《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (07): 826-829.

• 特稿 • 上一篇    下一篇

强化肩胛带训练对脑卒中后偏瘫肩痛的疗效

雷从杰 1，钟慧 1，沈晓华 1，魏清川 2，高强 2   

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-07-25 发布日期:2015-07-25

Effect of Intensive Scapular Control Training on Post-stroke Shoulder Pain

LEI Cong-jie1, ZHONG Hui1, SHEN Xiao-hua1, WEI Qing-chuan2, GAO Qiang2   

  1. 1. Department of Rehabilitation, Zigong Hospital of TCM, Zigong, Sichuan 643000, China; 2. West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-07-25 Online:2015-07-25

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摘要： 目的 探讨强化肩胛带控制训练对脑卒中偏瘫患者肩痛的效果。方法 58例发病2~12周的脑卒中偏瘫肩痛患者，随机分组成常规运动治疗组(A组, n=27)和强化肩胛带控制训练组(B组, n=31)。分别于入组时、治疗 8周末，采用疼痛视觉模拟评分(VAS)、简化Fugl-Meyer评定上肢功能评分和改良Bathel指数进行评定。结果 治疗8周后B组各项评分改善优于A组(P<0.05)。结论 强化肩胛带控制训练能更好地改善脑卒中偏瘫患者的肩痛、上肢运动功能和日常生活活动能力。

关键词: 脑卒中, 偏瘫, 肩痛, 肩胛带控制训练, 康复

Abstract: Objective To observe the effect of intensive scapular control training on pain, upper limb motor function and activities of daily living (ADL) in patients with post-stroke shoulder pain. Methods 58 patients with hemiplegia after stroke were randomly assigned into routine exercise group (group A, n=27) and intensive scapular control training group (group B, n=31). They were assessed with visual analogue scale for pain, simplified Fugl-Meyer Assessment and modified Bathel Index before and 8 weeks after treatment. Results All the assessment appeared better in group B than in group A after treatment (P<0.05). Conclusion Intensive scapular control training can promote the recovery of motor function and ADL, relieve the pain in patients with post-stroke shoulder pain.

Key words: stroke, hemiplegia, shoulder pain, scapular control training, rehabilitation