Hochsprung Anja, Domínguez-Matito Angeles, López-Hervás Antonia, Herrera-Monge Patricia, Moron-Martin Santos, Ariza-Martínez Carmen, Granja-Dominguez Anabel, Heredia-Rizo Alberto M
Hospital Universitario Virgen Macarena, Sevilla, Spain.
Hospital Universitario Virgen del Rocío, Sevilla, Spain.
NeuroRehabilitation. 2017;41(4):801-810. doi: 10.3233/NRE-172190.
To compare the short and medium-term effectiveness of combining Kinesio Tape (KT) or neuromuscular electrical stimulation (NMES) with a conventional approach to prevent shoulder pain after stroke.
Thirty-one first-time stroke survivors (58.06% females) were recruited and randomly assigned to one group; Control (n = 10), KT (n = 11), or NMES (n = 10). Ten of all participants were lost during follow-up because of death or a second stroke. The control group underwent conventional treatment (careful shoulder handling and daily mobilizations). This approach was combined with KT or NMES over deltoid muscles in the KT and NMES groups respectively. Measurements were taken at baseline, and at weeks 1, 2, 3, 4, 12, and 24 post-stroke. Data collected included self-perceived shoulder pain (Visual Analogue Scale), disability (Barthel Index and Berg scale), and upper limb function (Action Research Arm test).
In all groups, shoulder pain did not appear during the first month (p < 0.001), but increased afterwards. In the between-groups analysis, all groups similarly improved disability and function, and no significant differences were observed for any measure (p > 0.05).
The combination of KT or NMES with conventional treatment is no superior to conventional treatment alone to prevent hemiplegic shoulder pain.
比较肌内效贴布（KT）或神经肌肉电刺激（NMES）与传统方法相结合在预防中风后肩部疼痛方面的短期和中期效果。
招募了31名首次中风幸存者（女性占58.06%），并将他们随机分为一组；对照组（n = 10）、KT组（n = 11）或NMES组（n = 10）。所有参与者中有10人在随访期间因死亡或再次中风而失访。对照组接受传统治疗（小心处理肩部并进行日常活动）。在KT组和NMES组中，该方法分别与三角肌上的KT或NMES相结合。在中风后的基线、第1、2、3、4、12和24周进行测量。收集的数据包括自我感知的肩部疼痛（视觉模拟量表）、残疾程度（Barthel指数和Berg量表）以及上肢功能（动作研究臂测试）。
在所有组中，第一个月内均未出现肩部疼痛（p < 0.001），但之后疼痛有所增加。在组间分析中，所有组在残疾程度和功能方面均有类似改善，各项测量均未观察到显著差异（p > 0.05）。
KT或NMES与传统治疗相结合在预防偏瘫性肩部疼痛方面并不优于单独的传统治疗。
