摘要
目的观察强化上肢带运动治疗对偏瘫肩痛患者的疗效。方法将50例脑卒中后偏瘫肩痛患者，随机分为观察组（n=25）和对照组（n=25）。两组患者均接受常规康复治疗，观察组患者还接受强化上肢带运动治疗。两组治疗周期均为4用。在治疗前、治疗4用后采用视觉模拟评估量表（VAS）、欧洲肩关节协会的评分系统Constant-Murley评定标准（CMS）、Fugl-Meyer运动功能评测上肢部分（FMA-UE）对两组患者进行评定。结果治疗4周后两组患者肩关节安静和运动时疼痛VAS评分、CMS评分中各项评分及总分、FMA-UE评分与治疗前比较，差异均具有统计学意义（P〈0．05）。同时，观察组中运动时VAS评分、CMS评分中分项（日常生活活动能力、主动活动范围、肌力）和总分及FMA-UA评分与对照组比较，差异均具有统计学意义（P〈0．05）。结论强化上肢带运动治疗可显著缓解偏瘫肩痛患者运动时疼痛，并能提高偏瘫肩痛患者上肢功能。
Objective To observe the effect of intensive upper limb exercise therapy on pain, upper limb function in patients with post- stroke shoulder pain. Methods 50 patients with hemiplegia shoulder pain after stroke were randomly assigned into experiment group （ n=25 ） and control group （ n=25 ） . Patients in both groups accepted routine rehabilitation therapy, intensive upper limb exercise therapy were also introduced in the experiment group. Patients in both groups were accepted 4 weeks therapy. All patients in the 2 groups were assessed with Visual Analogue Scale, Constant Murle Scale and Fugl-Meyer Assessment Upper Extremity at the beginning and 4 weeks after treatment. Result After 4 weeks of treatment, the comparison of the VAS scores at rest and during activity, each item of CMS and CMS total score, FMA-UE score in the 2 groups were better than before, the differences were statistically significant （ all P〈0.05 ） .Meanwhile, the VAS scores during activity, the item of CMS （ activity of daily living/active range of motion/muscle strength ） and CMS total score, FMA-UE score in the experiment group were better than the control group, the differences were statistically significant （ all P〈0.05 ） . Conclusion Intensive intensive upper limb exercise therapy can significantly relieve post-stroke patients shoulder pain during activity and improve their upper limb function.
出处
《浙江临床医学》
2017年第12期2298-2300,共3页
Zhejiang Clinical Medical Journal
关键词
偏瘫
肩痛
脑卒中
Hemiplegia
Shoulder pain
Stroke
