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髋关节贴扎对慢性脑卒中依赖手杖步行者平衡和行走能力的即刻影响:一项随机对照试验。

Immediate effect of hip taping on balance and walking ability in cane-dependent ambulators with chronic stroke: a randomized controlled trial.

机构信息

Department of Rehabilitation Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan.

Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei, Taiwan.

出版信息

Eur J Phys Rehabil Med. 2019 Apr;55(2):156-161. doi: 10.23736/S1973-9087.18.05300-5. Epub 2018 Aug 29.

Abstract

BACKGROUND

Previous studies showed that cane-dependent post-stroke ambulators have poor balance and gait performance. Adhesive taping on the hip may be used as a therapeutic modality for improving range of motion and muscle activity in individuals with stroke.

AIM

The objective of this study was to investigate the immediate effect of the hip extensor and abductor taping on balance and walking ability in cane-dependent ambulators with chronic stroke.

DESIGN

This study was a single-blinded, randomized controlled trial.

SETTING

Outpatients from a hospital rehabilitation department.

POPULATION

Twenty-eight cane-dependent ambulators with chronic stroke were recruited.

METHODS

Participants were randomized into either the control group with sham tape (N.=14) or experimental group with non-elastic tape (N.=14). The Berg Balance Scale, gait speed, 6-minute walk test, and Fall Efficacy Scale were measured with and without taping.

RESULTS

After taping, participants in the experimental group showed significant improvement in the Berg Balance Scale, gait speed, and 6-minute walk test. Furthermore, experimental group showed significant improvement in the Berg Balance Scale and 6-minute walk test compared with sham taping control group.

CONCLUSIONS

Non-elastic tape could immediately improve balance, gait speed, and endurance in cane-dependent ambulators with chronic stroke.

CLINICAL REHABILITATION IMPACT

Non-elastic tape may be a useful adjunct to current rehabilitation strategies for individuals with chronic stroke.

摘要

背景

先前的研究表明,依赖手杖的脑卒中后步行者平衡和步态表现较差。在髋关节上使用粘性贴带可能是一种治疗方法,可以改善脑卒中患者的关节活动度和肌肉活动。

目的

本研究旨在探讨髋关节伸肌和外展肌贴带对慢性脑卒中依赖手杖步行者平衡和行走能力的即时影响。

设计

这是一项单盲、随机对照试验。

地点

医院康复科门诊。

人群

招募了 28 名慢性脑卒中依赖手杖的步行者。

方法

参与者随机分为对照组(假性贴带,N=14)和实验组(非弹性贴带,N=14)。在贴带前后使用 Berg 平衡量表、步行速度、6 分钟步行测试和跌倒效能量表进行测量。

结果

贴带后,实验组在 Berg 平衡量表、步行速度和 6 分钟步行测试方面均有显著改善。此外,实验组在 Berg 平衡量表和 6 分钟步行测试方面的改善明显优于假性贴带对照组。

结论

非弹性贴带可立即改善慢性脑卒中依赖手杖步行者的平衡、步行速度和耐力。

临床康复影响

非弹性贴带可能是慢性脑卒中患者现有康复策略的有用辅助手段。

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