《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (10): 1197-1201.

• 基础研究 • 上一篇    下一篇

神经松动术对脑卒中偏瘫肩痛的疗效观察

李威 1，李丹 2，许立俊 3，林宇 2，李文兰 2，章荣 1   

  1. 1.四川卫生康复职业学院附属自贡市第一人民医院康复医学科，四川自贡市 643000；2.四川卫生康复职业学院，四川自贡市643000；3.潜江市中心医院康复医学科，湖北潜江市 433100。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-10-25 发布日期:2015-10-25

Effect of Nerve Mobilization on Shoulder Pain in Hemiplegic Patients after Stroke

LI Wei1, LI Dan2, XU Li-jun3, LIN Yu2, LI Wen-lan2, ZHANG Rong1   

  1. 1.Department of Rehabilitation Medicine, Zigong First People's Hospital Affiliated to Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan 643000, China; 2. Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan 643000, China; 3. Department of Rehabilitation Medicine, Qianjiang Central Hospital, Qianjiang, Hubei 433100, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-10-25 Online:2015-10-25

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摘要： 目的 观察神经松动术对脑卒中偏瘫肩痛的疗效。方法 50例脑卒中偏瘫肩痛患者随机分为对照组(n=25)和观察组(n=25)。对照组采用常规药物结合康复训练进行治疗，观察组在对照组的基础上加用神经松动术。治疗前、治疗后4周分别采用数字模拟评分法(NAS)评定患侧肩痛，Fugl-Meyer运动评分量表中上肢部分(FMA)评定上肢运动功能，改良Barthel指数(MBI)评定日常生活活动能力(ADL)。结果 治疗 4周后，两组患者 NAS评分较治疗前显著降低(P<0.001)，且观察组明显低于对照组(P<0.01)；两组患者FMA和MBI评分均显著高于治疗前(P<0.001)，且观察组高于对照组(P<0.05)。结论 神经松动术能进一步减轻脑卒中偏瘫患者的肩痛，提高上肢运动功能和ADL能力。

关键词: 脑卒中, 偏瘫, 肩痛, 神经松动术, 上肢运动功能, 日常生活活动能力

Abstract: Objective To observe the effect of nerve mobilization on shoulder pain in hemiplegic patients after stroke. Methods 50 patients with hemiplegic shoulder pain after stroke were randomly divided into control group (n=25) and observation group (n=25). Both groups were given conventional rehabilitation training, and the observation group received nerve mobilization additionally. Number Analogue Scale (NAS), Fugl-Meyer Assessment (FMA) and modified Barthel Index (MBI) were used to evaluate the shoulder pain, the the upper limb motor function and activities of daily living (ADL) before and 4 weeks after treatment. Results The score of NAS decreased in both groups after treatment (P<0.001), and was lower in the observation group than in the control group (P<0.01). The score of FMA and MBI increased in both groups after treatment (P<0.001), and was higher in the observation group than in the control group (P<0.05). Conclusion Nerve mobilization could further relieve the shoulder pain and improve the motor function of upper limb and ADL in patients with hemiplegia after stroke.

Key words: stroke, hemiplegia, shoulder pain, nerve mobilization, upper limb motor function, activities of daily living