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偏瘫患者肩部贴扎有效性的系统评价

Systematic Review on Effectiveness of shoulder taping in Hemiplegia.

作者信息

Ravichandran Hariharasudhan, Janakiraman Balamurugan, Sundaram Subramanian, Fisseha Berihu, Gebreyesus Tsiwaye, Yitayeh Gelaw Asmare

机构信息

Department of Physiotherapy, School of Medicine, College of Health Sciences and Ayder comprehensive specialized Hospital, Mekelle University, Ethiopia.

Department of Physiotherapy, School of Medicine College of Medicine and Health Sciences, University of Gondar and Gondar University specialized comprehensive hospital, Gondar, Ethiopia.

出版信息

J Stroke Cerebrovasc Dis. 2019 Jun;28(6):1463-1473. doi: 10.1016/j.jstrokecerebrovasdis.2019.03.021. Epub 2019 Apr 5.

DOI:10.1016/j.jstrokecerebrovasdis.2019.03.021
PMID:30956057
Abstract

BACKGROUND

Shoulder pain and subluxation are the commonly encountered problems among subjects with hemiplegia. Rehabilitating the shoulder following stroke is a challenging task among physiotherapists in rehabilitation set up. There is a need to validate the effectiveness of externally applied taping materials in hemiplegic shoulder.

OBJECTIVE

This systematic review analyses the efficacy of taping on hemiplegic shoulder in terms of alleviating pain and managing subluxation.

METHODS

Systematic review of randomized controlled trials (RCTs) was conducted to determine the effects of taping on hemiplegic shoulder. Articles were electronically searched from the year 2000 to 2017 in the 4 databases, Google scholar, CINAHL, Pubmed, and Pedro. Reviewers graded the papers according to Lloyd-Smith's hierarchy of evidence scale. Papers were quality appraised using a systematic review of RCT tool developed by National Heart, Lung and Blood Institute (United States), named as quality assessment of controlled intervention studies tool.

RESULTS

Eight papers were included, totaling 132 participants. All the RCT's included in this review were good quality. There was a significant effect on taping method for reduction of pain and subluxation among subjects with stroke.

CONCLUSIONS

This systematic review provides sufficient evidence to suggest taping is a beneficial method for reducing pain and shoulder subluxation among stroke subjects.

摘要

背景

肩痛和半脱位是偏瘫患者常见的问题。在康复机构中,中风后肩部的康复对物理治疗师来说是一项具有挑战性的任务。有必要验证外部应用的贴带材料对偏瘫肩部的有效性。

目的

本系统评价分析贴带在缓解偏瘫肩部疼痛和处理半脱位方面的疗效。

方法

进行随机对照试验(RCT)的系统评价,以确定贴带对偏瘫肩部的影响。在2000年至2017年期间,通过电子方式在4个数据库(谷歌学术、CINAHL、PubMed和Pedro)中检索文章。评审人员根据劳埃德 - 史密斯证据等级量表对论文进行分级。使用美国国立心肺血液研究所开发的RCT工具的系统评价对论文进行质量评估,该工具名为对照干预研究质量评估工具。

结果

纳入8篇论文,共132名参与者。本评价中纳入的所有RCT质量都很好。贴带方法对中风患者减轻疼痛和半脱位有显著效果。

结论

本系统评价提供了充分的证据表明,贴带是减轻中风患者疼痛和肩部半脱位的有益方法。

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