对早期康复介入防治卒中后肩痛的认识

For Early Rehabilitation Intervention Prevention and Treatment Stroke Shoulder Pain

对卒中患者早期介入康复治疗,不仅能预防肩痛的发生,而且对已发生肩痛的患者早期进行积极康复治疗可以缓解肩痛。在卒中后肩痛的治疗上,首先应当重视预防,早期进行良肢位的摆放,主被动运动患侧上肢,包括低频等一些物理治疗,可以避免偏瘫肩痛的发生。对卒中后已发生肩痛的患者,我们应当针对具体原因,如:肩关节半脱位、肩挛缩、肩手综合征、误用综合征等,针对不同原因采取相应康复措施,从而达到缓解肩痛的疗效。

For stroke patients with early intervention rehabilitation,not only can prevent the occurrence of shoulder pain,but also to have occurred shoulder pain patients early positive rehabilitation therapy can alleviate shoulder pain.In the treatment of stroke shoulder pain,first attention shall be paid to prevention,early good limb position put,passive sport with lateral upper limbs,including low frequency and some other physical therapy,can avoid hemiplegia shoulder pain occurs.Stroke patients had happened shoulder pain,we shall be in accordance with specific reasons,such as：shoulder subluxation,shoulder contracture,shoulder hand syndrome,misapplication syndrome,and so on,according to different reasons to take corresponding measures of rehabilitation,thus achieve alleviate shoulder pain curative effect.