| 摘要: |
| 目的观察研究双侧臀肌肌内效贴配合功能训练改善脑卒中患者坐-站转移能力的应用效果。方法将60例脑卒中住院患者按随机数字表法分为3组：治疗组1（患侧贴扎组）、治疗组2（健侧和患侧共同贴扎组）和对照组，每组20例。治疗组采用肌内效贴配合常规功能锻练，对照组仅进行常规功能运动。记录3组患者在治疗前及治疗后6周的相关数据，采用AL-080型步态与平衡功能锻练评估系统，测量患者坐-站转移所需时间、左右下肢负重的差别（ALD）以及身体重力点在额状面上的移动距离（COGX），观察并比较各组间的差异。结果3组患者训练前各项评分比较无统计学差异。3组患者在训练前和训练后坐-站转移的时间、ALD、COGX均有统计学差异（均P＜0.05）；两治疗组和对照组患者治疗后比较上述所有参数的差值均有统计学意义（均P＜0.05）；治疗组2和治疗组1患者治疗后上述参数的差值比较均有统计学差异（均P＜0.05）。治疗组2的疗效较治疗组1、对照组更显著。治疗组1的疗效高于对照组。结论肌内效贴配合功能训练可一定程度促进偏瘫后坐-站转移能力，双侧贴扎肌内效贴效果较患侧单独贴扎效果好，可作为一种简易的治疗方法应用于临床。 |
| 关键词: 肌内效贴 脑卒中 坐 - 站转移 臀肌 |
| DOI：10.12056/j.issn.1006-2785.2017.39.11.2017-274 |
| 分类号: |
| 基金项目:浙江省卫生厅一般项目（Y2015100487） |
|
| Kinesio taping on bilateral gluteus improves sit-to-stand transfer function in stroke patients |
|
TANG Yang, LIN Jian, HUANG Xiong'ang, LI Lin
|
|
Zhejiang Hospital
|
| 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, COGX between 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 |
