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頁籤選單縮合
| 題 名 | 貼紮對慢性中風病人上肢動作功能的效益=Effects of Taping on Motor Function of Upper Extremity in Chronic Stroke Patients |
|---|---|
| 作 者 | 洪榮斌; 陳怡如; 詹大方; 周偉倪; 楊政峰; | 書刊名 | 臺灣復健醫學雜誌 |
| 卷 期 | 39:3 2011.09[民100.09] |
| 頁 次 | 頁143-150 |
| 分類號 | 415.922 |
| 關鍵詞 | 中風; 貼紮; 上肢; 動作功能; Stroke; Taping; Upper extremity; Motor function; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本研究的目的在於探討軟組織貼紮對中風病患患側上肢動作功能恢復的效益。十位慢性中風病患參與本實驗,接受爲期三週的貼紮,貼紮部位包括軀幹和患側肩關節。所有受試者在貼紮前都已接受常規復健治療,貼紮期間與貼紮後之常規復健治療仍繼續。動作功能評估分別於貼紮前、貼紮後,以及貼紮後三週施測,評估內容包括傅格梅爾動作評估量表、沃夫動作功能評量、主動肩關節動作幅度測量,及動作活動日誌等。實驗結果發現經過三個星期的貼紮之後,主動肩關節屈曲與外展的動作幅度比貼紮前有增加的趨勢,但未達統計上的顯著差異。傅格梅爾動作評估量表、沃夫動作功能評量,以及動作活動日誌在貼紮前,貼紮後,以及貼紮後三週沒有顯著差異,但沃夫動作功能評量中的手肘畫圈時間則在貼紮後三週明顯比貼紮前顯著動作較快。以上結果顯示受試者並沒有因使用貼紮而改善動作功能,但關於病人使用貼紮的主觀感受評估,半數以上的受試者認爲貼紮使得上肢動作變得比較容易。根據以上結果,我們建議軟組織貼紮對中風病患上肢動作功能恢復不會產生客觀的效益,但可能因受試者的主觀感受而增加上肢活動。 |
| 英文摘要 | The purpose of this study was to evaluate the effects of taping on motor recovery of paretic upper limb in chronic stroke patients. Ten chronic stroke patients with upper limb paresis were recruited. They all received regular rehabilitation programs before this study. Taping was applied to the upper trunk and paretic shoulder of those patients in addition to regular 3-week rehabilitation. Succeedingly, they received only regular rehabilitation for another 3 weeks. Three tests were conducted before and after taping and at 3 weeks follow-up. For each test, we measured the movement amplitudes of active shoulder flexion and abduction, Fugl-Meyer Motor Assessment, Wolf Motor Function Test, and Motor Activity Log. Our results showed a trend of statistically insignificant increase in the shoulder flexion and abduction amplitudes after taping, compared with those before taping. Statistics of Fugl-Meyer Motor Assessment for upper limb, Wolf Motor Function Test and Motor Activity Log were insignificant across the three tests. Except circle drawing in the Wolf Motor Function Test, performance at follow-up test was faster than pre-test. The effects of taping on improving motor functions were insignificant according to our objective measurements. However, more than half of our patients reported subjectively easier moving of their arms after taping. The subjective report of favoring taping from our patients may be clinically important in that the use of paretic arm is motivated. |
本系統中英文摘要資訊取自各篇刊載內容。