温针结合悬吊疗法治疗脑卒中后肩痛的疗效观察

Clinical Efficacy of Warm needling Combined with Sling Exercise Therapy for Treating Shoulder Pain after Stroke

目的:研究温针结合悬吊运动疗法对脑卒中后肩痛的治疗效果。方法:将50例脑卒中后肩痛患者随机分成治疗组和对照组,治疗组采用温针结合悬吊运动疗法进行治疗,对照组采用常规针刺治疗。治疗前、后采用肩关节疼痛积分法、简化上肢Fugl-Meyer法、Barthel指数分别评价其肩部疼痛、上肢运动功能及日常生活能力。结果:治疗4周后,治疗组肩关节疼痛积分、上肢Fugl-Meyer评分、Barthel指数评分均较对照组有明显改善(P<0.05)。结论:温针结合悬吊疗法可有效的减轻脑卒中患者肩部疼痛,提高患者运动功能和日常生活能力。

Objective： To study the therapeutic effect of warm needling combined with sling exercise therapy on the shoulder pain after stroke. Methods： 50 patients with shoulder pain after stroke were randomly divided into a treatment group and a control group. The treatment group received warm needling combined with sling exercise therapy,and the control group was with conventional acupuncture therapy. Before and after treatment Shoulder Joint Pain Integral Method,Simplified Fugl- Meyer Upper Limb Method,Barthel Index were used to evaluate its pain in the shoulder,upper limb movement function and the ability of daily life. Results： After 4 weeks＇ treatment,in the treatment group shoulder joint pain score,upper limb Fugl- Meyer score,Barthel index score were compared with those in the control group and there was a significant difference（ P〈0. 05）. Conclusion： Warm needling therapy combined with sling exercise therapy can effectively reduce the stroke patients with shoulder pain,and improve the motor function in patients and the ability of daily living.