雙側(cè)臀肌肌內(nèi)效貼改善腦卒中患者坐-站轉(zhuǎn)移穩(wěn)定性的療效觀察

湯洋 林堅(jiān) 黃雄昂 李琳

雙側(cè)臀肌肌內(nèi)效貼改善腦卒中患者坐-站轉(zhuǎn)移穩(wěn)定性的療效觀察

湯洋 林堅(jiān) 黃雄昂 李琳

目的 觀察研究雙側(cè)臀肌肌內(nèi)效貼配合功能訓(xùn)練改善腦卒中患者坐- 站轉(zhuǎn)移能力的應(yīng)用效果。 方法 將60例腦卒中住院患者按隨機(jī)數(shù)字表法分為 3 組：治療組 1（患側(cè)貼扎組）、治療組 2（健側(cè)和患側(cè)共同貼扎組）和對(duì)照組，每組 20 例。治療組采用肌內(nèi)效貼配合常規(guī)功能鍛練，對(duì)照組僅進(jìn)行常規(guī)功能運(yùn)動(dòng)。記錄 3 組患者在治療前及治療后 6 周的相關(guān)數(shù)據(jù)，采用 AL-080 型步態(tài)與平衡功能鍛練評(píng)估系統(tǒng)，測(cè)量患者坐 - 站轉(zhuǎn)移所需時(shí)間、左右下肢負(fù)重的差別（ALD） 以及身體重力點(diǎn)在額狀面上的移動(dòng)距離（COGX），觀察并比較各組間的差異。 結(jié)果 3 組患者訓(xùn)練前各項(xiàng)評(píng)分比較無統(tǒng)計(jì)學(xué)差異。3 組患者在訓(xùn)練前和訓(xùn)練后坐 - 站轉(zhuǎn)移的時(shí)間、ALD、COGX 均有統(tǒng)計(jì)學(xué)差異（均 P＜0.05）；兩治療組和對(duì)照組患者治療后比較上述所有參數(shù)的差值均有統(tǒng)計(jì)學(xué)意義（均 P＜0.05）；治療組 2 和治療組 1 患者治療后上述參數(shù)的差值比較均有統(tǒng)計(jì)學(xué)差異（均 P＜0.05）。治療組 2 的療效較治療組 1、對(duì)照組更顯著。治療組 1的療效高于對(duì)照組。 結(jié)論 肌內(nèi)效貼配合功能訓(xùn)練可一定程度促進(jìn)偏癱后坐 - 站轉(zhuǎn)移能力，雙側(cè)貼扎肌內(nèi)效貼效果較患側(cè)單獨(dú)貼扎效果好，可作為一種簡易的治療方法應(yīng)用于臨床。

肌內(nèi)效貼 腦卒中 坐-站轉(zhuǎn)移 臀肌

【 Abstract 】 Objective To assess the effect of kinesio taping on bilateral gluteus on sit-to-stand transfer function in stroke patients. Methods Sixty stroke patients were randomly divided into three groups:study group Ⅰ (kinesio taping in affected side with conventional physical therapy);study group Ⅱ (kinesio taping in both sides with conventional physical therapy)and control group(conventional physical therapy only)with 20 cases in each group ．The time required to rise from sitting,the average load difference(ALD)between the left and right feet and sway of the center of gravity in the mediolateral direction(COGX)were measured before and 6 weeks after intervention. Results There was no significant difference in baseline scores among three groups before treatment．There were significant differences in the time required to rise from sitting,ALD between the left and right feet and sway of COGX among three groups(P ＜0.05)．There were significant differences in the time of rise from sitting, ALD,COGXbetween study group Ⅰ and control group(P＜0.05),between study group Ⅱ and control group(P＜0.05),between study group Ⅱ and study group Ⅰ (P ＜0.05). Conclusion Kinesio taping with physical therapy may be favorable in improving functional outcome of sit-to-stand transfer in stroke patients,and use on both sides is more effective.

【 Key words 】 Kinesio taping Stroke Sit-to-stand transfer Gluteus

近年來，由于早期診療技術(shù)的不斷突破，腦卒中患者存活率也不斷提高，但研究表明高達(dá) 80%的患者會(huì)留下不同程度的殘疾[1]。……