Clinical efficacy of manual lymphatic drainage massage combined with kinesio taping technique for patients with stage 1 post-stroke shoulder-hand syndrome
Objective To observe the clinical efficacy of manual lymphatic drainage(MLD)massage combined with ki-nesio taping(KT)technique for patients with stage 1 post-stroke shoulder-hand syndrome(SHS).Methods A total of 78 patients with stage 1 post-stroke SHS admitted to our hospital from January 2018 to December 2020 were randomly assigned into treatment group(n=39)and control group(n=39).All patients were managed by routine rehabilitation,and those in treat-ment group were additionally given MLD massage combined with KT technique.Treated for 1 month,the aim was to compare Fugl-Meyer Assessment-Upper Extremity(FMA-UE),visual analogue scale(VAS)for pain,volume value of affected hand,mid-upper arm circumference(MUAC),serum interleukin-6(IL-6),high-sensitivity C-reactive protein(hs-CRP).The curative effect and adverse reactions were assessed.Results The overall effective rate in the treatment group was better than that in the control group(94.87%[37/39]vs 76.92%[30/39],P<0.05).After treatment,FMA-UE scores were significantly increased in the two groups than those before treatment,but VAS scores were significantly decreased(all P<0.05),and the treatment group was superior to the control group for FMA-UE and VAS scores(all P<0.05).After treat-ment,volume value affected hand and MUAC in the both groups were significantly decreased(P<0.05),which decreased nota-bly in the treatment group compared with the control group(P<0.05).The levels of IL-6 and hs-CRP in the both groups were significantly decreased(P<0.05),the decrease in the treatment group was more common than the control group(P<0.05).The overall incidence of adverse reactions in the treatment group was comparable to that in the control group(7.68%[3/39]vs 10.24%[4/39],P>0.05).Conclusion For patients with stage1 post-stroke SHS,MLD massage combined with KT technique has definite clinical efficacy,which can effectively improve upper limb function,relieve pain symptoms,re-duce inflammatory response,and it is safe and reliable.
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