运动针刺联合关节松动术治疗中风后肩痛的临床研究

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

李骥耀¹ 

关键词: 肩痛;    肱二头肌;    针刺治疗;    关节松动术;    远红外理疗贴;    中风;   

DOI  :  10.11997/nitcwm.2017012017

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To discuss the clinical effect of acupuncture-exercise therapy combined with joint mobilization technique(JMT)and far-infrared physiotherapy paste(FIRPP)in treatment of post-stroke shoulder pain which pathological pattern was long head of biceps brachii(LHBB)lesion. Methods 〓Totally 64 patients with the post-stroke shoulder pain were randomly divided into two groups. Thirty-two patients in the control group received JMT and FIRPP and another 32 patients in the treatment group received extra acupuncture-exercise combined with JMT and FIRPP. All cases received treatment for 5 times per week, 4 weeks for the 1 course. The shoulder pain was assessed by visual analogue scale(VAS)and passive range of motion(PROM)in the two groups before treatment and at the 4th week and the eighth week of treatment. Result 〓The score of VAS showed no significant difference between the two groups at the 4th week of treatment(P>0.05). But after the 2 course of treatment, the scores of VAS and PROM improved in both groups(P<0.05)and improved more in the treatment group than those in the control group(P<0.05). The total effective rate was significantly higher in the treatment group than in control group(94.52% vs. 82.76%; P<0.05). Conclusion 〓Acupuncture-exercise therapy combined with JMT and FIRPP could relieve shoulder pain, and improve shoulder range of motion in forward bend and abduction, and external rotation of humerus.

【 授权许可】

CC BY-NC