药熨治疗联合棍棒操训练改善中风患者肩关节活动障碍的效果观察

Curative Effect of Exercise with Joy Stick and Hot Compress on Shoulder Disorders after Stroke

目的观察药熨治疗结合棍棒操训练对中风患者肩关节障碍的临床效果。方法将90例中风后肩关节活动障碍患者(疼痛评分≥4分)按随机数字表法分为3组,每组30例。在常规康复训练的基础上,药熨治疗组采用药熨治疗,棍棒操治疗组采用棍棒操训练治疗,药熨结合棍棒操组采用药熨结合棍棒操治疗。分别于治疗前、治疗1个月末采用视觉模拟评分法、肩关节主动活动范围、上肢运动功能评定量表、日常生活自理能力量表,进行康复效果评定。结果 3组治疗后肩痛程度、肩关节主动活动范围、上肢运动功能积分、日常生活自理能力评分,均较治疗前明显改善(均P<0.05),药熨结合棍棒操组疗效更优于棍棒操治疗组(均P<0.05)。结论药熨治疗结合棍棒操训练在改善中风患者肩关节活动障碍方面具有积极的作用,能增强患侧上肢运动能力。

Objective To observe the clinical curative effect of stick exercise combined with hot compress on shoulder disorders after stroke. Methods Ninety stroke patients with shoulder pain（VAS≥4） were randomly divided into group A, B and C, with forty cases in each group. On the basis of routine rehabilitation training, patients in group A were treated with hot compress and those in group B with stick exercise but patients in group C with hot compress combined with stick exercise. VAS, shoulder joint active range of motion, upper limb movement function evaluation（FMA）, daily self-care ability scale were applied before and one month after treatment for rehabilitation evaluation. Results Shoulder pain, shoulder joint active range of motion, the functional scores of upper limb movement, daily self-care ability were all significantly improved after treatment（all P〈0.05） and the effect of group C was more obvious when compared with that of group A and B（all P〈0.05）. Conclusion Combination of hot compress and stick exercise plays a positive role in improving shoulder disorder after stroke and enhancing the upper limb movement.