| 李子晗.运动控制训练联合肌内效贴对脑卒中后Ⅰ期肩手综合征患者手部肿胀率及肌力的影响[J].安徽医药,待发表. |
| 运动控制训练联合肌内效贴对脑卒中后Ⅰ期肩手综合征患者手部肿胀率及肌力的影响 |
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| 投稿时间：2026-08-31 录用日期：2026-11-14 |
| DOI： |
| 中文关键词: 脑卒中 肩手综合征 肌内效贴 运动控制训练 手部肿胀率 肌力 |
| 英文关键词: |
| 基金项目:河北省中医药管理局科研计划项目(编号:2025142) |
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| 中文摘要: |
| 目的:探究运动控制训练联合肌内效贴对脑卒中后Ⅰ期肩手综合征(SHS)患者手部肿胀率及肌力的影响。方法:将2024年8月至2025年10月保定市第一中心医院收治的88例脑卒中后Ⅰ期SHS患者随机分为常规组(采用常规康复治疗,44例)、训练联合肌贴组(常规康复治疗基础上加用运动控制训练联合肌内效贴,44例),比较两组手部肿胀率、手部肌力分级、上肢运动功能和日常生活活动能力。结果:两组治疗后Fugl-Meyer量表(FMA)评分、手部肿胀率、Barthel指数(BI)评分均升高,且训练联合肌贴组明显更高(P＜0.05)；治疗4周后,两组手部肌力分级均提升,且训练联合肌贴组肌力分级显著优于常规组(P＜0.05)。结论:在脑卒中后Ⅰ期SHS患者中应用运动控制训练联合肌内效贴,可有效减轻手部肿胀,增强患者手部肌力、上肢运动及日常生活活动能力。 |
| 英文摘要: |
| Objective: To investigate the effects of motor control training combined with Kinesiology tape on the hand swelling rate and muscle strength of patients with stage I shoulder-hand syndrome (SHS) after stroke. Methods: From August 2024 to October 2025, 88 patients with stage I SHS after stroke admitted to Baoding No.1 Central Hospital, were randomly separated into the conventional group (receiving conventional rehabilitation therapy, 44 cases) and the training combined with tape group (receiving conventional rehabilitation therapy plus motor control training combined with Kinesiology tape, 44 cases). The hand swelling rate, hand muscle strength grading, upper limb motor function and daily living activity ability were compared. Results: After treatment, the Fugl-Meyer Assessment (FMA) score, hand swelling rate, and Barthel Index (BI) score of both groups raised, and those in the training combined with tape group were obviously higher (P < 0.05). After 4 weeks of treatment, the muscle strength grades of both groups improved. Moreover, the muscle strength grades in the training combined with tape group were obviously better than those in the conventional group (P < 0.05). Conclusion: In patients with stage I SHS after stroke, the application of motor control training combined with Kinesiology tape can effectively reduce hand swelling, enhance the muscle strength of the hand, upper limb motor function, and daily living activity ability of the patients. |
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