目的 系统评价肌内效贴(KT)治疗脑卒中患者后肩痛和上肢功能障碍的疗效。方法 计算机检索PubMed、Cochrane Library、Ovid、Web of Science，中国知网、万方和维普数据库等，收集关于KT用于脑卒中患者的文献，检索时间为建库至2022年8月29日。采用RevMan5。4软件进行meta分析。结果 最终纳入15篇文献，涉及833例患者。meta分析结果显示，试验组视觉疼痛模拟量表(VAS)评分略低于对照组，差异有统计学意义[均方差(MD)=-1。14，95％置信区间(CI):-1。53～-0。76，P＜0。001]。试验组FMA评分高于对照组，差异有统计学意义(MD=3。76，95％CI:2。87～4。65，P＜0。001)。试验组BI高于对照组，差异有统计学意义(MD=-4。96，95％CI:-6。86 3。07，P＜0。001)。试验组前屈(MD=17。56，95％CI:4。04～31。08)、后伸(MD=4。99，95％CI:0。62～9。37)、内旋(MD=10。12，95％CI:1。46～18。78)、外旋(MD=8。91，95％CI:2。01～15。81)ROM评分高于对照组，差异有统计学意义(P＜0。05)。2组外展ROM评分比较，差异无统计学意义(MD=12。40，95％CI:-0。75～25。55，P＞0。05)。2组MAS评分比较，差异无统计学意义(MD=-0。10，95％CI:-0。74～0。54，P＞0。05)。结论 KT结合康复训练可缓解脑卒中患者肩痛，改善上肢运动功能，提高生活自理能力，但对肩关节外展及缓解肌肉痉挛的意义不大。
Effect of kinesio taping on post-stroke shoulder pain and upper limb dysfunction:a meta-analysis
Objective To systematically evaluate the efficacy of kinesio taping(KT)in the treatment of post-stroke shoulder pain and upper limb dysfunction.Methods PubMed,Cochrane Library,Ovid,Web of Sci-ence,CNKI,Wanfang and VIP Databases were searched by computer to collect the literature on KT for stroke patients from the establishment of the database to August 29,2022.Meta-analysis was performed using Rev-Man5.4 software.Results A total of 15 articles were included,involving 833 patients.The results of meta-analysis showed that the VAS score of the experimental group was slightly lower than that of the control group,and the difference was statistically significant(MD=-1.14,95％CI:-1.53--0.76,P＜0.001).The FMA score of the experimental group was higher than that of the control group,and the difference was statis-tically significant(MD=3.76,95％CI:2.87-4.65,P＜0.001).The BI of the experimental group was higher than that of the control group,and the difference was statistically significant(MD=-4.96,95％CI:-6.86--3.07,P＜0.001).The ROM scores of flexion(MD=17.56,95％CI:4.04-31.08),extension(MD=4.99,95％CI:0.62-9.37),internal rotation(MD=10.12,95％CI:1.46-18.78)and external rotation(MD=8.91,95％CI:2.01-15.81)in the experimental group were higher than those in the control group,and the differences were statistically significant(P＜0.05).There was no significant difference in abduction ROM score between the two groups(MD=12.40,95％CI:-0.75-25.55,P＞0.05).There was no significant differ-ence in MAS score between the two groups(MD=-0.10,95％CI:-0.74-0.54,P＞0.05).Conclusion KT com-bined with rehabilitation training can relieve shoulder pain,improve upper limb motor function and improve self-care ability in stroke patients,but it has little significance for shoulder abduction and muscle spasm.
万方数据
