تأثیر کینزیوتیپینگ عضله‌ی گاسترکنمیوس روی تعادل و اسپاستیسیته در بیماران مبتلا به سکته‌ی مغزی مزمن

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشجوی کارشناس ارشد، گروه فیزیوتراپی، دانشکده‌ی توان‌بخشی و کمیته‌ی تحقیقات دانشجویی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 مربی، گروه فیزیوتراپی، دانشکده‌ی توان‌بخشی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 دانشیار، گروه ارتوز و پروتز، دانشکده‌ی توان‌بخشی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: سکته‌ی مغزی یک ضایعه‌ی عصبی- عروقی در مغز است که فلج یک نیمه از بدن از علامت‌های شاخص آن می‌باشد. اختلال در کنترل تعادل توسط تعامل پیچیده‌ای از اختلالات حسی، حرکتی و شناختی ایجاد می‌شود و اغلب، بزرگ‌ترین تأثیرش را روی بیماران از طریق اختلالات بلند مدت، محدودیت در فعالیت‌ها و کاهش مشارکت در جامعه می‌گذارد. هدف این مطالعه، بررسی اثر چسب درمانی (کینزیوتیپ) روی تعادل و اسپاستیسیته‌ی بیماران مبتلا به سکته‌ی مغزی بود.روش‌ها: در این کارآزمایی بالینی تصادفی یک سو کور، 22 بیمار 30 تا 65 ساله‌ی مبتلا به سکته‌ی مغزی با فلج یک نیمه از بدن انتخاب و بر اساس نیمه‌ی فلج (راست یا چپ) به دو گروه اختصاص داده شدند. در طول پژوهش، هر دو گروه، کینزیوتیپ را به مدت 1 ساعت روی پوستشان دریافت کردند. از آزمون Timed up and go test (TUG) جهت بررسی کنترل تعادل حین عملکرد حرکتی و از مقیاس Modified Modified Ashworth Scale (MMASH) جهت ارزیابی اسپاستیسیته عضلات پلنتارفلکسور قبل، بلافاصله بعد و 1 ساعت بعد از مداخله استفاده شد.یافته‌ها: تحلیل نتایج درون گروهی حاکی از کاهش معنی‌دار نمره‌ی آزمون TUG و همچنین، تون عضله‌ی گاسترکنمیوس دو گروه بود. با مقایسه‌ی بین گروهی، چنین مشخص شد که کینزیوتیپ روی بهبود کنترل تعادل بیماران مبتلا به سکته‌ی مغزی با فلج نیمه‌ی چپ تأثیرگذارتر است.نتیجه‌گیری: اطلاعات حاصل از تحقیق حاضر نشان دهنده‌ی تأثیر مثبت کینزیوتیپ عضله‌ی گاسترکنمیوس در بهبود اسپاستیسیته و تعادل حین عملکردهای حرکتی ضد جاذبه می‌باشد؛ به ویژه در آن دسته از بیماران، که نیم‌کره‌ی راست مغزشان آسیب دیده است.

کلیدواژه‌ها

عنوان مقاله [English]

Effects of Gastronomies Kinesio Taping on Postural Control and Spasticity in Patients with Chronic Stroke

نویسندگان [English]

  • Fatemeh Jalaee 1
  • Abbasali Pourmomeni 2
  • Mohammad Taghi Karimi 3
  • Hamzeh Baharlouei 2
1 MSc Student, Department of Physiotherapy, School of Rehabilitation AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
2 Lecturer, Department of Physiotherapy, School of Rehabilitation, Isfahan University of Medical Sciences, Isfahan, Iran
3 Associate Professor, Department of Orthotics and Prosthetics, School of Rehabilitation, Isfahan University of Medical sciences, Isfahan, Iran
چکیده [English]

Background: Stroke is a neurovascular lesion in the brain. Paralysis of one half of the body is the most important symptom of stroke. Impaired postural control is built by complex interactions of sensory, cognitive and motor disorders. All of these factors can predispose patients to reduce function. The aim of this study was to assess the effect of Kinesio taping on dynamic balance and spasticity in patients with chronic stroke.Methods: In this single-blind randomized controlled trial (RCT) study, 22 patients with stroke, 11 with right-sided and 11 with left-sided hemiplegia, were enrolled. The subjects’ age ranged from 30 to 56 years (mean = 58.7 years). Both groups received Kinesio taping intervention (KT). Kinesio Tex Tape was applied directly to the skin of gastrocnemius muscles and was kept for 1 hour. Timed up and go test (TUG) was used to assess dynamic postural control and Modified Modified Ashworth Scale (MMAS) to evaluate the degree of spasticity of plantar flexor muscles.Findings: There was a statistically significant reduction in spasticity and TUG scores in the pre-taped, taped and retest condition. In repeated measures analysis of variances, there was statistically significant difference between the two groups just for TUG scores, not for spasticity.Conclusion: The results suggest that the use of gastrocnemius taping may be useful in immediately stabilising body posture and reducing spasticity. In addition, the results showed that patients with left-sided hemiplegia have relevant balance disorders and taping improve dynamic postural control in these patients more.

کلیدواژه‌ها [English]

  • Stroke
  • Kinesiotape
  • Postural control
  • Balance
  • Spasticity

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مجله دانشکده پزشکی اصفهان
دوره 33، شماره 329 - شماره پیاپی 329
خرداد و تیر 1394
صفحه 467-478

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سابقه مقاله

  • تاریخ دریافت: 17 بهمن 1393
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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