| 陈 旦,蒋柳雅,蔡亚运,贾 杰.镜像疗法联合运动贴扎对乳腺癌治疗后持续性疼痛及生存质量的影响[J].中国康复医学杂志,2025,(1):25~31 |
| 镜像疗法联合运动贴扎对乳腺癌治疗后持续性疼痛及生存质量的影响 点此下载全文 |
| 陈 旦 蒋柳雅 蔡亚运 贾 杰 |
| 上海市静安区中心医院康复医学科，上海市，200040 |
| 基金项目：上海市静安区中心医院医学创新“种子基金”项目（JZ-2021zz04）；上海市静安区卫生系统重点学科建设项目（2021ZB02）；国家重点研发计划项目（2018YFC2002300， 2018YFC2002301） |
| DOI：10.3969/j.issn.1001-1242.2025.01.005 |
| 摘要点击次数: 273 |
| 全文下载次数: 182 |
| 摘要： |
| 摘要
目的：探讨镜像疗法（mirror therapy， MT）联合运动贴扎（kinesio taping， KT）对乳腺癌治疗后持续性疼痛及生存质量的影响。
方法：招募2022年1月—2022年12月就诊于上海市静安区中心医院康复医学科的乳腺癌治疗后持续性疼痛患者，经随机分组，22例受试者参与联合组（MT+KT），21例受试者参与运动贴扎组（KT）。两组患者均进行常规物理康复治疗，KT组在此基础上进行运动贴扎和假镜像治疗，联合组进行运动贴扎和镜像治疗。在治疗前和治疗4周后，使用数字评分法（numerical rating scales， NRSs）对疼痛进行评估，使用握力计测试双侧握力，使用量角器测试肩关节活动度，使用简明健康调查简表SF-36（short form， SF-36）调查受试者的生存质量。
结果：两组患者治疗前NRSs评分、握力差、肩关节前屈、外展差值和SF-36各维度评分均无显著性差异（P>0.05）。干预4周后，联合组的NRSs评分、肩前屈和肩外展角度均较治疗前有显著改善（P<0.05）。KT组的NRSs评分、肩前屈和肩外展角度均较治疗前有显著改善（P<0.05）。组间比较显示联合组的NRSs评分较KT组明显降低（P=0.001），虽然握力大小、肩前屈和外展的角度较KT组有改善，但差异无显著性意义（P>0.05）。干预4周后，联合组SF-36中的生理功能、一般健康、情感职能的评分较KT组有显著提高（P<0.05）。
结论：相对于单一的KT，MT+KT能够进一步改善乳腺癌治疗后持续性疼痛及部分生存质量。 |
| 关键词：乳腺癌 持续性疼痛 镜像疗法 运动贴扎技术 生存质量 |
| Effects of mirror therapy combined with kinesio taping on persistent pain and quality of life after breast cancer treatment Download Fulltext |
|
| Shanghai Jing 'an District Central Hospital， Shanghai， 200040 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To investigate the effects of mirror therapy （MT） combined with kinesio taping （KT） on persistent pain and quality of life after breast cancer treatment.
Method： Patients with persistent pain after breast cancer treatment were recruited from January 2022 to December 2022 from Department of Rehabilitation Medicine，Jing'an District Central Hospital of Shanghai. A total of 43 patients were randomized into the combination group (MT+KT, n=22) and the KT group (n=21). Patients in both groups received conventional physical rehabilitation therapy. Additionally, the KT group received kinesio taping and sham mirror therapy， while the combined group received kinesio taping and mirror therapy. Before treatment and after 4 weeks of treatment， numerical rating scales（NRSs） was used to evaluate pain， bilateral grip strength was measured using J-Tech grip strength device， shoulder range of motion（ROM） was measured using the goniometer， and quality of life was measured using the short form-36（SF-36）
Result： There were no significant differences in NRSs score， grip strength difference， shoulder flexion and abduction difference， and SF-36 score between two groups before treatment （P>0.05）. After 4 weeks of intervention， the NRSs score， shoulder flexion and shoulder abduction of the combined group were significantly improved compared with those before treatment （P<0.05）. The NRSs score， shoulder flexion and shoulder abduction in group KT were significantly improved compared with those before treatment （P<0.05）. Comparison between groups showed that NRSs score of combined group was significantly lower than that of group KT （P=0.001）， although grip strength， shoulder flexion and abduction of combined group were improved compared with group KT， but the difference was no statistically significant （P>0.05）. After 4 weeks of intervention， the scores of physiological function， general health and emotional function of SF-36 in combination group were significantly higher than those in group KT （P<0.05）.
Conclusion： Mirror therapy combined with kinesio taping can effectively improve the persistent pain and specific aspects of the quality of life in patients after breast cancer treatment. |
| Keywords:breast cancer persistent pain mirror therapy kinesio taping quality of life |
|
| 查看全文 查看/发表评论 |
