体外冲击波联合肩肱节律训练对卒中后肩痛的疗效观察  

Effects of extracorporeal shockwave therapy combined with scapulohumeral rhythm trainingon post-stroke shoulder pain

作　　者：阚秀丽[1] 冀磊磊 周云[1] 王华[2] 吴建贤[1] 王取南[2] KAN Xiu-li;JI Lei-lei;ZHOU Yun;WANG Hua;WU Jian-xian;WANG Qu-nan(Department of Rehabilitation Medicine,the Second Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230601,China;Department of Toxicology,School of Public Health,Anhui Medical University,Hefei,Anhui 230032,China)

机构地区：[1]安徽医科大学第二附属医院康复医学科,合肥230601 [2]安徽医科大学公共卫生学院毒理系,合肥230032

出　　处：《颈腰痛杂志》2022年第3期358-361,共4页The Journal of Cervicodynia and Lumbodynia

基　　金：安徽省重点研究和开发计划项目-人口健康领域(编号:201904a07020067);安徽医科大学2021年临床医学学科建设项目(编号:2021lcxk031);安徽医科大学2022年临床医学学科建设项目(临床与前期共建学科项目)(编号:2022 lcxkEFY010)。

摘　　要：目的探讨体外冲击波联合肩肱节律训练对卒中后肩痛的治疗效果。方法将40例患者随机分为研究组和对照组,对照组给予常规康复治疗,研究组在此基础上辅以体外冲击波联合肩肱节律训练,研究组4例中途退出,最终16例患者入研究组,20例患者入对照组。治疗前和治疗2周后,使用VAS评分评估肩痛、被动肩关节活动度(passive shoulder range of motion,PROM)评估肩关节运动情况、上肢Fugl-Meyer评分(Fugl-Meyer motor function assessment,FMA)评估上肢运动功能。结果治疗2周后,两组患者的VAS评分均较前下降,PROM、FMA均较前增加,两组治疗后有显著差异(P<0.05),差异多数达到中等效应。结论冲击波联合肩肱节律训练能够缓解患者的卒中后肩痛,改善肩关节被动活动度和上肢运动功能。Objective To examine the clinical effect of extracorporeal shockwave therapy combined with scapulohumeral rhythm training on post-stroke shoulder pain.Methods Forty patients were randomly assigned into study group and control group.The control group was given routine rehabilitation treatment.On this basis,the study group was supplemented with extracorporeal shockwave therapy combined with scapulohumeral rhythm training.Four patients in the study group quitted from the study,finally,16 patients were enrolled in the study group,while 20 patients in the control group.The VAS scale was used to evaluate the intensity of shoulder pain before and after treatment.Changes in upper limb motor function were evaluated by the Fugl-Meyer motor function assessment scale(FMA).Results Compared with pretreatment,the VAS scores of the two groups decreased after treatment for 2 weeks,while PROM and FMA increased,and there were significant differences between the two groups after treatment(P<0.05).Most of the differences reached medium effect.Conclusion Extracorporeal shockwave therapy combined with scapulohumeral rhythm training can alleviate the post-stroke shoulder pain and improve the passive range of motion of shoulder and upper limb motor function.

关 键 词：卒中后肩痛 体外冲击波 肩肱节律 

分 类 号：R49[医药卫生—康复医学]