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本体感觉神经肌肉促进法结合肌内效贴布可改善慢性卒中患者的踝关节背屈活动范围及平衡能力。

Proprioceptive Neuromuscular Facilitation Kinesio Taping Improves Range of Motion of Ankle Dorsiflexion and Balance Ability in Chronic Stroke Patients.

作者信息

Park Donghwan, Bae Youngsook

机构信息

Department of Physical Therapy, College of Health Sciences, Kyungnam University, Changwon 51767, Korea.

Department of Physical Therapy, College of Health Science, Gachon University, Incheon 21936, Korea.

出版信息

Healthcare (Basel). 2021 Oct 22;9(11):1426. doi: 10.3390/healthcare9111426.

Abstract

This study aimed to determine the effect of a proprioceptive neuromuscular facilitation (PNF) pattern Kinesio taping (KT) application on the ankle dorsiflexion range of motion (DF-ROM) and balance ability in patients with chronic stroke. This crossover study included 18 patients with stroke. The subjects were randomly assigned to three interventions: barefoot, ankle KT (A-KT), and PNF-KT. The A-KT was applied to the gastrocnemius and tibialis anterior (TA) muscles, and subtalar eversion. The PNF-KT was applied on the extensor hallucis, extensor digitorum, and TA muscles. DR-ROM was measured using the iSen™, a wearable sensor. Balance ability was assessed based on static balance, measured by the Biodex Balance System (BBS), and dynamic balance, measured by the timed up and go (TUG) test and dynamic gait index (DGI). Compared with the barefoot and A-KT interventions, PNF-KT showed significant improvements in the ankle DF-ROM and BBS scores, TUG, and DGI. PNF-KT, for functional muscle synergy, improved the ankle DF-ROM and balance ability in patients with chronic stroke. Therefore, the application of PNF-KT may be a feasible therapeutic method for improving ankle movement and balance in patients with chronic stroke. Additional research is recommended to identify the long-term effects of the PNF-KT.

摘要

本研究旨在确定本体感觉神经肌肉促进法(PNF)模式的肌内效贴布(KT)应用对慢性卒中患者踝关节背屈活动度(DF-ROM)和平衡能力的影响。这项交叉研究纳入了18例卒中患者。受试者被随机分配到三种干预措施:赤足、踝关节KT(A-KT)和PNF-KT。A-KT应用于腓肠肌和胫骨前肌(TA)以及距下关节外翻。PNF-KT应用于拇长伸肌、趾长伸肌和TA肌。使用可穿戴传感器iSen™测量DF-ROM。基于静态平衡(通过Biodex平衡系统(BBS)测量)和动态平衡(通过计时起立行走(TUG)测试和动态步态指数(DGI)测量)评估平衡能力。与赤足和A-KT干预相比,PNF-KT在踝关节DF-ROM以及BBS评分、TUG和DGI方面均有显著改善。PNF-KT通过功能性肌肉协同作用,改善了慢性卒中患者的踝关节DF-ROM和平衡能力。因此,PNF-KT的应用可能是改善慢性卒中患者踝关节活动和平衡的一种可行治疗方法。建议进行更多研究以确定PNF-KT的长期效果。

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