持续被动运动治疗脑卒中后肩痛的临床研究  

The effect of continuous passive motion therapy on hemiplegic patients with shoulder pain

作　　者：马诚[1] 成鹏[2] 尹佳[1] 

机构地区：[1]新疆克拉玛依市中心医院康复医学科,克拉玛依市834000 [2]第二军医大学附属长海医院康复医学科

出　　处：《中华物理医学与康复杂志》2006年第6期384-386,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的观察持续被动运动(CPM)治疗脑卒中后肩痛的疗效。方法脑卒中患者44例分成对照组和观察组,对照组给予综合康复治疗(包括良肢位摆放、主被动运动训练),观察组在此基础上给予CPM治疗,通过目测类比评分法(VAS)、Fugl-Meyer(FM)上肢功能评分法和功能独立性评测(FIM)评定治疗效果,并进行统计学分析。结果两组患者治疗前的FM、FIM、VAS评分较治疗后均有明显改善,而观察组治疗后的VAS评分显著优于对照组,差异有统计学意义(P＜0．01)。结论CPM治疗脑卒中后肩痛有显著协同作用,可提高疗效。Objective To study the effect of continuous passive motion （CPM） on hemiplegic patients with shoulder pain. Methods Forty-four patients were divided into a treatment and a control group. Routine stroke treatment was given to the patients in the control group, and CPM was added for patients in the treatment group. A visual analogue scale for pain （VAS） , Fugl-Meyer（ FM ） upper extremity motor scale and functional independence measure （FIM） were used to evaluate the results. Results The VAS, FM and FIM scores of both groups improved after treatment, but the VAS results among the treatment group were significantly better than in the control group. Conclusion CPM can be a good treatment for hemiplegic patients with shoulder pain.

关 键 词：持续被动运动 脑卒中 肩痛 

分 类 号：R743.3[医药卫生—神经病学与精神病学]