肌内效贴预防急性脑卒中后肩关节半脱位的效果观察

Preventive effect of Kinesio taping on shoulder subluxation following acute stroke

目的观察肌内效贴预防急性脑卒中后肩关节半脱位(SS)的效果。方法将77例急性脑卒中患者随机分为干预1组39例、干预2组20例与对照组18例。3组患者均给予常规治疗及康复训练,干预1组和干预2组均采用肌内效贴扎贴保护肩关节,干预1组扎贴方法为持续扎贴48 h后更换1次,每周连续扎帖5 d;干预2组为持续扎帖24 h后更换1次,每周连续贴扎3 d;3组均以7 d为1个疗程,共4个疗程。分别于干预前、疗程结束时、疗程结束后3个月评价3组患者上肢运动功能,观察患侧SS的发生率及肩痛的发生率。结果疗程结束时,干预1组肩痛的发生率低于干预2组与对照组(均P<0.05);疗程结束后3个月,干预1组SS的发生率低于干预2组与对照组,并且Fugl-Meyer上肢运动功能量表评分高于对照组(均P<0.05)。结论每48 h更换1次、5 d/周的肌内效贴干预可有效地降低急性脑卒中后SS和肩痛的发生率,改善上肢运动功能。

Objective To observe the predictive effect of Kinesio taping on shoulder subluxation(SS)after acute stroke.Methods Seventy-seven patients with acute stroke were randomly assigned to intervention group 1(n=39),intervention group 2(n=20)and control group(n=18).Patients in the three groups were all given conventional treatment and rehabilitation training,the intervention groups 1 and 2 underwent shoulder protection using Kinesio taping.In the intervention group 1,one new sustained taping was performed every 48 hours for a total of five consecutive days per week;in the intervention group 2,one new sustained taping was performed every 24 hours for a total of three consecutive days per week;in the three groups,seven days represented one course of treatment,and treatment lasted for four courses.Before intervention,at the end of the treatment,and three months after treatment,patients′upper extremity motor function was assessed in the three groups,and the incidence rates of SS and shoulder pain of affected side were observed.Results At the end of the treatment,the intervention group 1 had a lower incidence rate of shoulder pain than the intervention group 2 and the control group(all P<0.05);three months after treatment,the intervention group 1 exhibited a lower incidence rate of SS than the intervention group 2 and the control group,and obtained higher scores on the Fugl-Meyer Motor Assessment of Upper Extremity than the control group(all P<0.05).Conclusion Performing intervention with one new Kinesio taping every 48 hours for a total of five days per week can effectively reduce the incidence rates of SS and shoulder pain following acute stroke,and improve upper extremity motor function.