运动贴布联合神经肌肉电刺激对脑卒中后亚急性期足下垂患者步行障碍的影响  

Clinical effects of kinesio tape combined with neuromuscular electrical stimulation on walking disorder caused by foot drop in patients with subacute stroke

作　　者：杨晓龙 曲斯伟[1] 孙丽[1] 宋为群[1] YANG Xiaolong;QU Siwei;SUN Li(Xuan Wu Hospital,Capital Medical University,Beijing,100053)

机构地区：[1]首都医科大学宣武医院,北京市西城区100053

出　　处：《中国康复医学杂志》2020年第5期560-565,共6页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:观察运动贴布(肌内效贴)联合神经肌肉电刺激对脑卒中后亚急性期患者足下垂所致步行障碍的临床疗效。方法:采用随机数字表法将符合纳入标准的60例脑卒中患者分为运动贴布组(KT组)、神经肌肉电刺激组(NMES组)、联合组,每组各20例。三组患者均接受常规康复训练(2次/d,40min/次),KT组在此基础上增加运动贴布治疗(1次/d);NMES组在此基础上增加神经肌肉电刺激治疗(1次/d,20min/次);联合组则在常规康复训练基础上接受运动贴布联合神经肌肉电刺激治疗。以上各组每周连续治疗5天,持续4周。于治疗结束前后分别采用主动关节活动度(AROM)、10m步行能力测试(10mWT)、起立-行走即时测试(TUGT)、生理耗能指数(PCI)对三组患者疗效进行评定。结果:三组患者在治疗前的各项评定指标比较均无显著性意义(P>0.05)。治疗后,三组患者各项评分均优于治疗前且各组内比较均有显著性意义(P<0.01),其中,联合组各项评分均优于KT组和NMES组,组间比较有显著性意义(P<0.01),KT组与NMES组各项指标组间比较无显著性意义(P>0.05)结论:运动贴布联合神经肌肉电刺激应用到脑卒中后亚急性期足下垂的患者中能够改善足下垂、提高步行能力、优化步行功能。Objective:To observe the clinical effect of kinesio tape combined with neuromuscular electrical stimulation on walking disorder caused by foot drop in patients with subacute stroke.Method:60 stroke patients who met the inclusion criteria were divided into KT group,NMES group and combined group with 20 cases in each group.All three groups received routine rehabilitation training(2 times a day,40 minutes a time),on the basis of which KT group and NMES group also received kinesio tape therapy(1 time a day)and neuromuscular electrical stimulation therapy(1 time a day,20 minutes a time),respectively.Combined group on the basis of routine rehabilitation training received kinesio tape combined with neuromuscular electrical stimulation treatment.The above groups were treated for 4 weeks with 5 days a week.Before and after the treatment,the curative effects of three groups were evaluated by AROM,10mWT,TUGT and PCI.Result:There was no statistically significant difference between the three groups before treatment(P>0.05).After treatment,the scores of the three groups were better than those before treatment and there was statistical significance in each group(P<0.01).The scores of the combined group were better than those of the KT group and the NMES group,and there was statistical significance between the groups(P<0.01).There was no statistical significance between the KT group and the NMES group(P>0.05).Conclusion:Kinesio tape combined with neuromuscular electrical stimulation can improve foot drop,improve walking ability and optimize walking function in patients with post-stroke subacute foot drop.

关 键 词：足下垂 脑卒中 运动贴布 神经肌肉电刺激 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R454.1[医药卫生—临床医学]