闭链运动训练对脑卒中偏瘫肩痛和肩关节稳定性的效果：基于超声的评定

doi:10.3969/j.issn.1006-9771.2025.03.003

《中国康复理论与实践》 ›› 2025, Vol. 31 ›› Issue (3): 264-273.doi: 10.3969/j.issn.1006-9771.2025.03.003

闭链运动训练对脑卒中偏瘫肩痛和肩关节稳定性的效果：基于超声的评定

林昌盛¹, 曹妤², 王彤¹, 戴文俊¹, 侯红¹, 胡翠琴¹, 包士雷¹(), 庞素芳²()

1.江苏省人民医院，江苏南京市 210029
2.西宁市第一人民医院，青海西宁市 810002

收稿日期:2024-10-06 修回日期:2024-12-21 出版日期:2025-03-25 发布日期:2025-03-25
通讯作者: 庞素芳(1965-)，女，汉族，主任医师，主要研究方向：中医针灸及神经康复，E-mail：597990841@qq.com；包士雷(1992-)，男，汉族，硕士研究生，主管技师，主要研究方向：肌骨疼痛康复，E-mail：baoshilei0798@163.com。
作者简介:林昌盛(1998-)，男，汉族，江苏淮安市人，博士研究生，主要研究方向：肌骨疼痛康复。
基金资助:
1.西宁市科技计划项目(2021-M-23);2.南京市重点临床专科资助课题(2019060002);3.江苏省医学重点学科项目(XK201110)

Effect of closed-chain exercise training on hemiplegic shoulder pain and shoulder joint stability in stroke patients: a study with ultrasound

LIN Changsheng¹, CAO Yu², WANG Tong¹, DAI Wenjun¹, HOU Hong¹, HU Cuiqin¹, BAO Shilei¹(), PANG Sufang²()

1. Jiangsu Province Hospital, Nanjing, Jiangsu 210029, China
2. Xining First Medical Group, Xining, Qinghai 810002, China

Received:2024-10-06 Revised:2024-12-21 Published:2025-03-25 Online:2025-03-25
Contact: PANG Sufang, E-mail: 597990841@qq.com; BAO Shilei, E-mail: baoshilei0798@163.com
Supported by:
Xining City Science and Technology Program Project(2021-M-23);Nanjing Municipal Key Clinical Specialty Funded Project(2019060002);Jiangsu Province Key Medical Discipline Project(XK201110)

摘要/Abstract

摘要：

目的观察闭链运动训练对脑卒中偏瘫肩痛和肩关节稳定性的治疗作用，探讨偏瘫肩痛与肩关节稳定性的关系。

方法选取2020年10月至2023年1月江苏省人民医院脑卒中偏瘫肩痛患者52例，随机分为对照组(n = 26)和试验组(n = 26)。两组均接受常规康复治疗，试验组给予肩关节闭链运动训练。治疗前后，采用视觉模拟量表(VAS)、Fugl-Meyer评定量表上肢部分(FMA-UE)评定；采用肌骨超声测量肩峰-肱骨大结节间距(AGT)、肩峰-肱骨小结节间距(ALT)、肩峰-肱骨头间距(AHD)和冈上肌厚度(SST)评估肩关节稳定性，对试验组肩痛与肩关节稳定性的改善程度进行相关性分析。

结果对照组脱落2例，试验组脱落2例。干预后，两组VAS和FMA-UE评分显著改善(|t| > 5.214, P < 0.001)，试验组更优(|t| > 2.087, P < 0.05)。试验组AGT、ALT、AHD和SST显著改善(|t| > 4.187, P < 0.001)，试验组AGT、ALT和AHD优于对照组(|t| > 2.155, P < 0.05)。试验组VAS评分改善程度与FMA-UE、AGT和ALT改善程度相关(r > 0.434, P < 0.05)。

结论肩关节闭链运动训练可显著提高肩关节稳定性，缓解肩周疼痛，有效改善脑卒中后偏瘫肩痛患者上肢功能。偏瘫肩痛与肩关节动静态稳定性相关。

关键词: 脑卒中, 偏瘫肩痛, 闭链运动, 肩关节稳定性

Abstract:

Objective To investigate the effect of closed-chain exercise training on hemiplegic shoulder pain and shoulder joint stability in stroke patients, and to explore the relationship between hemiplegic shoulder pain and shoulder joint stability.

Methods A total of 52 stroke patients with hemiplegic shoulder pain in Jiangsu Province Hospital from October, 2020 to January, 2023 were selected, and were randomly divided into control group (n = 26) and experimental group (n = 26). Both groups received conventional rehabilitation therapy, while the experimental group additionally underwent closed-chain exercise training for shoulder joint. Pain severity and motor function were assessed using Visual Analog Scale (VAS) and Fugl-Meyer Assessment-Upper Extremities (FMA-UE) before and after intervention. Musculoskeletal ultrasound was used to measure acromion-greater tuberosity distance (AGT), acromion-lesser tuberosity distance (ALT), acromiohumeral distance (AHD) and supraspinatus thickness (SST) to evaluate shoulder joint stability. Correlation analysis was conducted on the improvements in shoulder pain and shoulder joint stability in the experimental group.

Results Two cases in the control group and two in the experimental group dropped down. Both groups showed significant improvements in VAS and FMA-UE scores after intervention (|t| > 5.214, P < 0.001), and the scores improved more in the experimental group than in the control group (|t| > 2.087, P < 0.05). The experimental group also showed significant improvements in AGT, ALT, AHD and SST (|t| > 4.187, P < 0.001), with AGT, ALT and AHD being superior to those in the control group (|t| > 2.155, P < 0.05). The difference of VAS score in the experimental group was correlated with the difference of FMA-UE, AGT and ALT after intervention (r > 0.434, P < 0.05).

Conclusion Closed-chain shoulder exercise training can significantly improve shoulder joint stability while alleviating shoulder pain, and effectively enhancing upper limb function in stroke patients with hemiplegic shoulder pain. Hemiplegic shoulder pain is correlated with shoulder joint stability.

Key words: stroke, hemiplegic shoulder pain, closed-chain exercise, shoulder joint stability

中图分类号:

R743.3

林昌盛, 曹妤, 王彤, 戴文俊, 侯红, 胡翠琴, 包士雷, 庞素芳. 闭链运动训练对脑卒中偏瘫肩痛和肩关节稳定性的效果：基于超声的评定[J]. 《中国康复理论与实践》, 2025, 31(3): 264-273.

LIN Changsheng, CAO Yu, WANG Tong, DAI Wenjun, HOU Hong, HU Cuiqin, BAO Shilei, PANG Sufang. Effect of closed-chain exercise training on hemiplegic shoulder pain and shoulder joint stability in stroke patients: a study with ultrasound[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(3): 264-273.

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参考文献 53

[1]	DE SIRE A, MOGGIO L, DEMECO A, et al. Efficacy of rehabilitative techniques in reducing hemiplegic shoulder pain in stroke: systematic review and meta-analysis[J]. Ann Phys Rehabil Med, 2022, 65(5): 101602.
[2]	LEI M, WANG Y, CHEN Q, et al. Changes in serum levels of pain mediators in hemiplegic shoulder pain[J]. Brain Behav, 2023, 13(12): e3289. doi: 10.1002/brb3.3289 pmid: 37864374
[3]	ANWER S, ALGHADIR A. Incidence, prevalence, and risk factors of hemiplegic shoulder pain: a systematic review[J]. Int J Environ Res Public Health, 2020, 17(14): 4962.
[4]	XIE H M, ZHANG X T, XU L, et al. Magnetic resonance imaging findings in painful hemiplegic shoulder patients with or without subluxation: a retrospective cohort study[J]. Front Neurol, 2022, 13: 1032676.
[5]	李垚眉, 王继先, 谢青. 肌张力增高在卒中后肩痛中的发病机制和研究进展[J]. 中国康复, 2022, 37(3): 179-182.
[6]	DURAY M, BASKAN E. The effects of hemiplegic shoulder pain on upper extremity motor function and proprioception[J]. NeuroRehabilitation, 2020, 46(4): 561-567. doi: 10.3233/NRE-203049 pmid: 32508338
[7]	RATMANSKY M, DEFRIN R, SOROKER N. A randomized controlled study of segmental neuromyotherapy for post-stroke hemiplegic shoulder pain[J]. J Rehabil Med, 2012, 44(10): 830-836. doi: 10.2340/16501977-1021 pmid: 22949162
[8]	KUMAR P. Hemiplegic shoulder pain in people with stroke: present and the future[J]. Pain Manag, 2019, 9(2): 107-110. doi: 10.2217/pmt-2018-0075 pmid: 30681020
[9]	黄毓洁, 林有维, 许若瑶, 等. 偏瘫后肩痛的发病机制与临床康复评估的应用进展[J]. 按摩与康复医学, 2022, 13(22): 59-65.
[10]	PONG Y P, WANG L Y, HUANG Y C, et al. Sonography and physical findings in stroke patients with hemiplegic shoulders: a longitudinal study[J]. J Rehabil Med, 2012, 44(7): 553-557.
[11]	HOLMES R J, MCMANUS K J, KOULOUGLIOTI C, et al. Risk factors for poststroke shoulder pain: a systematic review and meta-analysis[J]. J Stroke Cerebrovasc Dis, 2020, 29(6): 104787.
[12]	岳雅蓉, 项文平, 薛慧, 等. 偏瘫性肩痛的治疗研究进展[J]. 神经病学与神经康复学杂志, 2022, 18(3): 131-143.
	YUE Y R, XIANG W P, XUE H, et al. Research progress in the treatment of hemiplegic shoulder pain[J]. J Neurol Neurorehabil, 2022, 18(3): 131-143.
[13]	NOOR M B, RASHID M, YOUNAS U, et al. Recent advances in the management of hemiplegic shoulder pain[J]. J Pak Med Assoc, 2022, 72(9): 1882-1884. doi: 10.47391/JPMA.22-97 pmid: 36281002
[14]	ZHOU M, LI F, LU W, et al. Efficiency of neuromuscular electrical stimulation and transcutaneous nerve stimulation on hemiplegic shoulder pain: a randomized controlled trial[J]. Arch Phys Med Rehabil, 2018, 99(9): 1730-1739.
[15]	VAN BLADEL A, LAMBRECHT G, OOSTRA K M, et al. A randomized controlled trial on the immediate and long-term effects of arm slings on shoulder subluxation in stroke patients[J]. Eur J Phys Rehabil Med, 2017, 53(3): 400-409.
[16]	PACI M, NANNETTI L, TAITI P, et al. Shoulder subluxation after stroke: relationships with pain and motor recovery[J]. Physiother Res Int, 2007, 12(2): 95-104. doi: 10.1002/pri.349 pmid: 17536647
[17]	TURNER-STOKES L, JACKSON D. Shoulder pain after stroke: a review of the evidence base to inform the development of an integrated care pathway[J]. Clin Rehabil, 2002, 16(3): 276-298.
[18]	GAMBLE G E, BARBERAN E, LAASCH H U, et al. Poststroke shoulder pain: a prospective study of the association and risk factors in 152 patients from a consecutive cohort of 205 patients presenting with stroke[J]. Eur J Pain, 2002, 6(6): 467-474. doi: 10.1016/s1090-3801(02)00055-1 pmid: 12413435
[19]	YANG S H, CHUNG E J, LEE J, et al. The effect of trunk stability training based on visual feedback on trunk stability, balance, and upper limb function in stroke patients: a randomized control trial[J]. Healthcare (Basel), 2021, 9(5): 532.
[20]	OLCZAK A, TRUSZCZYNSKA-BASZAK A, STEPIEN A, et al. Effect of the trunk and upper limb passive stabilization on hand movements and grip strength following various types of strokes-an observational cohort study[J]. Brain Sci, 2022, 12(9): 1234.
[21]	LV S, WANG Q, NI Q, et al. Progress of muscle chain theory in shoulder pain rehabilitation: potential ideas for pulmonary rehabilitation[J]. Evid Based Complement Alternat Med, 2022, 2022: 2537957.
[22]	DILLMAN CJ M T. Biomechanical differences of open and closed chain exercises with respect to the shoulder[J]. J Sport Rehabil, 1994(3): 228-238.
[23]	王璐, 于歌, 陈亚平. 神经肌肉控制训练治疗粘连性肩关节囊炎的效果[J]. 中国康复理论与实践, 2022, 28(5): 616-620. doi: 10.3969/j.issn.1006-9771.2022.05.018
	WANG L, YU G, CHEN Y P. Effect of neuromuscular control training on frozen shoulder[J]. Chin J Rehabil Theory Pract, 2022, 28(5): 616-620.
[24]	林奕, 林金来, 刘健. 闭链运动对脑卒中偏瘫肩半脱位患者的影响[J]. 按摩与康复医学, 2018, 9(8): 23-25.
	LIN Y, LIN J L, LIU J. The effect of closed kinetic chain exercises on the shoulder subluxation in hemiplegic after stroke patients[J]. Chin Manipul Rehabil Med, 2018, 9(8): 23-25.
[25]	中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国脑血管病影像应用指南2019[J]. 中华神经科杂志, 2020, 53(4): 250-268.
	Chinese Society of Neurology, Chinese Stroke Society. Chinese guidelines for the imaging application in cerebrovascular diseases[J]. Chin J Neurol, 2020, 53(4): 250-268.
[26]	LAFFONT I, FROGER J, JOURDAN C, et al. Rehabilitation of the upper arm early after stroke: video games versus conventional rehabilitation. A randomized controlled trial[J]. Ann Phys Rehabil Med, 2020, 63(3): 173-180. doi: S1877-0657(19)30188-5 pmid: 31830535
[27]	侯亚静, 刘伟, 陆敏杰, 等. 超声引导下肩峰下滑囊类固醇注射联合神经肌肉电刺激治疗偏瘫肩痛的随机对照研究[J]. 中国康复医学杂志, 2022, 37(1): 34-38.
	HOU Y J, LIU W, LU M J, et al. The effectiveness of ultrasound-guided subacromial-subdeltoid bursa corticosteroid injection and neuro-muscular electrical stimulation for hemiplegic shoulder pain: a randomized controlled trial[J]. Chin J Rehabil Med, 2022, 37(1): 34-38.
[28]	PARK S E, KIM Y R, KIM Y Y. Immediate effects of scapular stabilizing exercise in chronic stroke patient with winging and elevated scapula: a case study[J]. J Phys Ther Sci, 2018, 30(1): 190-193.
[29]	WOODFORDE J M, MERSKEY H. Some relationships between subjective measures of pain[J]. J Psychosom Res, 1972, 16(3): 173-178. doi: 10.1016/0022-3999(72)90041-4 pmid: 5072910
[30]	FUGL-MEYER A R, JÄÄSKÖ L, LEYMAN I, et al. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance[J]. Scand J Rehabil Med, 1975, 7(1): 13-31.
[31]	YANG C, CHEN P, DU W, et al. Musculoskeletal ultrasonography assessment of functional magnetic stimulation on the effect of glenohumeral subluxation in acute poststroke hemiplegic patients[J]. Biomed Res Int, 2018, 2018: 6085961.
[32]	SUI M, JIANG N, YAN L, et al. Effect of electroacupuncture on shoulder subluxation in poststroke patients with hemiplegic shoulder pain: a sham-controlled study using multidimensional musculoskeletal ultrasound assessment[J]. Pain Res Manag, 2021, 2021: 5329881.
[33]	DYER S, MORDAUNT D A, ADEY-WAKELING Z. Interventions for post-stroke shoulder pain: an overview of systematic reviews[J]. Int J Gen Med, 2020, 13: 1411-1426. doi: 10.2147/IJGM.S200929 pmid: 33324087
[34]	ITO D, KAWAKAMI M, KUWAHARA W, et al. Parameter mapping of hemiplegic shoulder electrical stimulation for motor function: a scoping review[J]. NeuroRehabilitation, 2023, 53(1): 19-32.
[35]	WANG Y, LI X, SUN C, et al. Effectiveness of kinesiology taping on the functions of upper limbs in patients with stroke: a meta-analysis of randomized trial[J]. Neurol Sci, 2022, 43(7): 4145-4156.
[36]	NADLER M, PAULS M, CLUCKIE G, et al. Shoulder pain after recent stroke (SPARS): hemiplegic shoulder pain incidence within 72 hours post-stroke and 8-10 week follow-up (NCT 02574000)[J]. Physiotherapy, 2020, 107: 142-149.
[37]	VANGSNESS C J, ENNIS M, TAYLOR J G, et al. Neural anatomy of the glenohumeral ligaments, labrum, and subacromial bursa[J]. Arthroscopy, 1995, 11(2): 180-184. doi: 10.1016/0749-8063(95)90064-0 pmid: 7794430
[38]	ROIJEZON U, CLARK N C, TRELEAVEN J. Proprioception in musculoskeletal rehabilitation. Part 1: Basic science and principles of assessment and clinical interventions[J]. Man Ther, 2015, 20(3): 368-377.
[39]	MASTERS R S W, MAXWELL J P. The theory of reinvestment[J]. Int Rev Sport Exerc Psychol, 2013(1): 160-183.
[40]	GHAI S, DRILLER M W, MASTERS R S W. The influence of below-knee compression garments on knee-joint proprioception[J]. Gait Posture, 2018(60): 258-261.
[41]	刘宝祥, 胡川, 王欣. 上肢加压振动联合悬吊治疗对脑卒中后肩关节半脱位及功能的疗效观察[J]. 中国康复, 2022, 37(4): 200-203.
	LIU B X, HU C, WANG X. Effects of upper extremity compression vibration combined with sling exercise therapy on glenohumeral subluxation and function in stroke patients[J]. Chin J Rehabil, 2022, 37(4): 200-203.
[42]	KHADEMI K K, BERENJI A S. The effect of base of support stability on shoulder muscle activity during closed kinematic chain exercises[J]. J Bodyw Mov Ther, 2014, 18(2): 233-238. doi: 10.1016/j.jbmt.2013.08.005 pmid: 24725792
[43]	SAHIN N, BASKENT A, CAKMAK A, et al. Evaluation of knee proprioception and effects of proprioception exercise in patients with benign joint hypermobility syndrome[J]. Rheumatol Int, 2008, 28(10): 995-1000. doi: 10.1007/s00296-008-0566-z pmid: 18368409
[44]	MIMA T, SADATO N, YAZAWA S, et al. Brain structures related to active and passive finger movements in man[J]. Brain, 1999, 122 (Pt 10): 1989-1997.
[45]	XING Y, BAI Y. A Review of exercise-induced neuroplasticity in ischemic stroke: pathology and mechanisms[J]. Mol Neurobiol, 2020, 57(10): 4218-4231. doi: 10.1007/s12035-020-02021-1 pmid: 32691303
[46]	FERNANDEZ-GONZALO R, FERNANDEZ-GONZALO S, TURON M, et al. Muscle, functional and cognitive adaptations after flywheel resistance training in stroke patients: a pilot randomized controlled trial[J]. J Neuroeng Rehabil, 2016(13): 37.
[47]	WINTER L, HUANG Q, SERTIC J, et al. The effectiveness of proprioceptive training for improving motor performance and motor dysfunction: a systematic review[J]. Front Rehabil Sci, 2022, 3: 830166.
[48]	周敬杰, 张明, 张秀芳, 等. 本体感觉功能训练对粘连性肩关节囊炎关节功能影响的临床研究[J]. 中国康复, 2015, 30(5): 372-373.
[49]	KUMAR P, BRADLEY M, GRAY S, et al. Reliability and validity of ultrasonographic measurements of acromion-greater tuberosity distance in poststroke hemiplegia[J]. Arch Phys Med Rehabil, 2011, 92(5): 731-736.
[50]	ROY J S, MOFFET H, HEBERT L J, et al. Effect of motor control and strengthening exercises on shoulder function in persons with impingement syndrome: a single-subject study design[J]. Man Ther, 2009, 14(2): 180-188.
[51]	XIE H, ZHANG Q, ZHAN J, et al. The relationship between the ratio of the supraspinatus muscle thickness measured by ultrasound imaging and glenohumeral subluxation in stroke patients: a cross-sectional study[J]. Front Neurol, 2024(15): 1407638.
[52]	KUMAR P, CRUZIAH R, BRADLEY M, et al. Intra-rater and inter-rater reliability of ultrasonographic measurements of acromion-greater tuberosity distance in patients with post-stroke hemiplegia[J]. Top Stroke Rehabil, 2016, 23(3): 147-153. doi: 10.1080/10749357.2015.1120455 pmid: 26653884
[53]	REED D, CATHERS I, HALAKI M, et al. Shoulder muscle activation patterns and levels differ between open and closed-chain abduction[J]. J Sci Med Sport, 2018, 21(5): 462-466. doi: S1440-2440(17)30985-4 pmid: 28803796

组别	n	性别(男/女)/n	年龄/岁	病程/周	卒中类型(梗死/出血)/n	偏瘫侧(左/右)/n
对照组	24	12/12	59.6±6.6	6.7±5.5	16/8	12/12
试验组	24	13/11	58.0±10.8	7.6±6.7	13/11	11/13
χ²/t值		0.083	0.647	-0.520	0.784	0.083
P值		0.773	0.522	0.606	0.376	0.773

变量	组别	n	测试	$\bar{x}±s$	t值	P值
VAS	对照组	24	前测	2.92±1.47	5.214	< 0.001
			后测	2.38±1.28
	试验组	24	前测	3.29±1.68	9.218	< 0.001
			后测	1.58±1.10
	治疗前两组均值差			-0.38±0.46	-0.822	0.415
	治疗后两组均值差			0.79±0.34	2.299	0.026
FMA-UE	对照组	24	前测	15.29±11.85	-5.599	< 0.001
			后测	19.88±12.50
	试验组	24	前测	16.00±12.13	-5.333	< 0.001
			后测	27.33±12.27
	治疗前两组均值差			-0.71±3.46	-0.205	0.839
	治疗后两组均值差			-7.46±3.57	-2.087	0.042

变量	组别	n	测试	$\bar{x}±s$	t值	P值
AGT	对照组	24	前测	3.00±0.52	5.662	< 0.001
			后测	2.89±0.50
	试验组	24	前测	2.83±0.39	5.521	< 0.001
			后测	2.58±0.36
	治疗前两组均值差			0.17±0.13	1.277	0.208
	治疗后两组均值差			0.32±0.13	2.533	0.015
ALT	对照组	24	前测	2.97±0.39	3.475	0.002
			后测	2.88±0.35
	试验组	24	前测	2.96±0.31	6.019	< 0.001
			后测	2.66±0.31
	治疗前两组均值差			0.12±0.10	0.120	0.905
	治疗后两组均值差			0.22±0.10	2.316	0.025
AHD	对照组	24	前测	3.22±0.58	2.850	0.009
			后测	3.12±0.58
	试验组	24	前测	3.18±0.45	4.187	< 0.001
			后测	2.82±0.37
	治疗前两组均值差			0.04±0.15	0.272	0.787
	治疗后两组均值差			0.30±0.14	2.155	0.037
SST	对照组	24	前测	1.95±0.15	-1.827	0.081
			后测	1.98±0.16
	试验组	24	前测	1.95±0.17	-5.432	< 0.001
			后测	2.04±0.17
	治疗前两组均值差			0.00±0.05	0.055	0.956
	治疗后两组均值差			-0.06±0.05	-1.266	0.212

闭链运动训练对脑卒中偏瘫肩痛和肩关节稳定性的效果：基于超声的评定

Effect of closed-chain exercise training on hemiplegic shoulder pain and shoulder joint stability in stroke patients: a study with ultrasound

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