强化肩胛带训练对脑卒中后偏瘫肩痛的疗效

Effect of Intensive Scapular Control Training on Post-stroke Shoulder Pain

目的：探讨强化肩胛带控制训练对脑卒中偏瘫患者肩痛的效果。方法58例发病2～12周的脑卒中偏瘫肩痛患者，随机分组成常规运动治疗组（A组， n=27）和强化肩胛带控制训练组（B组， n=31）。分别于入组时、治疗8周末，采用疼痛视觉模拟评分（VAS）、简化Fugl-Meyer评定上肢功能评分和改良Bathel指数进行评定。结果治疗8周后B组各项评分改善优于A组（P〈0.05）。结论强化肩胛带控制训练能更好地改善脑卒中偏瘫患者的肩痛、上肢运动功能和日常生活活动能力。

Objective To observe the effect of intensive scapular control training on pain, upper limb motor function and activities of daily living （ADL） in patients with post-stroke shoulder pain. Methods 58 patients with hemiplegia after stroke were randomly assigned into routine exercise group （group A, n=27） and intensive scapular control training group （group B, n=31）. They were assessed with visual ana-logue scale for pain, simplified Fugl-Meyer Assessment and modified Bathel Index before and 8 weeks after treatment. Results All the as-sessment appeared better in group B than in group A after treatment （P〈0.05）. Conclusion Intensive scapular control training can promote the recovery of motor function and ADL, relieve the pain in patients with post-stroke shoulder pain.