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Abstract：
BACKGROUND Shoulder subluxation in patients with stroke impairs recovery and quality of life. Kinesiology tape is elastic and water-resistant, is commonly used to prevent musculoskeletal injury, and is increasing in use for rehabilitation of patients requiring neurological or physical rehabilitation. This study included 35 patients with shoulder subluxation following stroke and aimed to compare outcomes from standard physical therapy with and without shoulder kinesiology taping. MATERIAL AND METHODS This randomized controlled study involved 35 participants. The patients were randomized into a shoulder kinesiology taping group (n=18) or sham taping group (n=17). All patients underwent a conventional rehabilitation exercise program 5 days a week for 6 weeks. Half of the patients underwent shoulder kinesiology taping, and the other half underwent sham taping. Pre- and post-assessment scores were recorded for all participants for shoulder subluxation distance (SSD), active range of motion (AROM), visual analog scale (VAS), shoulder pain and disability index (SPADI), and modified Barthel index (MBI). RESULTS After the intervention, SSD, AROM, VAS, SPADI, and MBI improved significantly in the shoulder kinesiology taping and sham taping groups (P<0.05). Also, the shoulder kinesiology taping group showed more effective changes in SSD, AROM, VAS, SPADI, and MBI than the sham taping group (P<0.05). CONCLUSIONS These results suggest that the shoulder kinesiology taping is effective in improving SSD, AROM, VAS, SPADI, and MBI in patients with hemiplegic shoulder subluxation.
摘要：
背景技术中风患者的肩关节半脱位损害恢复和生活质量。运动学胶带具有弹性和防水性，通常用于预防肌肉骨骼损伤，并且越来越多地用于需要神经或身体康复的患者的康复。这项研究包括35例中风后肩关节半脱位的患者，旨在比较有和没有肩关节运动学录音的标准物理治疗的结果。材料和方法本随机对照研究涉及35名参与者。患者被随机分为肩关节运动学录音组（n=18）或假录音组（n=17）。所有患者均接受常规康复锻炼计划，每周5天，共6周。一半的病人接受了肩关节运动学测试,另一半接受了假录音。记录所有参与者肩关节半脱位距离（SSD）的评估前和评估后得分，活动范围（AROM），视觉模拟量表(VAS)，肩痛和残疾指数（SPADI），并修改了Barthel指数（MBI）。结果干预后,SSD,阿罗姆,VAS,SPADI,肩关节运动负荷组和假负荷组MBI明显改善(P<0.05)。此外，肩部运动学录音组显示出更有效的SSD变化，阿罗姆,VAS,SPADI,MBI高于假录音组(P<0.05)。结论这些结果表明，肩关节运动学胶带可有效改善SSD，阿罗姆,VAS,SPADI,和MBI在偏瘫肩关节半脱位患者中的应用。
