肌内效贴布对上肢卒中后痉挛偏瘫手的影响：一项随机对照初步研究。

Effects of kinesio taping on hemiplegic hand in patients with upper limb post-stroke spasticity: a randomized controlled pilot study.

机构信息

Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.

Chang Gung University College of Medicine, Kaohsiung, Taiwan.

出版信息

Eur J Phys Rehabil Med. 2019 Oct;55(5):551-557. doi: 10.23736/S1973-9087.19.05684-3. Epub 2019 Jun 13.

DOI:10.23736/S1973-9087.19.05684-3

PMID:31199103

Abstract

BACKGROUND

Post-stroke spasticity is a common complication in patients with stroke and a key contributor to impaired hand function after stroke.

AIM

The purpose of this study was to investigate the effects of kinesio taping on managing spasticity of upper extremity and motor performance in patients with subacute stroke.

DESIGN

A randomized controlled pilot study.

SETTING

A hospital center.

POPULATION

Participants with stroke within six months.

METHODS

Thirty-one participants were enrolled. Patients were randomly allocated into kinesio taping (KT) group or control group. In KT group, Kinesio Tape was applied as an add-on treatment over the dorsal side of the affected hand during the intervention. Both groups received regular rehabilitation 5 days a week for 3 weeks. The primary outcome was muscle spasticity measured by modified Ashworth Scale (MAS). Secondary outcomes were functional performances of affected limb measured by using Fugl-Meyer assessment for upper extremity (FMA-UE), Brunnstrom stage, and the Simple Test for Evaluating Hand Function (STEF). Measures were taken before intervention, right after intervention (the third week) and two weeks later (the fifth week).

RESULTS

Within-group comparisons yielded significant differences in FMA-UE and Brunnstrom stages at the third and fifth week in the control group (P=0.003-0.019). In the KT group, significant differences were noted in FMA-UE, Brunnstrom stage, and MAS at the third and fifth week (P=0.001-0.035), and in the proximal part of FMA-UE between the third and fifth week (P=0.005). Between-group comparisons showed a significant difference in the distal part of FMA-UE at the fifth week (P=0.037).

CONCLUSIONS

Kinesio taping could provide some benefits in reducing spasticity and in improving motor performance on the affected hand in patients with subacute stroke.

CLINICAL REHABILITATION IMPACT

Kinesio taping could be a choice for clinical practitioners to use for effectively managing post-stroke spasticity.

摘要

背景

脑卒中后痉挛是脑卒中患者的常见并发症，也是脑卒中后手功能障碍的主要原因。

目的

本研究旨在探讨肌内效贴布对亚急性期脑卒中患者上肢痉挛和运动功能的影响。

设计

随机对照初步研究。

设置

医院中心。

人群

发病 6 个月内的脑卒中患者。

方法

共纳入 31 名参与者。患者被随机分配到肌内效贴布（KT）组或对照组。KT 组在干预期间在手背侧附加肌内效贴布。两组均每周 5 天接受常规康复治疗，共 3 周。主要结局指标为改良 Ashworth 量表（MAS）测量的肌肉痉挛程度。次要结局指标为上肢 Fugl-Meyer 评估（FMA-UE）、Brunnstrom 分期和简易手功能测试（STEF）测量的患侧肢体功能。在干预前、干预后第 3 周（即干预结束时）和第 5 周进行测量。

结果

对照组在第 3 周和第 5 周时 FMA-UE 和 Brunnstrom 分期的组内比较有显著差异（P=0.003-0.019）。KT 组在第 3 周和第 5 周时 FMA-UE、Brunnstrom 分期和 MAS 以及第 3 周和第 5 周时 FMA-UE 近端部分均有显著差异（P=0.001-0.035），FMA-UE 近端部分在第 3 周和第 5 周时也有显著差异（P=0.005）。组间比较显示，第 5 周时 FMA-UE 远端部分有显著差异（P=0.037）。