was given kinesio taping combined with conventional rehabilitation therapy.The distance of acromio-humeral interval(AHI value)and simplified Fugl-Meyer Assessment-upper extremity(FMA-UE)were compared between the two groups.Results There were no significant differences in the AHI value between the control group after treatment and before treatment(P>0.05).The AHI value of the observation group after treatment was longer than that before treatment(P<0.05).The AHI value of the observation group after treatment was longer than that of the control group(P<0.05).The FMA-UE scores of the two groups after treatment were higher than those before treatment(P<0.05).The FMA-UE scores of the observation group after treatment were higher than those of the control group(P<0.05).Conclusion Kenesio taping combined with conventional rehabilitation training can improve the shoulder subluxation of stroke patients with hemiplegia,improve the upper limb motor function of the affected side,and improve the clinical treatment effect,which is worthy of clinical promotion and application.