肩部控制训练联合神经松动术对脑卒中偏瘫患者肩痛及上肢功能的效果

doi:10.3969/j.issn.1006-9771.2024.01.011

Abstract

Abstract:

Objective To observe the effect of neural mobilization based on shoulder control training on shoulder pain and upper limb function in stroke patients with hemiplegia.

Methods From January, 2020 to November, 2021, 43 patients with hemiplegia after stroke in the Second People's Hospital of Nantong were randomly divided into control group (n = 21) and treatment group (n = 22). The control group received shoulder control training, while the treatment group received neural mobilization in addition. Before and after four weeks of treatment, they were evaluated with the Numeric Rating Scale (NRS) of pain and Fugl-Meyer Assessment-Upper Extremities (FMA-UE).

Results One case dropped off in the control group and two cases dropped off in the treatment group. After treatment, the NRS score and FMA-UE score improved in both groups (|t| >7.898, P< 0.001), and they were better in the treatment group than in the control group (|t| >2.337, P< 0.05).

Conclusion Neural mobilization based on shoulder control training can significantly alleviate shoulder pain and improve upper limb motor function in stroke patients with hemiplegia.

Key words: stroke, hemiplegia, shoulder pain, neural mobilization, shoulder control training

CLC Number:

R743.3

HU Yonglin, MA Ying, DOU Chao, LU Anmin, JIANG Xiaoge, SONG Xinjian, XIAO Yuhua. Effect of neural mobilization based on shoulder control training on shoulder pain and upper limb function in stroke patients with hemiplegia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 81-86.

Figures/Tables 3

References 29

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组别	n	性别(男/女)/n	年龄/岁	病程/d	脑卒中类型(梗死/出血)/n	偏瘫侧别(左/右)/n
对照组	21	12/9	56.67±9.72	55.62±22.75	12/9	10/11
治疗组	22	15/7	57.64±9.43	52.82±21.44	12/10	13/9
t/χ²值		0.560	-0.332	0.416	0.029	0.568
P值		0.454	0.742	0.680	0.864	0.451

组别	n	治疗前	治疗后	t值	P值
对照组	20	5.75±1.33	4.10±1.12	9.903	< 0.001
治疗组	20	5.90±1.48	3.10±1.55	11.854	< 0.001
t值		-0.336	2.337
P值		0.738	0.025

组别	n	治疗前	治疗后	t值	P值
对照组	20	25.90±8.27	31.35±6.23	-7.898	< 0.001
治疗组	20	24.75±7.48	40.75±7.21	-35.315	< 0.001
t值		0.461	-4.413
P值		0.647	< 0.001

Effect of neural mobilization based on shoulder control training on shoulder pain and upper limb function in stroke patients with hemiplegia

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