肩峰下滑囊联合盂肱关节注射治疗脑卒中后肩痛的疗效观察
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摘要
目的:观察肩峰下滑囊联合盂肱关节注射治疗脑卒中后肩痛的疗效。方法:选取2016年1月～2017年12月本院康复科住院脑卒中后肩痛患者45例,治疗组23例,对照组22例。两组患者均接受运动疗法治疗,治疗组在对照组基础上给予肩峰下滑囊联合盂肱关节注射治疗,疗程3周。在治疗前、治疗3周后进行疼痛的视觉模拟评分(VAS)、简式Fug l-Meyer运动评分(FMA)、Barthel指数评分(MBI)及患侧肩关节被动外展、外旋的关节活动度(PROM)测量。结果:治疗3周后,两组的VAS评分、FMA评分、MBI评分、肩关节PROM(外展、外旋)评分较治疗前有明显改善(P<0. 05),治疗组优于对照组(P<0. 05)。结论:肩峰下滑囊联合盂肱关节注射治疗脑卒中后肩痛可以对运动疗法起到协同作用,改善上肢运动功能及关节活动度。
Objective: To observe the efficacy of subacromial bursa and glenohumeral joint injection in the treatment of post-stroke shoulder pain(PSSP). Methods: From January 2016 to December 2017, 45 patients with shoulder pain after stroke were selected from rehabilitation department of our hospital, 23 cases in treatment group and 22 cases in control group.The two groups were treated with kinesiotherapy, and the treatment group was treated with subacromial bursa and glenohumeral joint injection on the basis of the control group for 3 weeks. Visual analogue scale(VAS), FuglMeyer assessment(FMA), Modified barthel index(MBI), shoulder join abduction and external rotation passive range of motion(PROM) were measured before and 3 weeks after treatment. Results: After 3 weeks of treatment, the VAS score, FMA score, MBI score and PROM score of shoulder joint in both groups were significantly improved compared with those before treatment(P<0.05), and the treatment group was superior to the control group(P<0.05).Conclusion:Subacromial bursa injection and glenohumeral joint injection for PSSP can play a synergistic effect on kinesiotherapy, improve upper limb motor function and joint activity.
Objective: To observe the efficacy of subacromial bursa and glenohumeral joint injection in the treatment of post-stroke shoulder pain(PSSP). Methods: From January 2016 to December 2017, 45 patients with shoulder pain after stroke were selected from rehabilitation department of our hospital, 23 cases in treatment group and 22 cases in control group.The two groups were treated with kinesiotherapy, and the treatment group was treated with subacromial bursa and glenohumeral joint injection on the basis of the control group for 3 weeks. Visual analogue scale(VAS), FuglMeyer assessment(FMA), Modified barthel index(MBI), shoulder join abduction and external rotation passive range of motion(PROM) were measured before and 3 weeks after treatment. Results: After 3 weeks of treatment, the VAS score, FMA score, MBI score and PROM score of shoulder joint in both groups were significantly improved compared with those before treatment(P<0.05), and the treatment group was superior to the control group(P<0.05).Conclusion:Subacromial bursa injection and glenohumeral joint injection for PSSP can play a synergistic effect on kinesiotherapy, improve upper limb motor function and joint activity.
引文
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[3]全国第四届脑血管病学木会议.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-381.
[4]恽晓平.康复疗法评定学[M].北京:华夏出版社,2005:393-396.
[5] Blennerhassett J M, Gyngell K, Crean R. Reduced active control and passive range at the shoulder increase risk of shoulder pain during inpatient rehabilitation post-stroke:an observational study[J]. Journal of Physiotherapy, 2010, 56(3):195-199.
[6]张芳,陈佳佳,钮易蓓,等.超声引导下类固醇激素注射治疗脑卒中后肩痛不同时期疗效分析[J].中国康复,2017,32(4):306-307.
[7] Kim NH,Pyun SB, Kwon HK. Ultrasonographic Finding of Painful Hemiplegic Shoulder Associated with Motor Recovery after Stroke[J].Brain Neurorehabilitation, 2011,4(1):44-49.
[2]习冬生,殷磊.肩峰下滑囊联合肩关节腔注射治疗肩周炎的疗效分析[J].安徽医学,2016,37(3):348-349.
[3]全国第四届脑血管病学木会议.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-381.
[4]恽晓平.康复疗法评定学[M].北京:华夏出版社,2005:393-396.
[5] Blennerhassett J M, Gyngell K, Crean R. Reduced active control and passive range at the shoulder increase risk of shoulder pain during inpatient rehabilitation post-stroke:an observational study[J]. Journal of Physiotherapy, 2010, 56(3):195-199.
[6]张芳,陈佳佳,钮易蓓,等.超声引导下类固醇激素注射治疗脑卒中后肩痛不同时期疗效分析[J].中国康复,2017,32(4):306-307.
[7] Kim NH,Pyun SB, Kwon HK. Ultrasonographic Finding of Painful Hemiplegic Shoulder Associated with Motor Recovery after Stroke[J].Brain Neurorehabilitation, 2011,4(1):44-49.