综合康复疗法及CPM对脑卒中后肩痛的影响  

The effect of rehabilitation treatment with CPM on shoulder pain in patients with hemiplegia

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,834000 [2]第二军医大学附属长海医院康复医学科

出　　处：《卒中与神经疾病》2007年第1期22-24,共3页Stroke and Nervous Diseases

摘　　要：目的观察综合康复疗法及持续被动运动(CPM)对脑卒中后肩痛的作用。方法将脑卒中患者60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、心理治疗等,观察组在此基础上给予CPM治疗,通过VAS、FM和FIM评定治疗效果。结果对照组和观察组的FM、FIM、VAS治疗后均较治疗前有明显改善,而观察组的VAS改善尤其优于对照组,差异均有统计学意义(P<0.001)。结论综合康复疗法对脑卒中后运动功能及生活独立能力改善有意义,加用CPM对脑卒中后肩痛有显著协同治疗作用,可提高疗效,值得推广应用。Objective To study the effect of CPM on the shoulder pain in patient with hemiplegia. Methods 60 patients were divided into treatment group and control group. The routine treatments of stroke was given to the patients in the control group,and CPM was appended to the treatment one. Visual analogue scale（VAS）, Fugl-Meyer（FM） and functional impendence measure （FIM） were used to evaluate their results. Results VAS,FM and FIM of the two groups after treatment were more effective than before. but the VAS of treatment group was significantly better than that in control group. Conclusions CPM can be used as a good method for the patients of shoulder pain in hemiplegia.

关 键 词：CPM 肩痛 综合康复治疗 脑卒中 

分 类 号：R741[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]