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肌内效贴布对偏瘫肩痛的影响:一项随机对照试验。

The Effect of Kinesiology Taping on the Hemiplegic Shoulder Pain: A Randomized Controlled Trial.

机构信息

The Rehabilitation Department of the West China Hospital, Sichuan University, Chengdu, China.

出版信息

J Healthc Eng. 2018 Dec 10;2018:8346432. doi: 10.1155/2018/8346432. eCollection 2018.

DOI:10.1155/2018/8346432
Abstract

OBJECTIVE

The purpose of the study was to explore the effect of kinesiology taping on hemiplegic shoulder pain (HSP) in terms of pain intensity, magnitude of subluxation, muscle activity, and active range of motion (AROM).

DESIGN

Double-blind, placebo-controlled clinical trial.

SETTING

the Rehabilitation Center of the West China Hospital.

PARTICIPANTS

Nineteen individuals suffering from HSP were recruited in this study.

INTERVENTION

Patients were randomly assigned into the taping group or control group. The taping group received therapeutic kinesiology taping and conventional treatment, while the control group received placebo taping (applied without tension) and conventional treatment.

MAIN OUTCOME MEASURES

The shoulder pain intensity (numerical pain rating scale), magnitude of subluxation, muscle activity (measured by surface electromyography (sEMG)), and shoulder active range of movement (AROM) were assessed at the baseline, on the first day (immediately after taping) and 4 weeks after treatment (without taping).

RESULTS

All patients completed the trials. There were no significant differences between groups at the baseline. The taping group showed immediate improvement on the first day after taping in terms of pain intensity, magnitude of subluxation, and muscle activity ( < 0.05), whereas no significant changes seen in the control group ( > 0.05). After 4 weeks of treatment, the taping group showed significant changes in pain intensity, magnitude of subluxation, muscle activity, and AROM ( < 0.05). And significant differences in pain intensity and muscle activity could be seen between the two groups ( < 0.05).

CONCLUSION

The results indicate that the kinesiology taping is effective in reducing the shoulder pain and subluxation and increasing muscle activity and AROM for patients with HSP after stroke.

摘要

目的

本研究旨在探讨运动贴扎对偏瘫肩痛(HSP)的影响,从疼痛强度、半脱位程度、肌肉活动和主动活动范围(AROM)方面进行评估。

设计

双盲、安慰剂对照临床试验。

地点

华西医院康复中心。

参与者

本研究共纳入 19 名 HSP 患者。

干预

患者被随机分配到贴扎组或对照组。贴扎组接受运动贴扎治疗和常规治疗,对照组接受安慰剂贴扎(无张力贴扎)和常规治疗。

主要观察指标

肩部疼痛强度(数字疼痛评分量表)、半脱位程度、肌肉活动(表面肌电图测量)和肩部主动活动范围(AROM),分别在基线、贴扎后第 1 天和治疗 4 周后(无贴扎)进行评估。

结果

所有患者均完成了试验。两组在基线时无显著差异。贴扎组在贴扎后第 1 天即出现疼痛强度、半脱位程度和肌肉活动的即刻改善(<0.05),而对照组无明显变化(>0.05)。治疗 4 周后,贴扎组疼痛强度、半脱位程度、肌肉活动和 AROM 均有显著变化(<0.05)。且两组间疼痛强度和肌肉活动有显著差异(<0.05)。

结论

研究结果表明,运动贴扎对脑卒中后 HSP 患者的肩部疼痛和半脱位有减轻作用,能增加肌肉活动和 AROM。

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