局部振动治疗脑卒中后肩-手综合征的疗效观察  

Effects of focal vibration on shoulder-hand syndrome in stroke patients

作　　者：贾红娥[1] 许涛 郭铁成[2] 王熠钊[2] 

机构地区：[1]乌鲁木齐市中医院南门分院,乌鲁木齐830000 [2]武汉华中科技大学同济医学院康复科,武汉430030

出　　处：《中华物理医学与康复杂志》2014年第12期939-941,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的 观察局部振动疗法治疗肩-手综合征（SHS）的疗效.方法 共观察了2例脑卒中后并发SHS患者,初期采用针灸、推拿、关节松动和关节活动度（ROM）训练、气压治疗、中药热敷、冷-热浴交替治疗等常规康复治疗4周后,症状改善不明显.随后加用局部振动治疗2周,治疗前后采用SHS评分标准进行评定.结果 经加用局部振动治疗后患者患侧上肢疼痛缓解,水肿、痉挛减轻,关节活动度增加,2例患者的SHS评分均从局部振动治疗前的12分下降至治疗后的5分.同时患肢功能亦有一定恢复.结论 局部振动疗法能有效缓解SHS症状,可作为脑卒中后SHS治疗的一项新的干预措施.Objective To observe the therapeutic efficacy of focal vibration on shoulder-hand syndrome （SHS） in stroke patients. Methods Two stroke patients with SHS were observed. Both patients were treated with routine interventions including exercises, manipulation, intermittent sequential pneumatic compression, medications etc at the beginning, but got no significant improvement after 4 weeks of treatment. Focal vibration was then added on by applying it on the affected side for 10-12 minutes, once daily for 2 weeks. The SHS scoring system developed by Braus and colleagues was used to evaluate the outcome. focal vibration, both patients were improved significantly Results It was found that after 2 weeks of treatment with in terms of pain, edema and shoulder range of movement, as reflected by the changes of SHS scores. The SHS scores of both patients were 12 before treatment with focal vibra- tion and reduced to 5 after the treatment. Conclusions Focal vibration could be an effective option for the manage- ment of SHS in stroke patients.

关 键 词：脑卒中 肩-手综合征 局部振动疗法 

分 类 号：R743.3[医药卫生—神经病学与精神病学]