肌内效贴结合本体感觉训练对脑卒中偏瘫患者上肢功能的影响

Effects of Kinesio taping combined with proprioceptive training on upper limb function in stroke patients with hemiplegia

目的 探讨肌内效贴结合本体感觉训练对脑卒中偏瘫患者上肢功能的影响。方法 选取2021年6月至2022年6月在浙江医院康复中心住院治疗的脑卒中偏瘫患者50例,其中在常规康复治疗基础上予以本体感觉训练的25例作为对照组,在常规康复治疗基础上予以肌内效贴贴扎后进行本体感觉训练的25例作为观察组。分别于治疗前、治疗8周后采用视觉模拟评分(VAS)、简化Fugl-Meyer上肢评定量表(FMA-UE)和本体感觉测试评估两组患者肩关节疼痛程度、上肢运动功能和位置觉。结果 治疗后,两组患者VAS评分、肩关节前屈30°本体感觉实际停止角度与目标角度的绝对差(AE)、肩关节前屈60°AE值均较治疗前降低,FMA-UE评分较治疗前升高,差异均有统计学意义(均P<0.05);组间比较,观察组各项指标均优于对照组,差异均有统计学意义(均P<0.05)。结论 肌内效贴可作为本体感觉训练的有效补充,在有限的训练时间内进一步缓解脑卒中患者肩关节疼痛,促进本体感觉恢复,从而提高上肢功能,值得在临床上推广应用。

Objective To investigate of effects of Kinesio taping combined with proprioceptive training on upper limb function in hemiplegic patients after stroke. Methods Fifty stroke patients with hemiplegia receiving rehabilitation therapy in Rehabilitation Center of Zhejiang Hospital from June 2021 to June 2022 were divided into two groups with 25 cases in each group. Both groups received conventional rehabilitation training;the control group was given proprioceptive training and the study group was given proprioceptive training and Kinesio taping. The visual analogue scale(VAS), Fugl-Meyer assessmentupper extremities(FMA-UE) and proprioception test were used to evaluate the shoulder pain, upper limb function and position sense of the two groups before and 8 weeks after treatment. Results After treatment, the VAS, AE value of shoulder flexion 30° and the AE value of shoulder flexion 60° of were decreased, and FMA-UE was increased in both groups(all P<0.05);while all indicators in study group were better than those in the control group(all P<0.05).Conclusion Kinesio taping can be used as a supplementary method with proprioceptive training to further relieve pain,promote proprioception recovery, thereby improving upper limb function, which is worthy of clinical promotion and application.