肌内效贴对不同恢复阶段脑卒中患者下肢功能的影响

Effects of Kinesio Taping on Lower Limb Function for Stroke Patients at Different Recovery Stages

目的观察肌内效贴对不同恢复期的脑卒中偏瘫患者下肢运动功能的临床疗效。方法 2015年8月至2017年8月,选择BrunnstromⅢ期和Ⅳ期脑卒中偏瘫患者各30例,每期再随机分为对照组和治疗组各15例。患者均接受综合康复训练,治疗组在此基础上采用肌内效贴治疗,共4周。治疗前后采用Fugl-Meyer评定量表下肢部分(FMA-LE)、计时起立-行走测试(TUGT)和步态分析进行评定。结果治疗后,所有患者各项评定成绩均较治疗前显著改善(P <0.001);组间比较,BrunnstromⅣ期治疗组FMA-LE评分和步速较对照组明显改善(P <0.01);BrunnstromⅢ期治疗组FMA-LE评分、步速、TUGT时间、髋关节伸展角度和步态对称性较对照组改善(P <0.05)。结论肌内效贴有助于进一步改善脑卒中后偏瘫患者下肢运动功能,对BrunnstromⅢ期患者效果更好。

Objective To observe the effect of Kinesio taping on lower limb motor function in patients with hemiplegia at different stages of stroke.Methods From August,2015 to August,2017,60 patients at stages of Brunnstrom III(n=30)and Brunnstrom IV(n=30)were randomly divided into control group(n=15)and treatment group(n=15).All the patients received comprehensive rehabilitation training,while the treatment group taped Kinesio taping in the lower extremities,for four weeks.They were assessed with Fugl-Meyer Assessment-Lower Extremity(FMA-LE),Time’Up&Go’Test(TUGT)and gait analysis before and after treatment.Results The results of all the measurements improved after treatment in all the groups(P<0.001).For the patients at Brunnstrom IV,FMA-LE score and walking speed improved more in the treatment group than in the control group after treatment(P<0.01);for those at Brunnstrom III,FMA-LE score,walking speed,TUGT time,hip extension angle and gait symmetry improved more in the treatment group than in the control group after treatment(P<0.05).Conclusion Kinesio taping is effective on the lower limb motor function for patients with hemiplegia after stroke,especially for patients at Brunnstrom III.