意式筋膜手法在中风后肩痛患者中的应用效果研究
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摘要
目的探究意式筋膜手法在中风后肩痛患者中的应用效果。方法研究对象为方便选取该院2017年6月—2018年6月收治的80例中风后肩痛患者,将其采用随机数字表法分成观察组和对照组,40例观察组采用意式筋膜手法治疗,另40例对照组采用常规康复训练治疗。探讨实施不同治疗对康复效果、关节功能及疼痛的影响。结果观察组总有效率(97.50%)与对照组相比(92.50%)显著较高,差异有统计学意义(X~2=3.914,P<0.05),而在活动范围、疼痛、肌力、日常生活水平评分上,观察组分别为(46.42±4.17)分、(12.02±1.49)分、(17.67±1.53)分、(16.85±1.27)分,显著高于对照组,差异有统计学意义(t=6.317、9.462、11.439、16.349,P<0.05)。结论将意式筋膜手法应用于中风后肩痛患者时,不仅能减少患者疼痛感,还能有效提升关节功能,改善生活质量,提升康复效果,此方法值得应用与推广。
Objective To investigate the effect of Italian fascial manipulation on patients with shoulder pain after stroke.Methods The study subjects included 80 patients with post-stroke shoulder pain who were conveniently selected and admitted to the hospital from June 2017 to June 2018. They were randomly divided into observation group and control group, and40 patients were treated with Italian fascia. Another 40 patients in the control group were treated with routine rehabilitation training. To explore the effects of different treatments on rehabilitation, joint function and pain. Results The total effective rate of the observation group(97.50%) was significantly higher than that of the control group(92.50%). The difference was statistically significant(X~2=3.914, P<0.05), but in the range of activity, pain, muscle strength, daily life. In the horizontal score, the observation group was(46.42±4.17)points,(12.02±1.49)points,(17.67±1.53)points, and(16.85±1.27)points, which was significantly higher than the control group, and the difference was statistically significant(t = 6.317, 9.462, 11.439,16.349, P<0.05). Conclusion When the Italian fascia technique is applied to patients with shoulder pain after stroke, it can not only reduce the pain of patients, but also effectively improve joint function, improve quality of life and improve rehabilitation. This method is worthy of application and promotion.
Objective To investigate the effect of Italian fascial manipulation on patients with shoulder pain after stroke.Methods The study subjects included 80 patients with post-stroke shoulder pain who were conveniently selected and admitted to the hospital from June 2017 to June 2018. They were randomly divided into observation group and control group, and40 patients were treated with Italian fascia. Another 40 patients in the control group were treated with routine rehabilitation training. To explore the effects of different treatments on rehabilitation, joint function and pain. Results The total effective rate of the observation group(97.50%) was significantly higher than that of the control group(92.50%). The difference was statistically significant(X~2=3.914, P<0.05), but in the range of activity, pain, muscle strength, daily life. In the horizontal score, the observation group was(46.42±4.17)points,(12.02±1.49)points,(17.67±1.53)points, and(16.85±1.27)points, which was significantly higher than the control group, and the difference was statistically significant(t = 6.317, 9.462, 11.439,16.349, P<0.05). Conclusion When the Italian fascia technique is applied to patients with shoulder pain after stroke, it can not only reduce the pain of patients, but also effectively improve joint function, improve quality of life and improve rehabilitation. This method is worthy of application and promotion.
引文
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[2]黄雯.自制中药结合综合康复治疗中风后偏瘫肩痛的疗效观察[J].中国中医药科技,2016,23(1):102-103.
[3]刘铭,马晖,富晓旭,等.温针联合中药薰洗及康复训练治疗脑卒中后肩痛临床观察[J].上海针灸杂志,2015,34(12):1174-1177.
[4]刘刚翠,阳军,周伟,等.中药联合康复训练及针灸治疗中风后偏瘫肩痛临床观察[J].陕西中医,2017,38(7):850-851.
[5]韩振翔,祁丽丽,周一心,等.经筋结点恢刺法配合PNF技术改善偏瘫肩痛上肢运动功能及生活质量的临床观察[J].上海针灸杂志,2017,36(12):1420-1424.
[6]谢晶军,李金霞.电针联合康复训练治疗中风后肩手综合征疗效观察[J].上海针灸杂志,2016,35(12):1423-1425.
[7]Singh,Tarun D,Valizadeh, et al.Management and outco mes of pituitary apoplexy[J].Journal of neurosurgery,2015, 122(6):1450-1457.
[8]徐展琼.Ⅰ期肩手综合征治疗中壮医药线灸与康复训练的联合应用效果观察[J].山东医药,2015,55(23):83-84.