持续被动运动治疗脑卒中后肩痛的临床研究被引量：20

The effect of continuous passive motion therapy on hemiplegic patients with shoulder pain

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摘要目的观察持续被动运动(CPM)治疗脑卒中后肩痛的疗效。方法脑卒中患者44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),观察组在此基础上给予CPM治疗,通过目测类比评分法(VAS)、Fugl-Meyer(FM)上肢功能评分法和功能独立性评测(FIM)评定治疗效果,并进行统计学分析。结果两组患者治疗前的FM、FIM、VAS评分较治疗后均有明显改善,而观察组治疗后的VAS评分显著优于对照组,差异有统计学意义(P＜0．01)。结论CPM治疗脑卒中后肩痛有显著协同作用,可提高疗效。 Objective To study the effect of continuous passive motion （CPM） on hemiplegic patients with shoulder pain. Methods Forty-four patients were divided into a treatment and a control group. Routine stroke treatment was given to the patients in the control group, and CPM was added for patients in the treatment group. A visual analogue scale for pain （VAS） , Fugl-Meyer（ FM ） upper extremity motor scale and functional independence measure （FIM） were used to evaluate the results. Results The VAS, FM and FIM scores of both groups improved after treatment, but the VAS results among the treatment group were significantly better than in the control group. Conclusion CPM can be a good treatment for hemiplegic patients with shoulder pain.

作者马诚成鹏尹佳

机构地区新疆克拉玛依市中心医院康复医学科第二军医大学附属长海医院康复医学科

出处《中华物理医学与康复杂志》 CAS CSCD 北大核心 2006年第6期384-386,共3页 Chinese Journal of Physical Medicine and Rehabilitation

关键词持续被动运动脑卒中肩痛 Continuous passive motion Stroke Shoulder pain

分类号 R743.3 [医药卫生—神经病学与精神病学]

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参考文献13

1各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380. 被引量：33091
2Van Ouwenaller C, Laplace PM, Chantraine A. Painful shoulder in hemiplegia. Arch Phys Med Rehahil, 1986,67:23-26.
3Dursun E, Dursun N, Ural CE, et al. Glenohumeral joint subluxation and reflex sympathetic dystrophy in hemiplegic patients. Arch Phys Med Rehabil,2000,81:944-946.
4Petchkrua W, Harris SA. Shoulder pain as an unusual presentation of pneumonia in a stroke patient: a case report. Arch Phys Med Rehabil,2000,81:827-829.
5Griffin JW. Hemiplegie shoulder pain. Phys Ther, 1986,66: 1884-1893.
6张建宏,范建中,彭楠,齐志强.综合康复治疗脑卒中后肩手综合征的疗效观察[J].中华物理医学与康复杂志,2005,27(9):537-540. 被引量：78
7Bender L, McKenna K. Hemiplegic shoulder pain: defining the problem and its management. Disabil Rehabil,2001,23 :698-705.
8Hanger HC, Whitewood P, Brown G, et al. A randomized controlled trial of strapping to prevent post-stroke shoulder pain. Clin Rehabil,2000,14:370-380.
9Luke C, Dodd K J, Brock K. Outcomes of the Bobath concept on upper limb recovery following stroke. Clin Rehahil, 2004,18:888-898.
10Smidt N, de Vet HC, Bouter LM,et al. Exercise Therapy Group. Effectiveness of exercise therapy: a hest-evidence summary of systematic reviews. Aust J Physiother,2005,51:71-85.

二级参考文献12

1陈立典,田永胜.偏瘫后肩手综合征的综合康复[J].中华理疗杂志,1997,20(1):33-35. 被引量：113
2黄如训梁秀龄等.临床神经病学[M].北京:人民卫生出版社,1999.32-33.
3Van O, Laplace PM, Chantraine A. Painful shoulder in hemiplegia. Arch Phys Med Rehabil, 1986,67:23-26.
4Patricia MD. Steps to follow. Hong Kong: Springer-Verlag Hong Kong,1991. 206-214.
5Geertzen JH, Dijkstra PU, Groothooff JW, et al. Reflex sympathetic dystrophy of the upper extremity a 5.5 years follow up. Part I. Impairment and perceived disability. Acta Orthop Scand Suppl, 1998,279:12.
6Hareau J. What make treatment for reflex sympathetic dystrophy successful? Hand Ther, 1996,9:367.
7吴红瑛范建中洪军.综合理疗对偏瘫患者肩手综合征68例疗效观察[J].现代康复,2000,4:1074-1074.
8U. Proske,H. -G. Schaible,R. F. Schmidt. Joint receptors and kinaesthesia[J] 1988,Experimental Brain Research(2):219～224
9韩舰华.电针治疗脑卒中后肩—手综合征92例疗效观察[J].针灸临床杂志,1999,15(4):28-29. 被引量：9
10凌方明,章小平.偏瘫后肩手综合征防治进展[J].医学综述,1999,5(6):287-287. 被引量：4