Abstract：Objective: To observe the effect of nerve mobilization of upper limb on shoulder pain in hemiplegic patients after stroke. Methods: 60 patients with hemiplegic shoulder pain after stroke were randomly divided into research group (n=30) and control group (n=30) using random number table. Compare the pain degree, shoulder joint activity, upper limb motor function and daily living ability of the two groups before and 3 months after treatment. Results: The score of NAS decreased in both groups after treatment (P<0.05), and was lower in the research group than in the control group (P<0.05). The score of shoulder joint activity, FMA and MBI increased in both groups after treatment (P<0.05), and was higher in the research group than in the control group (P<0.05). Conclusion: Nerve mobilization of upper limb could further relieve the shoulder pain and muscle spasm, then improve the motor function of upper limb and ADL in patients with hemiplegia after stroke.
陈焕洲. 上肢神经松动术治疗中风后肩痛的疗效研究[J]. 河北医学, 2019, 25(3): 698-701.
CHEN Huanzhou. Study on Effect of Nerve Mobilization on Shoulder Pain in Hemiplegic Patients after Stroke. HeBei Med, 2019, 25(3): 698-701.
[1] 崔丽娟.急性脑中风患者早期康复护理体会[J].辽宁中医杂志,2015(10):1987~1988. [2] Coskun B I,Basaran S.Hemiplegic shoulder pain:a common clinical consequence of stroke[J].Practical Neurology,2014,14(2):88~91. [3] 王艳,王茜,陈国平,等.夹脊电针和神经松动术对兔坐骨神经损伤后轴突再生和血清神经营养因子的影响[J].中国康复理论与实践,2015,21(4):417~421. [4] 饶明俐.中国脑血管病防治指南[M].人民卫生出版社,2007. [5] 中华人民共和国卫生部医政司.中国康复医学诊疗规范.上册[M].华夏出版社,1998. [6] 罗金发,荚磊,倪朝民.脑卒中后肩痛病因和发病机制的研究进展[J].安徽医学,2015,36(8):1037~1039. [7] 李毅伟,陈伟观,郭爱松.偏瘫肩痛的研究进展[J].南通大学学报(医学版),2017,37(2):111~117. [8] Osgood E,Trudeau J J,Eaton T A,et al.Development of a bedside pain assessment kit for the classification of patients with osteoarthritis[J].Rheumatology International,2015,35(6):1005~1013.
2019, Vol. 25 
冀公网安备13080202000677号