摘要
目的通过观察关节松动术治疗偏瘫后肩手综合征(RSD)的疗效,并对其原理进行分析探讨。方法脑卒中偏瘫患者38例,均出现肩痛等症状,符合RSD诊断,所有患者随机分为2组,每组19例,实验组除进行常规理疗外,还接受关节松动术治疗,对照组只进行常规理疗。所有病例均接受整体感知疗效(global perceived effect,GPE)、视觉模拟量表(visualAnalog Scale,VAS)和肩关节被动活动度(ROM)评定。结果实验组VAS、GPE和ROM改善优于对照组,有统计学差异;2组组内治疗后症状有改善,有统计学差异。结论疼痛和交感神经系统失调可能是RSD形成的关键因素,通过关节松动术可以缓解疼痛,调节交感神经,综合其他常规理疗,从而打破这种恶性循环,最终达到治疗目的。
Objectives To study the efficacy of joint mobilization in treatment of the post - stroke shoulder and hand syndrome. Methods Thirty - eight post - stroke hemiplegie patients who had the shoulder pain syndrome and were diagnosed as having reflex sympathetic dystrophy（RSD） were classified into two groups randomly, 19 in each. The trial group was treated with by joint mobilization besides common physical therapies, and the control group was treated by conventional physical therapy alone. Each patient was e- valuated for global perceived effect （GPE） , visual analog scale （VAS） and shoulder joint range of motion （ROM） scale. The CHIS statistical software was used. Results The improvement of symptoms in the trial group was more pronounced than that in the control group statistically, and so was in both groups, as compared with before. Conclusions Joint mobilization relieves pain and improves the sympathetic system, both of which may be the key factors of inducing RSD.
出处
《武警医学》
CAS
2010年第3期189-191,共3页
Medical Journal of the Chinese People's Armed Police Force
基金
全军"十一五"计划专项课题"战后康复技术研究"(062058)
