肩胛控制训练对预防和治疗偏瘫患者肩痛的作用

摘要

目的：探讨肩胛的控制训练对偏瘫患者肩痛预防和治疗的意义。方法：按脑血管病诊断标准将65例偏瘫患者随机分成两组：对照组30例按常规方法进行康复训练；训练组35例在常规训练的基础上强调肩胛骨的控制训练。训练时间为1－4个月(平均71天)。结果：训练组肩痛发生率比对照组低(P＜0.01)；训练组的肩痛改善率比对照组高(P＜0.01)；两组上肢功能Fugl-Meye得分均有提高，训练组比对照组提高明显(P＜0.01)。结论：肩胛骨的控制训练对偏瘫患者肩痛的预防和治疗有重要意义。%Objective: To discuss the effects of prevention and treatment of intensive controlled training of scapula for the pain of shoulder in patients with hemiplegia. Method:65 stroke patients werer randomly divided into treatment group (35 cases) and control group( 30 cases). All of them received routine rehabilitation. The treatment group was intensive trained on scapula control. Result: In the treatment group the pain of shoulder and function of upper- limbs were signficantly improved,as compare with control group. Conclusion:It's indicated that the intensive controlled training of scapula was effective for prevention and care of the pain of shoulder in hemiplegia.