肌内效贴结合肌电生物反馈对脑卒中偏瘫患者平衡和下肢运动功能的影响

Effects of Kinesio Taping Combined with Myoelectric Biofeedback Equipment on Balance and Lower Limb Motor Function in Stroke Patients with Hemiplegia

摘要: 目的：探究肌内效贴结合肌电生物反馈对脑卒中偏瘫足患者平衡和下肢运动功能的影响。方法：选取我院康复医学中心符合标准的60例脑卒中偏瘫患者随机分为常规治疗组、肌内效贴组、肌电生物反馈组和联合治疗组4组，每组15例。常规治疗组只进行常规康复训练，肌内效贴组在常规治疗组基础上辅以肌内效贴进行治疗，肌电生物反馈组在常规治疗组基础上辅以肌电生物反馈进行治疗，联合治疗组在常规治疗组基础上辅以肌内效贴和肌电生物反馈进行治疗。治疗前和治疗6周后(治疗后)对4组患者分别进行Berg平衡功能评定量表(BBS)、简化Fugl-Meyer (FMA)下肢运动功能评定量表、功能独立性评定量表(FIM)进行评分。结果：治疗后对4组患者BBS、FMA和FIM评分进行组内和组间疗效对比分析，联合治疗组治疗前后评分明显优于常规治疗组、肌内效贴组和肌电生物反馈组，且差异有统计学意义(P < 0.05)。结论：肌内效贴结合肌电生物反馈能显著促进脑卒中偏瘫患者平衡和运动功能恢复。

Abstract: Objective: To explore the effect of Kinesio Taping combined with Myoelectric Biofeedback Equip-men on balance and lower extremity motor function of stroke patients with hemiplegic foot. Meth-ods: A total of 60 stroke patients with hemiplegia who met the standards in the rehabilitation Med-ical Center of our hospital were randomly divided into 4 groups: conventional treatment group, Ki-nesio Taping group, Myoelectric Biofeedback Equipmen group and combined treatment group, with 15 cases in each group. The conventional treatment group only received conventional rehabilitation training, and the Kinesio Taping group was treated with Kinesio Taping on the basis of the conven-tional treatment group. The Myoelectric Biofeedback Equipment group was treated with Myoelec-tric Biofeedback Equipment in addition to the usual treatment group. The combined treatment group was treated with Kinesio Taping and Myoelectric Biofeedback Equipment in addition to the conventional treatment group. Before treatment and 6 weeks after treatment (post treatment), the Berg Balance Function Rating Scale (BBS), the simplified Fugl-Meyer (FMA) lower extremity Motor Function Rating Scale (FIM) and the Functional Independence Rating Scale (FIM) were scored in the 4 groups. Results: After treatment, the BBS, FMA and FIM scores of the 4 groups were compared and analyzed within and between groups. The scores of the combined treatment group before and after treatment were significantly better than those of the conventional treatment group, Kinesio Taping group and Myoelectric Biofeedback Equipment group. And the difference was statistically signifi-cant (P < 0.05). Conclusion: Kinesio Taping combined with Myoelectric Biofeedback Equipment can significantly promote balance and motor function recovery of stroke patients with hemiplegia.