摘要
目的观察肩部控制训练基础上联合神经松动术治疗脑卒中偏瘫患者肩痛的效果。方法2020年1月至2021年11月,南通市第二人民医院脑卒中偏瘫患者43例,随机分为对照组(n=21)和治疗组(n=22)。对照组采用肩部控制训练,治疗组加用神经松动术。治疗前、治疗4周后,采用疼痛数字表法(NRS)和Fugl-Meyer评定量表上肢部分(FMA-UE)进行评定。结果对照组脱落1例,治疗组脱落2例。两组治疗后NRS和FMA-UE评分显著改善(|t|>7.898,P<0.001),且治疗组优于对照组(|t|>2.337,P<0.05)。结论肩部控制训练联合神经松动术能显著缓解脑卒中偏瘫患者的肩痛,改善其上肢运动功能。
Objective To observe the effect of neural mobilization based on shoulder control training on shoulder pain and upper limb function in stroke patients with hemiplegia.Methods From January,2020 to November,2021,43 patients with hemiplegia after stroke in the Second People's Hospital of Nantong were randomly divided into control group(n=21)and treatment group(n=22).The control group received shoulder control training,while the treatment group received neural mobilization in addition.Before and after four weeks of treatment,they were evaluated with the Numeric Rating Scale(NRS)of pain and Fugl-Meyer Assessment-Upper Extremities(FMA-UE).Results One case dropped off in the control group and two cases dropped off in the treatment group.After treatment,the NRS score and FMA-UE score improved in both groups(|t|>7.898,P<0.001),and they were better in the treatment group than in the control group(|t|>2.337,P<0.05).Conclusion Neural mobilization based on shoulder control training can significantly alleviate shoulder pain and improve upper limb motor function in stroke patients with hemiplegia.
作者
胡永林
马颖
窦超
陆安民
江小鸽
宋新建
肖玉华
HU Yonglin;MA Ying;DOU Chao;LU Anmin;JIANG Xiaoge;SONG Xinjian;XIAO Yuhua(Rehabilitation Medicine Department,the Second People's Hospital of Nantong/Affiliated Nantong Rehabilitation Hospital of Nantong University,Nantong,Jiangsu 226002,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2024年第1期81-86,共6页
Chinese Journal of Rehabilitation Theory and Practice
基金
南通市卫生健康委员会科技计划项目(No.QA2021034)。
关键词
脑卒中
偏瘫
肩痛
神经松动术
肩部控制训练
stroke
hemiplegia
shoulder pain
neural mobilization
shoulder control training
