躯干控制训练联合肌内效贴对卒中后偏瘫患者躯干及平衡功能的临床疗效  

Effects of Trunk Control Training Combined with Kinesio Taping on Trunk and Balance Function of Post-stroke Patients

作　　者：刘建华[1,2] 魏清川[3] 胡秀茹 董继革[5] 张如锋 Liu Jianhua;Wei Qingchuan;Hu Xiuru(Department of Physiotherapy, Beijing Bo’ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China)

机构地区：[1]中国康复研究中心北京博爱医院运动疗法科,北京100068 [2]首都医科大学康复医学院,北京100068 [3]四川大学华西医院康复治疗中心,成都510115 [4]日本国际医疗福祉大学理学疗法学科,大田原 [5]中国中医科学院望京医院,北京100102

出　　处：《中国康复》2020年第11期582-586,共5页Chinese Journal of Rehabilitation

摘　　要：目的:探讨躯干控制训练联合肌内效贴对卒中后偏瘫患者躯干核心稳定性及平衡功能的临床疗效。方法:脑卒中偏瘫患者90例随机分为常规康复组、躯干训练组和联合组各30例,3组均接受常规康复治疗,躯干训练组在常规康复治疗基础上加入躯干控制训练,联合治疗组在躯干控制训练的同时辅以肌内效贴。治疗前后使用躯干功能障碍量表(TIS)作为主要结局指标对患者躯干功能进行评估,次要结局指标的平衡、移动能力和功能独立性分别采用Berg平衡量表(BBS)、改良Rivermead指数(MRMI)和改良Barthel指数(MBI)进行评估。结果:治疗4周后,3组TIS、BBS、MRMI、MBI评分均提高(P<0.01)。3组间比较,躯干训练组和联合治疗组所有结局指标评分显著优于常规治疗组(P<0.05),其中联合治疗组又优于躯干训练组(P<0.05)。结论:与常规康复训练相比,躯干控制训练可进一步提高卒中后偏瘫患者躯干及平衡功能,联合使用肌内效贴可增加其临床疗效。Objective:To investigate the effects of trunk control training combined with Kinesio Taping(KT)on trunk and balance function of patients with hemiplegia after stroke.Methods:From June,2018 to June,2019,90 post-stroke patients were randomly divided into conventional rehabilitation group(n=30),trunk training group(n=30)and combined treatment group(n=30).All the groups received conventional rehabilitation,while trunk training group accepted trunk control training and the combined treatment group accepted both trunk control training and KT based on conventional rehabilitation.At the baseline and 4 weeks after intervention,all of the patients were assessed with Trunk Impairment Scale(TIS)as the primary outcome for trunk function;Berg Balance Scale(BBS),the Modified Rivermead Mobility Index(MRMI)and Modified Barthel Index(MBI)for balance,mobility and functional independence,respectively.Results:All the groups had obvious improvements in the TIS score,BBS score,MRMI score and MBI score after treatment(P<0.01),more significant in the trunk training group and combined treatment group than in the conventional rehabilitation group(P<0.05),and in the combined the group than in the trunk training group(P<0.05).Conclusion:Compared to conventional rehabilitation,trunk control training may further improve trunk and balance function of post-stroke patients,and combined use of trunk control training and KT may improve the clinical effects.

关 键 词：脑卒中 肌内效贴 核心稳定 平衡 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]