Effect of Kinesio Taping on Arm Function in Stroke Patients in the Early Stage of Rehabilitation

E. Lendraitienė, Rasa Šakalienė, D. Petruševičienė, Jūratė Paškevičienė
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Abstract

Substantiation of the study. There is a lack of literature about the efficiency of Kinesio Taping methods which improve recovery of arm functions for patients after stroke in the early stage of rehabilitation. The aim of the study was to determine the effect of Kinesio Taping on the recovery of the affected arm function in stroke patients during the early stage of rehabilitation. Subjects and methods. Forty stroke patients were divided into two groups. Inclusion criteria for the subjects were: age under 75 years, affected arm muscle strength – at least 2 points, and cognitive function – at least 11 points according Mini mental state exam (moderate cognitive impairment). The patients of the frst group had only exercise therapy, while to the patients of the second group exercised together with the applied Kinesio Taping method. Patients’ affected hand strength was measured using a dynamometer, arm function was assessed by Wolf Motor test, a modifed Motor Assessment Scale and modifed Fugl-Meyer motor function impairment test. Results. After physiotherapy procedures, the evaluation of arm function with Wolf and Fugl-Meyer tests showed signifcant improvement in the both groups: in the frst group of patients, Wolf test results indicated the change and the estimated values were 49.4 ± 1.3 points, in the second group – 23.1 ± 2.0 points, Fugl-Meyer test – 31.3 ± 0.3 and 21.9 ± 0 6 points (p < 0.05). In the frst group of patients, hand muscle strength improved signifcantly by 26.2 ± 2.2 kg, in the second group – 12.2 ± 1.8 kg (p < 0.05). In the frst group of patients, shoulder motion recovery by JVS improved by 3.0 ± 0.1 points, in the second group – 2.1 ± 0.1 points, hand movements recovery – by 2.6 ± 0.1 and 1.7 ± 0.1 points, complex hand movements – by 2.8 ± 0.1 and 1.4 ± 0.1 points (p < 0.05). Conclusions. The effect of exercises with Kinesio Taping on the affected arm function in stroke patients was signifcantly more pronounced (p < 0.05) than the effect of exercises only.Keywords: stroke, arm function, Kinesio Taping, physiotherapy
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肌内效贴敷对脑卒中患者康复早期臂功能的影响
研究的证实。关于肌内效贴敷方法在脑卒中患者康复早期改善手臂功能恢复的有效性,目前缺乏文献报道。本研究的目的是确定肌内效贴贴对中风患者在康复早期受影响的手臂功能恢复的影响。研究对象和方法。40名中风患者被分为两组。受试者的纳入标准为:年龄在75岁以下,手臂肌肉力量受损至少2分,认知功能受损至少11分(根据Mini精神状态测试)(中度认知障碍)。第一组患者仅进行运动治疗,而第二组患者在运动的同时应用肌内效贴敷法。采用测力仪测量患者的手部力量,采用Wolf运动测试、修改后的运动评估量表和修改后的Fugl-Meyer运动功能障碍测试评估患者的手臂功能。结果。物理治疗后,两组患者进行Wolf和Fugl-Meyer测试评估手臂功能均有显著改善:第一组患者Wolf测试结果有所改变,估计数值为49.4±1.3分,第二组患者为23.1±2.0分,Fugl-Meyer测试为31.3±0.3分和21.9±0.6分(p < 0.05)。第一组患者手部肌力改善26.2±2.2 kg,第二组患者手部肌力改善12.2±1.8 kg (p < 0.05)。第一组患者肩关节运动恢复改善3.0±0.1分,第二组患者改善2.1±0.1分,手部运动恢复改善2.6±0.1分和1.7±0.1分,手部复杂运动改善2.8±0.1分和1.4±0.1分(p < 0.05)。结论。运动配合肌内效贴对脑卒中患者手臂功能的影响比单纯运动更显著(p < 0.05)。关键词:中风,手臂功能,肌内效贴敷,物理治疗
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0.00%
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21
审稿时长
24 weeks
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