早期康复对脑卒中后肩-手综合征患者上肢功能的影响

Effects of early rehabilitation on upper extremity function of patients with shoulder-hand syndrome after stroke

目的探讨早期综合康复治疗对脑卒中后肩 手综合征患者患侧上肢临床症状、关节活动度和运动功能的影响。方法将 47例脑卒中后肩 手综合征患者分为早期康复组和非早期康复组 ,两组患者均给予综合康复治疗 ,观察其临床表现 ,并采用Fugl-Meyer评定法评定康复治疗前后偏瘫侧上肢的关节活动范围、疼痛程度和运动功能。结果①对脑卒中患者予早期预防性康复措施 ,在并发肩 手综合征时 ,其患侧上肢关节活动范围减小程度和疼痛程度均较非早期康复组轻。②经综合康复治疗后 ,脑卒中后肩 手综合征患者患侧上肢的临床症状、关节活动度和运动功能均有改善 (P <0 .0 5 ) ,早期康复治疗效果更佳。结论早期康复干预可以预防和减轻脑卒中患者肩 手综合征的发生 ;

ObjectiveTo study the effects of early rehabilitation on symptom, range of motion (ROM) and motor function of upper extremity of patients with shoulder-hand syndrome after stroke.Methods47 patients were divided into two groups,early rehabilitation group and non-early rehabilitation group.Two groups were treated with comprehensive rehabilitation. The passive ROM, the pain and motor function of affected limb was assessed by Fugl-Meyer Assessment.The evalution was done in pre-treatment and post-treatment respectively. Results1.The passive ROM decreased and the pain of affected limb of the early rehabilitation group were less than the non-early rehabilitation gronp when the shoulder-hand syndrome occour.2.After comprehensive rehabilitation treatment,their clinical symptom?ROM and motor function of upper extremity impoved significantly in patients with shoulder-hand syndrome after stroke( P<0.05).The early rehabilitation treatment has better effects. Conclusions The early rehabilitation treatment could decrease the degree of their passive ROM decrease and the pain of affected limb in patients with shoulder-hand syndrome after stroke,and the patients who accepted earlyrehabilitation seemed easly to improve by comprehensive treatment.