《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (01): 82-084.

• 临床研究 • 上一篇    下一篇

综合康复训练对脑卒中后上肢痉挛伴肩关节半脱位的疗效

于永红1a，杨帆1b，周黎1a，赵文君1c，王昌盛1d，冯海燕1a，黄喆2，滕思伟3
   

  1. 1.承德市中心医院，a.神经内科；b.计算机管理中心；c.康复理疗科；d.神经外科， 河北承德市067000；2.承德市中医院，河北承德市067000；3.承德市疾病预防控制中心，河北承德市067000。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-01-25 发布日期:2015-01-25

Effect of Arm Spasticity Inhibitor on Upper Extremities Spasticity with Shoulder Subluxation after Stroke

YU Yong-hong, YANG Fan, ZHOU Li, ZHAO Wen-jun, WANG Chang-sheng, FENG Hai-yan, HUANG Zhe, TENG Si-wei.
  

  1. Department of Neurology, the Central Hospital of Chengde, Chengde, Hebei 067000, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-01-25 Online:2015-01-25

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摘要： 目的观察在康复训练基础上佩戴简易上肢屈肌痉挛抑制器对脑卒中后上肢屈肌痉挛并发肩关节半脱位的效果。方法80 例屈肌痉挛并发肩关节半脱位的脑卒中患者，等分为治疗组和对照组。两组均接受脑卒中常规治疗及康复，治疗组在康复时佩戴简易上肢屈肌痉挛抑制器。治疗前后测量X线片肩峰至肱骨头间距(AHI)，采用改良Ashworth 痉挛量表、肩关节活动度进行评定。结果治疗2 个月后，治疗组AHI、改良Ashworth 评分、肩关节活动度均显著优于对照组(P<0.001)。结论佩戴简易上肢屈肌痉挛抑制器进行康复训练能进一步缓解脑卒中患者屈肌痉挛，减轻肩关节半脱位，改善关节功能。

关键词: 脑卒中, 上肢, 痉挛, 肩关节半脱位, 康复, 矫形器, 简易上肢屈肌痉挛抑制器

Abstract: Objective To observe the effect of Arm Spasticity Inhibitor worn in rehabilitation training on patients with upper extremities spasticity and shoulder subluxation after stroke. Methods 80 stroke patients with flexor spasm in upper extremities complicated with subluxation of shoulder were divided into treatment group and control group equally. Both groups accepted routine medicine and rehabilitation, and the treatment group wore the Arm Spasticity Inhibitor developed ourselves during the rehabilitation training. Their acromio-humeral interval (AHI) was measured with the X- ray; and they were assessed with modified Ashworth Scale (MAS), range of motion of shoulder (ROM) and elbow before and 2 months after treatment. Results It improved more in the AHI, score of MAS and ROM in the treatment group than in the control group after treatment (P<0.001). Conclusion Wearing Arm Spasticity Inhibitor during rehabilitation training may release the spasticity of upper extremities and shoulder subluxation, and improve shoulder function in patients after stroke.

Key words: stroke, upper extremities, spasticity, shoulder subluxation, rehabilitation, orthosis, Arm Spasticity Inhibitor