Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
People First Bo'Ai Rehabilitation Clinic, Kaohsiung, Taiwan.
NeuroRehabilitation. 2024;54(4):629-637. doi: 10.3233/NRE-240047.
Impaired upper limb function in stroke survivors is characterized by muscle weakness, increased muscle tone, contracture, or impaired motor control.
We aimed to evaluate the effectiveness of Kinesio-taping application for functional recovery on the affected arm and forearm during rehabilitation.
Forty-one patients eligible for this study were randomly assigned to either the Kinesio-taping group (n = 21), receiving Kinesio-taping intervention and conventional therapy, or control group (n = 20), receiving sham Kinesio-taping intervention and conventional therapy. The whole intervention lasted for 3 weeks. Fugl-Meyer assessment of the upper extremity, Barthel Index, the Stroke Impact Scale, and modified Ashworth scale were measured at 3 time points: baseline, post-treatment (3rd week), and follow-up (6th week).
In the Kinesio-taping group, there were significant differences in the upper extremity (p = 0.003), wrist (p = 0.000) and hand (p = 0.000) parts of the Fugl-Meyer assessment of the upper extremity between the three assessment times. On the other hand, the Barthel Index showed significant differences in both groups after therapy.
Combining conventional rehabilitation with Kinesio-taping intervention may improve functional motor performance of both the proximal and distal parts of the affected upper extremity in stroke survivors, with potential benefits for activity of daily living.
脑卒中幸存者上肢功能障碍的特点是肌肉无力、肌张力增加、挛缩或运动控制受损。
我们旨在评估在康复期间应用肌内效贴对患侧上肢和前臂功能恢复的效果。
本研究共纳入 41 例符合条件的患者,随机分为肌内效贴组(n = 21)和对照组(n = 20)。肌内效贴组接受肌内效贴干预和常规治疗,对照组接受假肌内效贴干预和常规治疗。整个干预持续 3 周。在 3 个时间点(基线、治疗后 3 周和随访 6 周)评估上肢 Fugl-Meyer 评估、Barthel 指数、卒中影响量表和改良 Ashworth 量表。
在肌内效贴组中,上肢(p = 0.003)、腕部(p = 0.000)和手部(p = 0.000)的 Fugl-Meyer 上肢评估部分在 3 个评估时间点之间存在显著差异。另一方面,两组治疗后 Barthel 指数均有显著差异。
将常规康复与肌内效贴干预相结合,可能改善脑卒中幸存者患侧上肢近端和远端的运动功能,提高日常生活活动能力。