首页|物理因子疗法联合康复训练治疗卒中后肩手综合征的效果

物理因子疗法联合康复训练治疗卒中后肩手综合征的效果

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目的 探讨卒中后肩手综合征患者采用物理因子疗法联合康复训练的治疗效果。方法 选取 2021 年 1 月—2023 年 10月东莞市康复医院脑卒中后肩手综合征患者 60 例作为研究对象,采用随机数字表法对为对照组与观察组,各 30 例。对照组采用单纯实施康复训练,观察组实施物理因子疗法联合康复训练。比较 2 组的疼痛程度、手功能受损程度、日常生活能力、治疗有效率。结果 观察组治疗总有效率为 96。7%,高于对照组的 73。3%(P<0。05)。治疗前,2 组视觉模拟评分法(visual analogue scoring,VAS)、自我妨碍量表(SHS)、Fugl-Meyer运动功能评估量表(FMAS)、Barthel指数(BI)评分比较,差异无统计学意义(P>0。05);治疗后,观察组VAS、SHS 评分均优于对照组,差异有统计学意义(P<0。05)。观察组BI评分为(72。10±7。90)分,高于对照组的(65。07±8。50)分(P<0。05)。结论 卒中后肩手综合征患者实施物理因子疗法联合康复训练可以有效改善其关节活动度,减轻其疼痛程度,帮助其改善上肢活动功能,值得进一步大样本研究。
The Effect of Physical Factor Therapy Combined With Rehabilitation Training for the Treatment of Post-Stroke Shoulder-Hand Syndrome
Objective To explore the therapeutic effect of physical factor therapy combined with rehabilitation training on post-stroke shoulder hand syndrome patients.Methods A total of 60 patients with post-stroke shoulder hand syndrome from Dongguan Rehabilitation Hospital from January 2021 to October 2023 were selected as the research subjects.Random number table method was used to compare the control group and observation group,with 30 cases in each group.The control group received rehabilitation training alone,while the observation group received physical factor therapy combined with rehabilitation training.The degree of pain,degree of impairment of hand function,ability of daily living,and clinical efficacy were compared between groups.Results The total effective rate of the observation group was 96.7%,which was higher than 73.3%of the control group(P<0.05).Before treatment,there was no statistically significant difference between the two groups in terms of visual analog scoring(VAS),self handicapping scale(SHS),Fugl Meyer assessment scale(FMAS),and Barthel index(BI)scores(P>0.05).After treatment,the VAS and SHS scores of the observation group were lower than those of the control group,and the FMA score was higher than that of the control group(P<0.05).The BI score of the observation group was(72.10±7.90)points,which was higher than that of the control group(65.07±8.50)points(P<0.05).Conclusion The implementation of physical factor therapy combined with rehabilitation training in patients with post-stroke shoulder hand syndrome can effectively improve their joint mobility,reduce their pain level,and help them improve upper limb activity function.Overall,further large-sample studies are warranted.

physical factor therapyrehabilitation trainingpost-stroke shoulder-hand syndromejoint range of motiondegree of painupper limb motor function

余伟琳、吴冬梅、王和强、梁添丽、李锦嫦、张世杰、梁嘉妍、刘新、杨子维

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东莞市康复医院理疗科,广东 东莞 523000

物理因子疗法 康复训练 卒中后肩手综合征 关节活动度 疼痛程度 上肢活动功能

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(17)