肌内效贴扎应用于肩袖损伤康复治疗的效果观察

Effect of kinesio taping on rehabilitation of rotator cuff injury

  • 摘要: 目的 观察肌内效贴扎技术应用于肩袖损伤患者康复治疗的效果。方法 选择2017年1-11月哈尔滨医科大学附属第一医院骨科和康复科收治的肩袖损伤并以非手术方法治疗的患者40例,随机分为治疗组和对照组各20例。对照组进行常规综合康复治疗,包括理疗和运动疗法,理疗主要应用超声波、超短波、蜡疗,运动疗法主要应用关节松动术、被动生理运动、牵伸和力量训练;治疗组在综合康复治疗的基础上加用肌内效贴扎技术(肌内效贴扎是一种新型贴扎技术,其材料有良好弹性、黏性,通过不同贴扎方法可以起到支持或放松组织,促进体液及血液循环的作用)。治疗一个疗程(12 d)后,对两组VAS评分及美国加州大学肩袖损伤专业评分系统(UCLA)各项分值进行比较。结果 治疗后,治疗组、对照组VAS评分均低于治疗前的(5.60±1.10)和(5.70±0.98)(P均<0.01),且治疗组低于对照组(1.85±1.09 vs3.45±1.82,P=0.020)。两组在治疗后UCLA评分中,治疗组疼痛(8.20±0.89 vs 7.10±1.02)、肩关节功能(7.90±1.02 vs 7.10±1.21)、主动前屈活动度(4.00±0.56 vs 3.55±0.76)、徒手前屈肌力分值(4.40±0.60 vs 4.15±0.49)均高于照组(P均<0.05),且两组各指标均显著高于治疗前(P均<0.01)。治疗组患者满意度显著高于对照组(4.75±1.12 vs 4.00±2.05,P=0.003)。结论 在肩袖损伤综合康复治疗中辅助应用肌内效贴布贴扎技术,能更有效缓解疼痛、关节活动受限等,改善肌肉和关节损伤情况。

     

    Abstract: Objective To observe the effect of kinesio taping on rotator cuff injury. Methods From January to November in 2017, 40 patients with rotator cuff injury biceps were conservertively treated in department of rehabilitation medicine or orthopedics of the First Affiliated Hospital of Harbin Medical University, and they were randomly divided into treatment group(n=20) and control group(n=20). The control group received routine comprehensive rehabilitation therapy, including physical therapy and therapeutic exercise. Physical therapy included ultrasonic therapy, ultrashort wave therapy and wax therapy, while therapeutic exercise included joint mobilization, passive physiological exercise, myotasis and strength training. On the basis of comprehensive rehabilitation treatment, the treatment group received additionally kinesio taping technique(kinesio taping technique is a new type of ligation technology. The kinesio tape has good elasticity and viscosity. Different taping methods play different roles in supporting or relaxing tissues, promoting fluid and blood circulation). After a course of treatment(12 days), VAS and the University of California professional score(UCLA) system for rotator cuff injury were evaluated and compared. Results After treatment, the VAS scores in the treatment group was significantly lower than that of control group(1.85±1.09 vs 3.45±1.82, P=0.020), and both of them decreased significantly compared to those before treatment(5.60±1.10 and 5.70±0.98)(P < 0.01, respectively). After treatment, pain(8.20±0.89 vs 7.10±1.02), shoulder function(7.90±1.02 vs 7.10±1.21), active forward flexion activity(4.00±0.56 vs 3.55±0.76), strength of forward flexion score(4.40±0.60 vs 4.15±0.49) of UCLA in the treatment group were all significantly higher than those of the control group(all P < 0.01); and these indicators increased significantly compared to before treatment(all P < 0.05). The satisfaction of the patients was significantly higher than that in the control group(4.75±1.12 vs 4.00±2.05, P=0.003). Conclusion Kinesio taping combined comprehensive rehabilitation treatment can alleviate main symptoms of rotator cuff injury, such as pain and limited joint movement, which is more effective when comparing to comprehensive rehabilitation alone.

     

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