文章摘要
欧建林,郝赤子,陈芳婷,李晨曦,廖维靖.徒手淋巴引流结合肌内效贴治疗脑卒中后肩手综合征Ⅰ期的短期疗效观察[J].中国康复,2019,34(5):235-238
徒手淋巴引流结合肌内效贴治疗脑卒中后肩手综合征Ⅰ期的短期疗效观察
Short-term efficacy of manual lymphatic drainage combined with Kinesio taping on patients with shoulder-hand syndrome in stage I after stroke
  
DOI:
中文关键词: 徒手淋巴引流  肩手综合征  肌内效贴  康复治疗
英文关键词: manual lymphatic drainage  shoulder-hand syndrome  Kinesio taping  rehabilitation therapy
基金项目:
作者单位
欧建林 武汉大学中南医院武汉 430071 
郝赤子 武汉大学中南医院武汉 430071 
陈芳婷 武汉大学中南医院武汉 430071 
李晨曦 武汉大学中南医院武汉 430071 
廖维靖 武汉大学中南医院武汉 430071 
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中文摘要:
  目的:观察徒手淋巴引流结合肌肉效贴治疗脑卒中后肩手综合征Ⅰ期的短期疗效。方法:将40例脑卒中后肩手综合征患者随机分为对照组和研究组各20例。对照组接受常规康复治疗,包括正确的体位摆放、气压治疗、冷热水治疗、主动和被动运动及神经发育疗法,研究组在常规康复治疗基础上实行徒手淋巴引流结合肌内效贴治疗,2组均进行4周治疗。治疗前后分别用排水法、视觉模拟评分(VAS)、肩关节功能评价量表、Fugl-Meyer量表(FMA)、巴氏指数(BI)评估患者的水肿及疼痛程度、肩关节功能、上肢运动功能和日常生活活动能力,对采集到的数据进行组间及组内比较。结果:治疗4周后,2组患者水肿及疼痛程度、肩关节功能、上肢运动功能和日常生活活动能力均较治疗前改善(均P<0.05),且研究组优于对照组(P<0.05)。结论:徒手淋巴引流结合肌内效贴在短期内能进一步改善肩手综合征Ⅰ期患者的水肿及疼痛程度,提高肩关节功能、上肢运动功能以及日常生活活动能力。
英文摘要:
  Objective:To investigate the short-term efficacy of manual lymphatic drainage combined with Kinesio taping in the treatment of post-stroke shoulder-hand syndrome in stage Ⅰ.Methods:All 40 patients with shoulder-hand syndrome after stroke were randomly divided into experimental group (n=20) and control group (n=20). The control group received routine rehabilitation therapy, including posture correcting, pneumatic therapy, cold and warm therapy, active and passive exercise and neurodevelopmental therapy. The experimental group received manual lymphatic drainage combined with Kinesio taping therapy on the basis of routine rehabilitation therapy. Both groups were treated for 4 weeks. Drainage method, Visual Analogue Scale (VAS), shoulder joint function assessment scale, Fugl-Meyer Assessment (FMA) and Barthel Index (BI) were used to assess edema, pain, shoulder joint function, upper limb motor function and activities of daily living (ADL) before and after treatment. The collected data were compared between groups and within groups.Results:Four weeks after treatment, edema, pain, shoulder joint function, upper limb motor function and ADL were improved in both groups as compared with those before treatment (P<0.05), more significant in experimental group than in control group (P<0.05).Conclusion:Manual lymphatic drainage combined with Kinesio taping can alleviate the edema and pain, make the shoulder joint function, upper limb motor function and ADL better to patients with shoulder hand syndrome stage I during short time.
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