浮针结合关节松动治疗脑卒中偏瘫肩痛的疗效观察

Effect of floating-needle therapy and joint mobilization on shoulder pain after stroke

目的:观察浮针结合关节松动术疗法对脑卒中后偏瘫患者合并肩痛的作用.方法:将80例脑卒中后偏瘫合并肩痛患者随机分为观察组和对照组(每组40例),2组患者均给予常规康复治疗,观察组在常规治疗基础上,给予浮针疗法和关节松动术,对照组采用常规治疗.康复治疗共14天. 2组患者均在康复前和康复14天后进行评定.疗效评定应用视觉模拟疼痛评分(VAS),简式FMA上肢功能评定,改良巴氏指数,并进行肩前屈、后伸、外展、内旋和外旋被动活动度的测量.结果:经治疗后患者的各项评分与治疗前比较有明显的提高,差异性具有统计学意义(P<0. 05).观察组的评分情况优于对照组,有显著性差异(P<0. 05).结论:浮针结合关节松动术在脑卒中偏瘫后肩痛的治疗中更加有效,能够明显缩短病程,促使患者更早回归家庭和社会.

Objective:To investigate the effect of floating-needle therapy and joint mobilization on the shoulder pain after stroke.Methods:A total of 80 cases of patients with shoulder pain after stroke were randomly divided into treatment group and control group,the treatment group received floating-needle therapy and joint mobilization besides routine rehabilitation training,while the control group received joint mobilization and routine rehabilitation training.All patients were assessed at the beginning of the program and 14 days after treatment.The neurological function were evaluated with VAS、Fugl-Meyer and Barthel index.Results:After treatment,the treatment group and control group were perfected greatly.Compared with control group,there were significant differences in treatment group(P<0.05);Conclusion:The program proved that the floating-needle therapy and joint mobilization could relieve the shoulder pain and improve shoulder activity and ability of daily life.