Effect of Programmed Manipulation Combined with Conventional Therapy on Pain Degree and Joint Motion of Upper Limb in Patients with Hemiplegia
Objective:To explore the medical value of programmed manipulation combined with conventional therapy in the treatment of upper limb pain after hemiplegia.Methods:A total of 62 patients with upper limb pain after hemiplegia treated in the hospital from January 2019 to January 2023 were selected as the study objects,and they were randomly divided into 2 groups,with 31 cases in each group.The control group received conventional therapy,and the study group received programmed manipulation based on the control group.Clinical efficacy,visual analogue Scale(VAS)score before and after treatment,Fugl-Meyer Upper Limb Function Scale(FMA)score,brachial hemodynamics[diameter(D),peak systolic blood velocity(PSV),resistance index(RI)],upper limb joint range of motion and adverse reactions of two groups before and after treatment were compared.Results:The total effective rate of the study group was higher than that of the control group(χ2=4.769,P＜0.05).After 12 weeks of treatment,VAS of the study group was lower than that of the control group,FMA were higher than that of the control group(t=5.478,2.587;P＜0.05).D,PSV and RI of the study group were higher than those of the control group(t=2.442,2.078,2.416;P＜0.05).The range of external rotation and flexion in the study group was higher than that in the control group(t=2.949,2.763;P＜0.05).There was no incidence of adverse reactions in the two groups.Conclusion:Programmed manipulation is effective.It can improve hemodynamic indexes,effectively reduce pain,and improve upper limb motor function.It has a high safety.
HemiplegiaUpper limb painProgrammed manipulationJoint range of motionHemodynamics
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