肌内效贴贴扎技术对颈段脊髓损伤患者肩痛的疗效影响

Effect of Intramuscular Taping Technique on Shoulder Pain in Patients with Cervical Spinal Cord Injury

目的:探讨肌内效贴贴扎技术结合常规综合康复治疗颈段脊髓损伤(SCI)患者肩部疼痛的临床效果。方法:选取广东省工伤康复医院2021年11月-2024年2月收治的38例颈段SCI患者为研究对象,均有不同程度的肩部疼痛,按照随机数字表法将患者分为对照组与研究组,各19例。对照组采用常规综合康复治疗,研究组在对照组基础上采用肌内效贴贴扎技术。比较两组疼痛程度评分、上肢肌力及日常生活自理能力。结果:干预后,两组疼痛程度评分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。两组治疗有效率比较,差异无统计学意义(P>0.05)。干预前后,两组上肢关键肌肌力总分及改良Barthel指数评分比较,差异均无统计学意义(P>0.05)。结论:在颈段SCI患者肩痛的治疗中,采用肌内效贴贴扎技术结合常规综合康复治疗较单纯常规综合康复治疗效果更佳,患者疼痛程度更低。

Objective:To investigate the clinical effect of intramuscular taping technique combined with conventional comprehensive rehabilitation in the treatment of shoulder pain in patients with cervical spinal cord injury(SCI).Methods:A total of 38 patients with cervical SCI admitted to Guangdong Industrial Injury Rehabilitation Hospital from November 2021 to February 2024 were selected as the study objects,all of them had varying degrees of shoulder pain.They were randomly divided into a control group and a study group according to random number table method,with 19 cases in each group.The control group was treated with conventional comprehensive rehabilitation treatment,and the study group was treated with intramuscular taping technology on the basis of the control group.The pain degree score,upper limb muscle strength and daily self-care ability of the two groups were compared.Results:After intervention,the pain degree scores of both groups were lower than before intervention,and the study group was lower than the control group,the differences were statistically significant(P<0.05).There was no significant difference in treatment effectiveness between the two groups(P<0.05).Before and after intervention,there were no significant differences in total muscle strength and Improved Barthel Index score of key upper limb muscles between the two groups(P<0.05).Conclusion:In the treatment of shoulder pain in patients with cervical SCI,the application of intramuscular adhesive technique combined with conventional comprehensive rehabilitation is more effective than that of conventional comprehensive rehabilitation alone,and the pain degree of patients is lower.