肌内效贴对脑卒中肩关节半脱位源性肩痛的疗效分析  

The effect of Kinesio-taping on shoulder pain caused by post-stroke glenohumeral subluxation

作　　者：孙光涛[1] 邹春颖[1] 戚询中[2] 王克健[1] 黄作义[1] SUN Guang tao;ZOU Chun ying;QI Xun zhong;WANG Ke jian;HUANG Zuo yi(the First Affiliated Hospital of Jiamusi University, Jiamusi 154003,China;The Third Affiliated Hospital of Jiamusi University, Jiamusi 154003,China)

机构地区：[1]佳木斯大学附属第一医院,黑龙江佳木斯154003 [2]佳木斯大学附属第三医院,黑龙江佳木斯154003

出　　处：《黑龙江医药科学》2019年第3期8-9,12,共3页Heilongjiang Medicine and Pharmacy

基　　金：黑龙江省卫生计生委科研课题,编号:2016-312;佳木斯大学基础研究类(自然类)面上项目,编号:JMSUJCMS2016-055

摘　　要：目的:观察肌内效贴对脑卒中肩关节半脱位源性肩痛的治疗效果。方法:依据入选标准,选取脑卒中肩关节半脱位源性肩痛患者27例,分别纳入对照组(14例)和肌内效贴组(13例);两组肩痛患者均给予常规综合康复治疗,为期4周;肌内效贴组在此基础上给予肌内效贴组治疗;在治疗前及治疗后,应用目测类比法VAS和用Fugl-Meyer简式运动功能评定法(FMA)上肢运动评分量表对两组患者进行评估,同时测量两组患者治疗前后肩关节被动无痛屈曲角度,收集评估结果,对比两组评分差异。结果:两组患者经4周康复治疗后,VAS评分均有降低,其中肌内效贴组分数降低较对照组明显(P<0.05),具有统计学意义;两组患者肩关节无痛屈曲角度较治疗前均扩大,其中肌内效贴组肩关节屈曲角度较对照组扩大更明显(P<0.05),结果具有统计学意义。两组FMA评分均明显升高。肌内效贴组FMA评分与对照组比较(P>0.05),两组差异无统计学意义。结论:肌内效贴可以减弱肩关节半脱位源性肩痛患者肩关节疼痛程度,扩大肩关节被动无痛屈曲角度。Objective: To investigate the effects of Kinesio taping for stroke patients with shoulder subluxation and hemiplegic shoulder pain. Method: According to the inclusion criteria, 27 patients with shoulder pain due to subluxation of shoulder joint caused by cerebral apoplexy were selected and included in control group (14 cases) and intramuscular patch group (13 cases), respectively. All patients in two groups received conventional rehabilitation program, while patients in Kinesio taping group received waxthe therapeutic Kinesio taping for 4 weeks, and all patients were assessed by VAS, PROM and Fugl-Meyer before and after rehabilitation intervention. Result: After 4 weeks of rehabilitation intervention, VAS of patients in two groups decreased and the Kinesio taping group decreased significantly compared with that in control group (P<0.05). While PROM of all patients increased and the Kinesio taping group increased significantly compared with that in control group (P<0.05). Both groups showed improvement in Fugl-Meyer assessment for Upper Extremity. However, no significant differences were observed in the FMA-UE score. Conclusion: Kinesio taping had an important and statistically significant impact on recovery of shoulder pain and PROM of upper limb after stroke.

关 键 词：脑卒中 肌内效贴 肩关节半脱位 肩痛 康复 

分 类 号：R743[医药卫生—神经病学与精神病学]