推拿结合神经促进技术治疗脑卒中后肩关节半脱位的疗效观察  

Effects of combination of tuina and neuromuscular facilitation on stroke patients with shoulder subluxation

作　　者：肖洪波[1] 朱宗俊 陈瑞全 邵俊[1] 饶美林 陈董董 夏清[2] 

机构地区：[1]安徽中医药大学第一附属医院针灸康复科,合肥230031 [2]安徽省合肥市第二人民医院康复科,合肥230001

出　　处：《中华中医药杂志》2016年第1期330-332,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：安徽省卫生厅中医药科研课题基金(No.2012zy06)~~

摘　　要：目的:观察推拿手法结合神经促进技术对脑卒中后肩关节半脱位的康复疗效。方法:将28例脑卒中后肩关节半脱位患者随机分为观察组14例和对照组14例。观察组采用推拿结合神经促进技术康复治疗,对照组采用单纯神经促进技术康复治疗。治疗前及治疗4周后分别采用X射线片肩峰至肱骨头间距离(AHI)、Fugl-Mayer上肢功能量表(U-FMA)评定上肢运动功能。结果:治疗4周后两组AHI、U-FMA均优于治疗前(P<0.05);观察组AHI、U-FMA显著优于对照组(P<0.05)。结论:推拿手法结合神经促进技术能更好地促进脑卒中后肩关节半脱位的恢复,提高患侧上肢运动功能。Objective：To investigate the effects of combination of tuina and neuromuscular facilitation on stroke patients with shoulder subluxation.Methods：Twenty-eight stroke patients were randomly divided into observation group（14 patients） and control group（14 patients）.Patients in observation group were treated with combination of tuina and neuromuscular facilitation,and patients in control group were treated with neuromuscular facilitation.The movement function of upper limb was evaluated according to AHI and U-FMA before and after treatment.Results：After treating for 4 weeks,the AHI and U-FMA of patients in the two groups was better than treatment before（P〈0.05）,and the AHI and U-FMA of patients in observation group was better than that of control group significantly（P〈0.05）.Conclusion：Combination of tuina and neuromuscular facilitation could promote the progress of shoulder subluxation,and improve the movement function of affected upper limb.

关 键 词：推拿 神经促进技术 肩关节半脱位 脑卒中 

分 类 号：R244.1[医药卫生—针灸推拿学]