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肌内效贴布应用于中风患者股四头肌对等速肌力、步态及功能参数的影响。

Effects of Kinesio Tape application to quadriceps muscles on isokinetic muscle strength, gait, and functional parameters in patients with stroke.

作者信息

Ekiz Timur, Aslan Meryem Doğan, Özgirgin Neşe

出版信息

J Rehabil Res Dev. 2015;52(3):323-31. doi: 10.1682/JRRD.2014.10.0243.

Abstract

The aim of this study was to evaluate the effects of Kinesio Tape (KT) application to quadriceps muscles on isokinetic muscle strength, gait, and functional parameters in patients with stroke. Twenty-four patients were allocated into KT and control groups. All patients participated in the same conventional rehabilitation program 5 times/wk for 4 wk. In addition, KT was applied to quadriceps muscles bilaterally to the patients in the KT group. Compared with baseline, peak torque levels increased significantly in both groups (all p < 0.05). However, change levels were significantly higher in the KT group than the control group at 60 degrees/second angular velocity (AV) in extension (p = 0.04) and 60 and 180 degrees/second AV in flexion (both p = 0.02) on the paretic side. Moreover, the change levels were more prominent in the KT group at 60 and 180 degrees/second AV in extension (p = 0.03 and p = 0.04, respectively) on the nonparetic side. Gait, balance, mobility, and quality of life values improved significantly in both groups (all p < 0.05), yet the change levels between the groups did not reach significance (p > 0.05). KT application to quadriceps muscles in addition to conventional exercises for 4 wk is effective on isokinetic but not functional parameters.

摘要

本研究旨在评估对中风患者股四头肌应用肌内效贴布(KT)对等速肌力、步态及功能参数的影响。24例患者被分为KT组和对照组。所有患者均参加相同的传统康复计划,每周5次,共4周。此外,KT组患者双侧股四头肌均应用KT。与基线相比,两组的峰值扭矩水平均显著增加(所有p<0.05)。然而,在患侧,KT组在伸展时角速度(AV)为60度/秒(p=0.04)以及屈曲时AV为60度/秒和180度/秒(均p=0.02)时的变化水平显著高于对照组。此外,在非患侧,KT组在伸展时AV为60度/秒和180度/秒时(分别为p=0.03和p=0.04)的变化水平更为显著。两组的步态、平衡、活动能力及生活质量值均显著改善(所有p<0.05),但组间变化水平无显著差异(p>0.05)。除传统锻炼外,对股四头肌应用KT 4周对等速肌力参数有效,但对功能参数无效。

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