肩关节运动训练对卒中所致偏瘫后肩关节功能障碍患者的康复效果观察

Effect of shoulder exercise training on rehabilitation of patients with shoulder joint dysfunction after stroke-induced hemiplegia

目的 探究肩关节运动训练对卒中所致偏瘫后肩关节功能障碍患者的康复效果。方法 70例卒中所致偏瘫后肩关节功能障碍患者,依据干预措施的不同分为研究组和对照组,各35例。研究组给予肩关节运动训练康复治疗,对照组给予常规康复治疗。比较两组治疗前后上肢简式FuglMeyer运动功能评分法(FMA)评分、肩部及肱骨头间隙距离及健康调查简表(SF-36)评分、治疗满意度。结果 治疗后,两组上肢FMA评分均高于本组治疗前,肩部及肱骨头间隙距离短于本组治疗前,且研究组上肢FMA评分(60.12±2.39)分高于对照组的(48.48±5.46)分,肩部及肱骨头间隙距离(2.73±1.78)mm短于对照组的(6.05±1.87)mm,差异有统计学意义(P<0.05)。研究组治疗后生理、健康、精力、社会功能、情感、心理评分均高于对照组,差异有统计学意义(P<0.05)。研究组治疗满意度94.29%高于对照组的68.57%,差异有统计学意义(P<0.05)。结论 卒中所致偏瘫后肩关节功能障碍患者实施肩关节运动训练,可以有效改善患者上肢肩关节功能,缩小肩部及肱骨头间隙距离,更加利于患者疾病预后,值得推广。

Objective To investigate the effect of shoulder exercise training on rehabilitation of patients with shoulder joint dysfunction after stroke-induced hemiplegia. Methods A total of 70 patients with shoulder joint dysfunction after stroke-induced hemiplegia were divided into research group and control group according to different intervention measures, with 35 cases in each group. The research group received rehabilitation treatment of shoulder exercise training, while the control group received conventional rehabilitation treatment. The FuglMeyer Assessment(FMA) score, distance between shoulder and humeral head, 36-item short-form health survey(SF-36) score before and after treatment, and treatment satisfaction were compared between the two groups.Results After treatment, the FMA score of upper limbs in both groups was higher than that before treatment in this group, and the distance between shoulder and humeral head was shorter than that before treatment in this group;the FMA score of upper limbs in the research group was(60.12±2.39) points, which was higher than(48.48±5.46) points in the control group;the distance between shoulder and humeral head in the research group was(2.73±1.78) mm, which was shorter than(6.05±1.87) mm in the control group;the differences were statistically significant(P<0.05). After treatment, the scores of physiology, health, energy, social function,emotion and psychology in the research group were higher than those in the control group, and the difference was statistically significant(P<0.05). The treatment satisfaction of the research group was 94.29%, which was higher than 68.57% of the control group, and the difference was statistically significant(P<0.05). Conclusion For patients with shoulder joint dysfunction after stroke-induced hemiplegia, shoulder exercise training can effectively improve the function of shoulder joint, reduce the distance between shoulder and humeral head, which is more conducive to the prognosis of patients, and is worth promoting.