首页|肩部控制训练联合神经松动术对脑卒中偏瘫患者肩痛及上肢功能的效果

肩部控制训练联合神经松动术对脑卒中偏瘫患者肩痛及上肢功能的效果

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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.
Effect of neural mobilization based on shoulder control training on shoulder pain and upper limb function in stroke patients with hemiplegia
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 Hospi-tal 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.Be-fore 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 treat-ment 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.

strokehemiplegiashoulder painneural mobilizationshoulder control training

胡永林、马颖、窦超、陆安民、江小鸽、宋新建、肖玉华

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南通市第二人民医院/南通大学附属南通康复医院康复医学科,江苏南通市 226002

脑卒中 偏瘫 肩痛 神经松动术 肩部控制训练

南通市卫生健康委员会科技计划项目

QA2021034

2024

中国康复理论与实践
中国残疾人康复协会,中国医师协会,中国康复研究中心

中国康复理论与实践

CSTPCD北大核心
影响因子:1.354
ISSN:1006-9771
年,卷(期):2024.30(1)
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