徒手冲击疗法辅助治疗中风后偏瘫上肢痉挛临床研究

Clinical Observation on the Treatment of Upper Limb Spasm after Apoplexy with Unarmed Shock Therapy

目的:探讨徒手冲击疗法联合常规康复治疗中风患者上肢痉挛的有效性和可行性。方法:将60例中风后偏瘫上肢痉挛患者随机分为A、B两组各30例,A组采用徒手冲击疗法联合常规康复治疗,B组只接受常规康复治疗,比较两组患者治疗前后改良Ashworth分级、上肢运动功能Fugl-Meyer评分,并比较两组患者临床疗效。结果:两组患者总有效率比较,差异无统计学意义(P>0.05),两组愈显率比较差异有统计学意义(P<0.01);组内比较,治疗前后MAS、FMA评分差异均有统计学意义(P<0.01);组间比较,治疗前MAS、FMA评分比较差异均无统计学意义(P>0.05),治疗后MAS、FMA评分比较差异均有统计学意义(P<0.05或P<0.01)。结论:常规康复治疗与徒手冲击疗法治疗均可降低中风患者上肢痉挛程度,改善上肢运动功能,但结合徒手冲击疗法治疗效果优于单纯常规康复治疗,该疗法见效快、易操作,值得推广应用。

Objective:To explore the effectiveness and feasibility of unarmed shock therapy combined with conventional rehabilitation for upper limb spasm in stroke patients.Methods:60 patients were randomly divided into two groups,A and B,with 30 patients in each group.Group A received unarmed shock therapy combined with conventional rehabilitation therapy,while group B only received conventional rehabilitation therapy.Both groups were treated for four weeks,and the data were recorded at the end of the treatment.The modified Ashworth grading and upper limb motor function fugl-meyer assessment were compared before and after treatment in the two groups,and the clinical efficacy of the two groups was compared.Results:There was no statistically significant difference in the total effective rate between the two groups(P>0.05),and the difference of cure rate and significant efficiency between the two groups was statistically significant(P<0.01).Intra-group comparison,The MAS and FMA scores before and after treatment were statistically significant(P<0.01).Comparison between groups,There were no statistically significant differences in MAS and FMA scores before treatment(P>0.05),while there were statistically significant differences in MAS and FMA scores after treatment(P<0.01).Conclusion:Both conventional rehabilitation therapy and unarmed shock therapy can reduce the degree of upper limb spasm and improve the upper limb movement function of stroke patients,but combined with unarmed shock therapy is better than conventional rehabilitation therapy.This therapy has quick effect and easy operation,which is worth promoting.