Clinical Effect of Functional Electrical Stimulation Combined with PNF in the Treatment of Hemiplegic Shoulder Pain after Stroke
Objective:To explore the clinical effect of functional electrical stimulation(FES)combined with proprioceptive neuromuscular facilitation(PNF)in the treatment of hemiplegic shoulder pain after stroke.Method:A total of 118 patients with hemiplegia shoulder pain after stroke who treated in Jiangyin Nanzha Hospital from February 2020 to March 2023 were selected.They were divided into the observation group(59 cases)and the control group(59 cases)according to random number table method.The control group was given conventional treatment,and the observation group was given FES combined with PNF on the basis of the control group.The degree of shoulder pain,shoulder joint condition,upper limb motor function,muscle tension and daily living ability were compared between two groups before intervention and after 2 months of intervention.Result:After 2 months of intervention,the visual analogue scale(VAS)scores,shoulder pain and disability index(SPADI)scores of two groups were decreased,and the VAS score and SPADI score of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After 2 months of intervention,the upper limb of Fugl-Meyer motor function assessment scale(FMA-UE)scores in two groups were increased,and the modified Ashworth scale(MAS)scores were decreased,the FMA-UE score of the observation group was higher than that of the control group,and the MAS score was lower than that of the control group,the differences were statistically significant(P<0.05).After 2 months of intervention,the Barthel index scale(BI)scores of two groups were increased,and the BI score of the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion:FES combined with PNF treatment can effectively relieve hemiplegic shoulder pain after stroke,improve the upper limb motor function of patients and enhance daily living ability.
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