《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (01): 68-69.

• 临床研究 • 上一篇    下一篇

脑卒中偏瘫患者肩痛的早期干预

杨薇; 辛宁; 赵文红   

  1. 哈尔滨医科大学附属第五医院康复科,黑龙江大庆市 163316
  • 收稿日期:2006-10-08 出版日期:2007-01-01 发布日期:2007-01-01

Early Intervention to the Shoulder Pain for Patients with Hemiplegia after Stroke

YANG Wei, XIN Ning, ZHAO Wen-hong   

  1. Department of Rehabilitation,5th Hospital Affiliated to Harbin University of Medicine, Daqing 163311, Heilongjiang, China
  • Received:2006-10-08 Published:2007-01-01 Online:2007-01-01

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被引次数

40

摘要： 目的探讨对脑卒中偏瘫患者进行早期干预预防、减轻肩痛的有效方法。方法采用床边运动疗法对早期脑卒中偏瘫患者的肩部进行康复,用简氏疼痛问卷和上肢功能评分在治疗前和治疗后40d进行评定。结果治疗组疼痛评分明显低于对照组(P<0.01),治疗组上肢功能评分明显高于对照组(P<0.01)。结论对脑卒中偏瘫患者肩痛进行早期干预明显减轻了肩痛并有效提高了上肢的运动功能。

关键词: 脑卒中, 偏瘫, 肩痛, 早期干预, 康复

Abstract: ObjectiveTo investigate the effect of early intervention on shoulder pain in patients with hemiplegia after stroke. MethodsStroke patients were treated with bedside physical therapy on the shoulder 7 d after onset. They were assessed with short-form McGill pain questionnaire and Fugl-Meyer assessment of upper extremity before and 40 d after treatment. ResultsThe score of MPQ in the treatment group was significantly lower than that in the control group, while the score of FMA was significantly higher(P<0.01). ConclusionEarly intervention can reduce the pain and improve the function of the shoulder in patients with shoulder pain after stroke.

Key words: stroke, hemiplegia, shoulder pain, early intervention, rehabilitation