强化上肢带运动治疗对脑卒中后偏瘫肩痛的疗效

摘要

Objective To observe the effect of intensive upper limb exercise therapy on pain,upper limb function in patients with post-stroke shoulder pain.Methods50 patients with hemiplegia shoulder pain after stroke were randomly assigned into experiment group(n=25)and control group(n=25). Patients in both groups accepted routine rehabilitation therapy,intensive upper limb exercise therapy were also introduced in the experiment group. Patients in both groups were accepted 4 weeks therapy. All patients in the 2 groups were assessed with Visual Analogue Scale, Constant Murle Scale and Fugl-Meyer Assessment Upper Extremity at the beginning and 4 weeks after treatment.ResultAfter 4 weeks of treatment, the comparison of the VAS scores at rest and during activity,each item of CMS and CMS total score,FMA-UE score in the 2 groups were better than before,the differences were statistically significant(allP<0.05).Meanwhile,the VAS scores during activity,the item of CMS(activity of daily living/active range of motion/muscle strength)and CMS total score,FMA-UE score in the experiment group were better than the control group,the differences were statistically significant(allP<0.05).ConclusionIntensive intensive upper limb exercise therapy can significantly relieve post-stroke patients shoulder pain during activity and improve their upper limb function.%目的 观察强化上肢带运动治疗对偏瘫肩痛患者的疗效.方法 将50例脑卒中后偏瘫肩痛患者,随机分为观察组(n=25)和对照组(n=25).两组患者均接受常规康复治疗,观察组患者还接受强化上肢带运动治疗.两组治疗周期均为4周.在治疗前、治疗4周后采用视觉模拟评估量表(VAS)、欧洲肩关节协会的评分系统Constant-Murley评定标准(CMS)、Fugl-Meyer运动功能评测上肢部分(FMA-UE)对两组患者进行评定.结果 治疗4周后两组患者肩关节安静和运动时疼痛VAS评分、CMS评分中各项评分及总分、FMA-UE评分与治疗前比较,差异均具有统计学意义(P<0.05).同时,观察组中运动时VAS评分、CMS评分中分项(日常生活活动能力、主动活动范围、肌力)和总分及FMA-UA评分与对照组比较,差异均具有统计学意义(P<0.05).结论 强化上肢带运动治疗可显著缓解偏瘫肩痛患者运动时疼痛,并能提高偏瘫肩痛患者上肢功能.