神经松动术对脑卒中偏瘫肩痛的疗效观察

Effect of Nerve Mobilization on Shoulder Pain in Hemiplegic Patients after Stroke

目的观察神经松动术对脑卒中偏瘫肩痛的疗效。方法 50例脑卒中偏瘫肩痛患者随机分为对照组(n=25)和观察组(n=25)。对照组采用常规药物结合康复训练进行治疗,观察组在对照组的基础上加用神经松动术。治疗前、治疗后4周分别采用数字模拟评分法(NAS)评定患侧肩痛,Fugl-Meyer运动评分量表中上肢部分(FMA)评定上肢运动功能,改良Barthel指数(MBI)评定日常生活活动能力(ADL)。结果治疗4周后,两组患者NAS评分较治疗前显著降低(P<0.001),且观察组明显低于对照组(P<0.01);两组患者FMA和MBI评分均显著高于治疗前(P<0.001),且观察组高于对照组(P<0.05)。结论神经松动术能进一步减轻脑卒中偏瘫患者的肩痛,提高上肢运动功能和ADL能力。

Objective To observe the effect of nerve mobilization on shoulder pain in hemiplegic patients after stroke. Methods 50 patients with hemiplegic shoulder pain after stroke were randomly divided into control group（n=25） and observation group（n=25）. Both groups were given conventional rehabilitation training, and the observation group received nerve mobilization additionally. Number Analogue Scale（NAS）, Fugl-Meyer Assessment（FMA） and modified Barthel Index（MBI） were used to evaluate the shoulder pain, the the upper limb motor function and activities of daily living（ADL） before and 4 weeks after treatment. Results The score of NAS decreased in both groups after treatment（P〈0.001）, and was lower in the observation group than in the control group（P0.01）. The score of FMA and MBI increased in both groups after treatment（P〈0.001）, and was higher in the observation group than in the control group（P〈0.05）. Conclusion Nerve mobilization could further relieve the shoulder pain and improve the motor function of upper limb and ADL in patients with hemiplegia after stroke.