文章摘要

肌内效贴布联合关节松动术治疗卒中后肩痛的疗效

作者: 1司宝霞, 1谭华
1 中国科学院大学重庆仁济医院(重庆市第五人民医院)康复医学科,重庆 400062
通讯: 司宝霞 Email: 546343269@qq.com
DOI: 10.3978/j.issn.2095-6959.2019.12.018

摘要

目的:探讨肌内效贴布(kinesio taping,KT)联合关节松动术治疗脑卒中后肩痛(hemiplegic shoulder pain,HSP)患者的临床效果。方法:选择50例卒中后肩痛患者,按随机数字表法将其分成治疗组和对照组,两组均采用关节松动术治疗,治疗组在此基础上加用肌内效贴治疗。在治疗前、治疗4周后使用视觉模拟评分法(visual analogue scale,VAS)、改良Barthel指数评分法(modified Barthel index score,MBI)、Fugl-Meyer量表(Fugl-Meyer scale,FMA-UE)、PROM量表对两组进行疗效评定。结果:治疗4周后,两组MBI,FMA-UE,ROM评分均显著高于治疗前(P<0.05),VAS评分显著低于治疗前(P<0.05),但治疗组MBI,FMA-UE,ROM评分显著高于对照组,VAS评分显著低于对照组,差异均有统计学意义(P<0.05)。结论:肌内效贴布联合关节松动术治疗脑卒中后肩痛临床疗效优于单一关节松动术治疗,该联合疗法具有一定的临床价值。
关键词: 肌内效贴布;关节松动术;脑卒中后肩痛

Clinical effect of kinesio taping and joint mobilization in the treatment of hemiplegic shoulder pain

Authors: 1SI Baoxia, 1TAN Hua
1 Department of Rehabilitation, Chongqing Renji Hospital, University of Chinese Academy of Sciences (Chongqing Fifth People’s Hospital), Chongqing 400062, China

CorrespondingAuthor: SI Baoxia Email: 546343269@qq.com

DOI: 10.3978/j.issn.2095-6959.2019.12.018

Abstract

Objective: To explore the clinical effect of intramuscular effect (KT) combined with joint mobilization in the treatment of patients with post-stroke shoulder pain (HSP). Methods: Fifty patients with shoulder pain after stroke were selected, according to the random number table method, it was divided into treatment group and control group, both groups were treated with joint mobilization. The treatment group added intramuscular effect treatment on this basis. Before treatment, after 4 weeks of treatment, the visual analogue scale (VAS), modified Barthel index score (MBI), Fugl-Meyer scale (FMA-UE), and PROM scale were used to evaluate the efficacy of the two groups. Results: After 4 weeks of treatment, the MBI, FMA-UE, and ROM scores of the two groups were significantly higher than those before treatment (P<0.05), and the VAS scores were significantly lower than those before treatment (P<0.05), but the comparison between groups, treatment group The scores of MBI, FMA-UE and ROM increased significantly compared with the control group, and the difference was statistically significant (P<0.05). The VAS score of the treatment group was significantly lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion: The clinical efficacy of intramuscular effect and joint mobilization in the treatment of post-stroke shoulder pain is better than that of simple joint mobilization. The combination therapy has certain clinical value.
Keywords: intramuscular effect; joint mobilization; shoulder pain after stroke