摘要
目的 探讨PNF方法对偏瘫肩半脱位的治疗效果。方法 随机将 35例患者分为对照组 12例和治疗组 2 3例。对照组维持原来的治疗计划不变 ,治疗组则在原有治疗基础上选择性地使用PNF运动模式和技术。治疗组在治疗前、治疗 3周后、治疗 4周后 ,对照组在相对应的 4周前后 ,分别拍摄坐位双侧肩关节正位片。根据野田氏方法 ,通过计算机测量肩峰下缘与肱骨头关节面之间的最短距离以及肩峰下缘中点与肱骨头中心之间的距离。采用Office 2 0 0 0统计软件包对结果进行分析。结果 研究结果显示治疗组治疗前与对照组之间的差异无显著性意义 ,健侧和患侧之间具有非常显著性意义 (两项指标P双侧 均为 0 .0 0 1)。患侧分别在治疗 3周后、4周后与治疗前相比 ,差异均具有非常显著性意义 (P双侧 均小于 0 .0 1)。治疗 3周后触诊发现 9例肩峰下与肱骨头之间间隙变为小于 1/2横指 ( 0 .75cm)。结论 依据偏瘫肩半脱位发生的机制 ,有选择性地使用PNF运动模式和技术对偏瘫肩半脱位有明显的治疗效果 ,且不同病程的患者有不同的疗效 。
Objective To investigate the curative effects of the selected patterns and techniques of proprioceptive neuromuscular facilitation(PNF) on the shoulder subluxation after stroke. Methods Thirty five stroke patients with shoulder subluxation were randomly divided into control( n =12) and treatment ( n =23) groups. The patients from the treatment group received the selected PNF on the basis of conventional treatment for four weeks, while the cases in the control group were consistently treated by their previous therapeutic interventions treatment. Results There were significant differences between the two groups with respect to the distance measured from the lower border of acromion to the nearest point of the humeral head either 3 weeks or 4 weeks after the treatment ( P <0.001). Nine patients with the shoulder subluxation were cured after three weeks of the treatment. Conclusion For patient with shoulder subluxation, satisfactory therapeutic effect is attainable if the selective PNF patterns and techniques are adopted in the program of management. The earlier the treatment, the better the effect.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2002年第6期322-325,共4页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
PNF
偏瘫
肩半脱位
治疗
疗效
Hemiplegia
Shoulder subluxation
PNF
Outcome
