肌内效贴对脑卒中患者肩关节半脱位后肩痛的疗效-中国康复医学杂志.PDF

ChineseJournalofRehabilitationMedicine, Mar.2018,Vol. 33, No.3 ·临床研究· 肌内效贴对脑卒中患者肩关节半脱位后 肩痛的疗效观察* 施伯瀚 厉坤鹏 胡寅虎 徐 倩 陈 柱 蔡珍珍 朱 燕1 1 1 1 1 1 1,2 摘要 目的：观察肌内效贴对脑卒中患者偏瘫侧肩关节半脱位后肩痛的疗效。 方法：56 例脑卒中肩关节半脱位后肩痛患者，按照随机数字表法分为治疗组与对照组（各28 例），两组患者均实施常 规康复治疗及宣教，治疗组在此基础上结合肌内效贴干预。分别于治疗前和治疗6 周后通过X 线测量法测量肩峰 与肱骨头间距（AHI ）、肩关节视觉模拟评分（VAS ）疼痛、Fugl-Meyer 上肢功能评分、肩痛侧腋神经及肌皮神经的运 动神经传导测定，对两组治疗结果进行疗效评价。 结果：治疗前，两组患者AHI 值、VAS 评分、Fugl-Meyer 上肢功能评分无明显差异（P ＞0.05 ），且检测所有患者肩痛侧 腋神经（刺激部位：Erb 点；记录部位：三角肌）及肌皮神经（刺激部位：Erb 点；记录部位：肱二头肌）后发现两组中某 些患者肌皮神经（30 例，53.57% ）、腋神经（31 例，55.36% ）波幅明显低于正常值，而潜伏期轻度延长或正常（提示轴索 损伤）。两组治疗6 周后，治疗组各项评分改善优于对照组（P ＜0.05 ）且无不良事件发生。 结论：在常规康复治疗的基础上，肌内效贴在脑卒中患者偏瘫侧肩关节半脱位后肩痛早期防治中，具有良好的疗效， 其相应机制有待进一步研究。 关键词 肌内效贴；脑卒中；肩关节半脱位 中图分类号：R743.3, R493, R684 文献标识码：A 文章编号：1001-1242(2018)-03-0310-05 Therapeutic effectiveness of Kinesio taping for relieving shoulder pain in stroke patients with shoulder subluxation/SHI Bohan, LI Kunpeng, HU Yinhu, et al.//Chinese Journal of Rehabilitation Medicine, 2018, 33(3): 310—314 Abstract Objective: To study the effect of Kinesio taping for relieving shoulder pain in stroke patients with shoulder subluxation. Method: Fifth-six stroke patients with shoulder pain and shoulder subluxation were randomly and equally divid- ed into treatment group and control group. All patients received conventional rehabilitation therapy and propa- ganda, education. In addition, treatment group received Kinesio taping therapy. Before and six weeks after treat- ment, we evaluated and analyzed the degree of shoulder subluxation pain, upper limb function and nervous function by the acromio-humeral interval (AHI) measured by X-rays, visual analogue scale (VAS), Fugl-Meyer test with upper limb (FMA) and the motor nerve conduction velocity of axillaris nerve and musculocutaneous nerve at shoul