بررسی تاثیر کینزیوتیپ بر زبردستی حرکات ظریف و فعالیت های روزمره زندگی در بیماران سکته مغزی: (مطالعه مقدماتی)

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی ارشد کاردرمانی دانشکده علوم توانبخشی دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

2 دکترای تخصصی کاردرمانی، استادیار گروه کاردرمانی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

3 دکترای فیزیوتراپی، هیئت علمی گروه فیزیوتراپی دانشکده علوم توانبخشی دانشگاه علوم پزشکی تهران، تهران، ایران

4 استاد آمار زیستی، گروه علوم پایه، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

5 دانشجوی کارشناسی ارشد کاردرمانی، دانشکده علوم توانبخشی دانشگاه علوم پزشکی ایران، تهران، ایران

6 کارشناسی ارشد کاردرمانی، هیئت علمی گروه کاردرمانی دانشکده علوم توانبخشی دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

چکیده

مقدمه و اهداف
سکته مغزی باعث ناتوانایی زیادی می­شود، اختلال حرکتی اندام فوقانی یکی از شایع­ترین مشکلات بعد از سکته مغزی است. هدف از مطالعه حاضر بررسی اثر کینزیوتیپ  بر زبردستی حرکات ظریف دست، فعالیت­های روزمره زندگی و اسپاستیسیتی در بیماران سکته مغزی بود.
مواد و روش ­ها
هشت بزرگسال سکته مغزی با محدوده سنی 63-50 سال، در مطالعه حاضر کارآزمایی بالینی آزمون-پس ­آزمون شرکت کردند. کینزیوتیپ به صورت I stripبر روی عضلات اکستانسور ساعد قرار داده شد. اسپاستیسیتی، فعالیت­های روزمره زندگی و زبردستی حرکات ظریف دست بلافاصله بعد از کینزیوتیپ و یک ماه بعد با مقیاس اصلاح­شده آشورث، پرسش­نامه بارتل، و Nine Hole Peg Test اندازه­ گیری شد.
یافته ­ها
در ارزیابی آنی، تفاوت معناداری در پیش ­آزمون و پس ­آزمون برای زبردستی حرکات ظریف دست مشاهده شد (001/0≥P-value). ارزیابی ثانویه پس از یک ماه نیز بیانگر نتایج مشابه و تفاوت معنادار نسبت به پیش­ آزمون بود، اما تغییر قابل توجهی در اسپاستیسیتی عضلات فلکسور بعد از مداخله وجود نداشت.
نتیجه­ گیری
مطالعه حاضر مقدماتی نشان داد که کینزیوتیپ در جهت عضلات اکستنسور، می­تواند زبردستی حرکات ظریف دست و فعالیت­ های روزمره زندگی را بهبود بخشد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of Kinesiotaping on Dexterity Function and Activities of Daily Livings in Patients with Stroke: A Pilot Study

نویسندگان [English]

  • fathollah qafarizadeh 1
  • Minoo Kalantari 2
  • Noureddin Nakhostin Ansari 3
  • Alireza Akbarzadeh Baghban 4
  • Amin Ghaffari 5
  • Aliasqar Jamebozorgi 6
1 MSc,OT, Department of Occupational therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 PhD in Occupational Therapy, Assistant Professor Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 PhD, PT, Professor, Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. Neuromusculoskeletal Research Center, Iran University of Medical Sciences. Tehran, Iran
4 Professor, Department of Basic Sciences, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5 MSc student,OT, Department of Occupational therapy, School of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran
6 MSc,OT, Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده [English]

Background and Aim: Stroke is a major cause of disability. Upper extremity motor impairment is one of the most common consequences after stroke. The purpose of the present study was to investigate the effect of Kinesiotape (KT) on hand function dexterity and activities of daily living as well as spasticity in stroke patients.
Materials and methods: Eight individuals with stroke, and the mean age of 50-63 years, participated in the present clinical trial and pretest-posttest study. An I strip taping was placed on extensor muscles of the participants' forearms. Spasticity, activities of daily livings, and hand function dexterity were evaluated immediately and one month after kinesiotaping using the Modified Ashworth Scale (MMAS), Barthel Index, and Nine Holle Peg test.
Results: At the immediate assessment, there were significant differences between hand dexterity function and Barthel Index in the pre-test and post-test (P- value 0/001). Secondary assessment was done after one month and the results showed similar significant differences but there was no significant change in flexor muscles spasticity of the hand after the intervention.
Conclusion: The current preliminary study indicated that KT in the direction of the extensor muscle could result in better hand function and recovery activities of daily living.
 

کلیدواژه‌ها [English]

  • Stroke
  • Kinesiotape
  • Dexterity Function
  • Activities of Daily Living
  • Spasticity
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