中国康复理论与实践
中國康複理論與實踐
중국강복이론여실천
Chinese Journal of Rehabilitation Theory and Practice
2015年
10期
1197-1201
,共5页
李威%李丹%许立俊%林宇%李文兰%章荣
李威%李丹%許立俊%林宇%李文蘭%章榮
리위%리단%허립준%림우%리문란%장영
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
腦卒中%偏癱%肩痛%神經鬆動術%上肢運動功能%日常生活活動能力
뇌졸중%편탄%견통%신경송동술%상지운동공능%일상생활활동능력
stroke%hemiplegia%shoulder pain%nerve mobilization%upper limb motor function%activities of daily living
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。
目的:觀察神經鬆動術對腦卒中偏癱肩痛的療效。方法50例腦卒中偏癱肩痛患者隨機分為對照組(n=25)和觀察組(n=25)。對照組採用常規藥物結閤康複訓練進行治療,觀察組在對照組的基礎上加用神經鬆動術。治療前、治療後4週分彆採用數字模擬評分法(NAS)評定患側肩痛,Fugl-Meyer運動評分量錶中上肢部分(FMA)評定上肢運動功能,改良Barthel指數(MBI)評定日常生活活動能力(ADL)。結果治療4週後,兩組患者NAS評分較治療前顯著降低(P<0.001),且觀察組明顯低于對照組(P<0.01);兩組患者FMA和MBI評分均顯著高于治療前(P<0.001),且觀察組高于對照組(P<0.05)。結論神經鬆動術能進一步減輕腦卒中偏癱患者的肩痛,提高上肢運動功能和ADL能力。
목적:관찰신경송동술대뇌졸중편탄견통적료효。방법50례뇌졸중편탄견통환자수궤분위대조조(n=25)화관찰조(n=25)。대조조채용상규약물결합강복훈련진행치료,관찰조재대조조적기출상가용신경송동술。치료전、치료후4주분별채용수자모의평분법(NAS)평정환측견통,Fugl-Meyer운동평분량표중상지부분(FMA)평정상지운동공능,개량Barthel지수(MBI)평정일상생활활동능력(ADL)。결과치료4주후,량조환자NAS평분교치료전현저강저(P<0.001),차관찰조명현저우대조조(P<0.01);량조환자FMA화MBI평분균현저고우치료전(P<0.001),차관찰조고우대조조(P<0.05)。결론신경송동술능진일보감경뇌졸중편탄환자적견통,제고상지운동공능화ADL능력。
Objective To observe the effect of nerve mobilization on shoulder pain in hemiplegic patients after stroke. Methods 50 pa-tients 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 Ana-logue Scale (NAS), Fugl-Meyer Assessment (FMA) and modified Barthel Index (MBI) were used to evaluate the shoulder pain, the the up-per 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). Con-clusion Nerve mobilization could further relieve the shoulder pain and improve the motor function of upper limb and ADL in patients with hemiplegia after stroke.