《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (07): 666-667.

• 临床研究 • 上一篇    下一篇

肩胛控制训练对偏瘫患者上肢功能及肩痛的影响

刘旸;翁浩;刘先虎;郭雪梅   

  1. 航天中心医院康复医学科，北京市 100049
  • 收稿日期:2008-12-15 修回日期:2009-06-08 出版日期:2009-07-01 发布日期:2009-07-01

Effects of Control Training of Scapula on Upper Limbs Function and Pain of Shoulder in Patients with Hemiplegia

LIU Yang,WENG Hao,LIU Xian-hu,et al   

  1. Department of Rehabilitation Medicine, The Aerospace Central Hospital, Beijing 100049, China
  • Received:2008-12-15 Revised:2009-06-08 Published:2009-07-01 Online:2009-07-01

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摘要： 目的 探讨肩胛控制训练对偏瘫患者上肢功能及肩痛的影响。方法 60例偏瘫患者分成观察组30例与对照组30例。对照组采用常规训练方法，观察组在对照组训练方法的基础上加入肩胛骨控制训练。于治疗前后对患者的上肢功能及肩痛程度进行评定。结果 训练后两组患者上肢Fugl-Meyer运动功能评分较治疗前明显提高（P<0.01），观察组上肢功能优于对照组（P<0.05）。训练后两组患者肩痛症状较训练前明显减轻（P<0.01），观察组较对照组改善更为明显（P<0.05）。结论 肩胛控制训练对改善偏瘫患者上肢功能、缓解肩痛有治疗意义。

关键词: 肩胛骨, 控制训练, 上肢功能, 肩痛, 偏瘫, 康复

Abstract: Objective To observe the effects of control training of scapula on upper limbs function and the pain of shoulder in patients with hemiplegia. Methods 60 patients with hemiplegia were divided into treatment group (30 cases) and control group (30 cases). The patients in control group received routine rehabilitation, while the treatment group received scapula control training in addition. They were assessed with Fugl-Meyer Assessment of the upper limbs and the severity of shoulder pain before and after the treatment. Results The scores of Fugl-Meyer Assessment of the upper limbs improved significantly (P<0.01) after treatment in both groups, and the score in the treatment group were higher than in the control group (P<0.05). The pain of shoulder decreased significantly (P<0.01) after treatment in both groups, and decreased more in the treatment group than in the control (P<0.05). Conclusion Scapula control training was effective on the function of upper limbs and the pain of shoulder in patients with hemiplegia.

Key words: scapula, control training, function of upper limbs, shoulder pain, hemiplegia, rehabilitation