综合康复治疗脑卒中偏瘫患者肩关节半脱位的疗效  

Effect of Comprehensive Rehabilitation on Shoulder Subluxation of Stroke Patients with Hemiplegia

作　　者：李爱东[1] 刘洪涛[1] 黄宗青[1] 邓英太[1] 万桂芳[2] 

机构地区：[1]广东医学院附属福田医院神经内科,广东深圳市518033 [2]中山大学附属第三医院神经康复科,广东广州市510630

出　　处：《中国康复理论与实践》2006年第8期673-674,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的观察综合康复治疗脑卒中偏瘫患者肩关节半脱位的疗效。方法对20例脑卒中偏瘫后肩关节半脱位患者进行良肢位摆放、保持肩关节被动活动度、肩胛肌群抗阻训练、戴肩吊带等综合康复治疗,6周后评定疗效。结果20例患者经康复治疗后,肩关节半脱位恢复,患肢运动功能与治疗前比较有显著性差异(P<0.05～0.01)。结论综合康复治疗能有效改善脑卒中偏瘫患者肩关节半脱位及所致的功能障碍。Objective To observe the effect of comprehensive rehabilitation on shoulder subluxation of patients with stroke hemiplegla. Methods Comprehensive rehabilitation was practiced on 20 hemiplegic post-stroke patients with shoulder subluxation, including putting injured limb at correct position, keeping the range of passive motion, resistance exercise of scapula muscle group, and shoulder sting. The therapeutic effect was evaluated after 6 weeks treatment. Results There was a significant difference in the shoulder subluxation and movement function of the upper extremities between pre-therapy and after therapy （ P 〈0.05 -0.01）. Conclusion Comprehensive rehabilitation has obvious therapeutic effect on shoulder subluxation and motor dysfunction of patients with stroke hemiplegia.

关 键 词：偏瘫 肩关节半脱位 综合康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]