运动想象疗法联合阶段性抗阻训练对脑卒中后肩手综合征患者的影响  

Effect of Exercise Imagination Therapy Combined with Staged Resistance Training on Patients with Post-Stroke Shoulder Hand Syndrome

作　　者：张素素 张丹丹 李瑞娜 许翠萍[1] ZHANG Susu;ZHANG Dandan;LI Ruina;XU Cuiping(School of Nursing and Rehabilitation,Shandong University,Jinan 250012,China;Department of Rehabilitation Medicine,First Affiliated Hospital of Shandong First Medical University,Jinan 250014,China)

机构地区：[1]山东大学护理与康复学院,山东济南250012 [2]山东第一医科大学第一附属医院康复医学科,山东济南250014

出　　处：《反射疗法与康复医学》2024年第16期63-66,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨运动想象疗法联合阶段性抗阻训练对脑卒中后肩手综合征(SHS)患者疼痛程度及肩关节主动活动度的影响。方法选择2020年2月—2022年10月山东第一医科大学第一附属医院收治的150例脑卒中后SHS患者为研究对象,按随机数字表法将其分为观察组和对照组,每组75例。对照组行常规康复训练,观察组行运动想象疗法联合阶段性抗阻训练,两组均持续干预6周。比较两组的疼痛程度、肩关节主动活动度及生活质量。结果干预前,两组的疼痛程度、肩关节主动活动度及生活质量比较,组间差异无统计学意义(P>0.05);干预后,观察组疼痛视觉模拟评分为(1.08±0.74)分,低于对照组的(2.36±1.24)分,肩关节各方向主动活动度均大于对照组,生活质量综合评定问卷各个维度评分均高于对照组,组间差异有统计学意义(P<0.05)。结论运动想象疗法联合阶段性抗阻训练可减轻脑卒中后SHS患者的疼痛程度,提高其肩关节主动活动度,促进肩关节功能恢复,改善生活质量。Objective To explore the effects of exercise imagination therapy combined with staged resistance training on the pain level and shoulder joint active range of motion in patients with post-stroke shoulder hand syndrome(SHS).Methods A total of 150 post-stroke SHS patients admitted to the First Affiliated Hospital of Shandong First Medical University from February 2020 to October 2022 were selected as the research subjects.They were divided into an observation group and a control group using a random number table method,with 75 cases in each group.The control group received routine rehabilitation exercise,while the observation group received exercise imagination therapy combined with staged resistance training.Both groups received continuous intervention for 6 weeks.The degree of pain,active range of motion of shoulder joint,and quality of life between the two groups were compared.Results Before intervention,the degree of pain,active range of motion of shoulder joint,and quality of life between the two groups,there were no statistically significant differences between the two groups(P>0.05);after intervention,the pain Visual Analogue Scale score of the observation group was(1.08±0.74)points,which was lower than the control group's(2.36±1.24)points,the active range of motion of the shoulder joint in all directions were greater than those of the control group,the Generic Quality of Life Inventory-74 score were higher in all dimensions than those the control group,the differences between the two groups were statistically significant(P<0.05).Conclusion The combination of exercise imagination therapy and staged resistance training can alleviate the degree of pain of SHS patients after stroke,improve their active range of motion of shoulder joint,promote shoulder joint function recovery,and improve their quality of life.

关 键 词：脑卒中 肩手综合征 运动想象疗法 阶段性抗阻训练 疼痛程度 

分 类 号：R743.3[医药卫生—神经病学与精神病学]