首页|肌内效贴配合运动疗法对老年拇外翻患者的临床疗效

肌内效贴配合运动疗法对老年拇外翻患者的临床疗效

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目的:探究肌内效贴配合运动疗法对老年拇外翻患者的临床疗效.方法:选取上海市第一人民医院康复门诊60岁及以上老年拇外翻患者34人,实验组18人(男性8人、女性10人,年龄65.63±2.84岁),对照组16人(男性8人、女性8人,年龄66.09±4.11岁).对照组进行4周运动疗法干预,包括足部肌肉牵伸、筋膜放松、肌力训练、灵活性练习.实验组在运动疗法基础上增加肌内效贴干预,贴扎方案为一条Y型贴和一条灯笼形贴布,用于稳定第一跖趾关节对位,促进循环和改善感觉输入.采集干预前后两组患者拇外翻角度、疼痛视觉模拟评分、踝关节背屈/跖屈角度及功能性步行测试参数,比较分析治疗效果.结果:经过4周干预,实验组和对照组均出现拇外翻角度下降,踝关节背屈/跖屈活动度增加、疼痛减轻、功能性步行测试指标改善.与对照组相比,实验组表现出更小的拇外翻角度(P=0.03)和更好的功能性步行测试表现(P=0.01).结论:运动疗法基础上,辅以肌内效贴干预,可进一步矫正拇外翻畸形角度,提高患者步行功能,在老年拇外翻患者中具有较好的推广价值.
The clinical effect of kinesio taping combined with therapeutic exercise on elderly patients with hallux valgus
Objective To explore the effect of kinesio taping combined with therapeutic exercise on elderly patients with hallux valgus(HV).Methods Thirty-four HV patients over 60 years old were ran-domly selected from the rehabilitation clinic of Shanghai General Hospital and divided into an experi-mental group and a control group.The experimental group comprised 18 patients(8 males,10 fe-males;65.63±2.84 years),while the control group had 16 ones(8 males,8 females;66.09±4.11 years).Both groups underwent a 4-week therapeutic exercise including foot muscle stretching,fascial relaxation,muscle strength training and flexibility exercises,while the experimental group additionally received kinesio taping,using a Y-shaped tape and a lantern-shaped tape to stabilize the alignment of the first metatarsophalangeal joint,so as to enhance circulation and sensory input.Before and after the intervention,the Hallux valgus angle,visual analogue scale(VAS)score,ankle dorsiflexion plan-tarflexion angle,and timed up and go test parameters were recorded and compared between the two groups.Results After 4 weeks of intervention,there was a significant increase in the ankle dorsiflex-ion,plantarflexion and timed up and go test performance,but a significant decrease in the hallux val-gus angle and pain.Moreover,compared with the control group,after the intervention,the experimen-tal group showed a significantly smaller hallux valgus angle(P=0.03),and significantly better timed up and go test performance(P=0.01).Conclusion Therapeutic exercise combined with kinesio taping can further correct the hallux valgus angle and improve the walking function of patients.Therefore,such therapy is worth promoting in the clinical practice.

kinesio tapingelderlyhallux valgustherapeutic exercise

朱胜群、温子星

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上海杉达学院国际医学技术学院(上海 201209)

肌内效贴 老年 拇外翻 运动疗法

上海市晨光计划上海杉达学院校基金(2023)上海杉达学院老年康复护理科创中心项目

21CGB022023YB012013-14

2024

中国运动医学杂志
中国体育科学学会

中国运动医学杂志

CSTPCD北大核心
影响因子:0.856
ISSN:1000-6710
年,卷(期):2024.43(4)
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