文章摘要
朱兰,李向哲,黄思思,王彤,郭川.高能量激光联合本体感觉神经肌肉促进技术对脑卒中后肩痛的影响研究[J].中国康复,2018,33(5):377-380
高能量激光联合本体感觉神经肌肉促进技术对脑卒中后肩痛的影响研究
The effect of high-intensity laser therapy combined with proprioceptive neuromuscular facilitation therapy on post-stroke shoulder pain
  
DOI:
中文关键词: 脑卒中  肩痛  高能量激光  本体感觉神经肌肉促进技术  上肢功能
英文关键词: stroke  shoulder pain  high-intensity laser  proprioceptive neuromuscular facilitation  upper limb function
基金项目:
作者单位
朱兰 1.南京医科大学第一附属医院康复医学中心南京 2100292.江苏省人民医院康复医学中心南京 210029 
李向哲 3.苏州科技城医院康复医学中心江苏 苏州 2151534.南京医科大学附属苏州医院康复医学中心江苏 苏州 215153 
黄思思 1.南京医科大学第一附属医院康复医学中心南京 2100292.江苏省人民医院康复医学中心南京 210029 
王彤 1.南京医科大学第一附属医院康复医学中心南京 2100292.江苏省人民医院康复医学中心南京 210029 
郭川 1.南京医科大学第一附属医院康复医学中心南京 2100292.江苏省人民医院康复医学中心南京 210029 
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中文摘要:
      目的:观察高能量激光联合本体感觉神经肌肉促进技术(PNF)对脑卒中后肩痛的影响。方法:脑卒中肩痛患者60例被随机分为A组、B组和C组,每组20例。3组患者均接受常规肩痛康复治疗,A组加用高能量激光治疗,B组加用PNF治疗,C组加用高能量激光联合PNF治疗。于治疗前和治疗3周后,分别采用简化McGill疼痛问卷评估肩痛,Fugl-Meyer评定量表评估上肢功能,改良Bathel指数评估日常生活活动能力。结果:治疗3周后,3组McGill疼痛评分校治疗前明显降低(P<0.01),C组更高于A、B组(P<0.01),A、B组之间差异无统计学意义,但B组治疗前后差值明显大于A组(P<0.01)。治疗后,3组Fugl-Meyer上肢功能评分和改良Bathel指数评分较治疗前明显提高(P<0.01),C组上述各评分明显高于A组和B组(P<0.01),B组高于A组(P<0.01)。结论:高能量激光联合PNF治疗可明显减轻脑卒中后肩痛程度,改善肩关节运动控制能力,提高患者日常生活活动能力。
英文摘要:
      Objective: To observe the effect of high-intensity laser therapy combined with proprioceptive neuromuscular facilitation therapy (PNF) on post stroke shoulder pain. Methods: Sixty patients with post-stroke shoulder pain were randomly divided into groups A, B and C, with 20 patients in each group. All three groups received conventional shoulder pain rehabilitation treatment. In addition, group A was treated with high intensity laser, group B with PNF, and group C with high-intensity laser combined with PNF for a total of 3 weeks. Before and after treatment, shoulder pain was assessed by McGill Pain Questionnaire, and the upper extremities were assessed by Fugl-Meyer upper limb assessment, and the activity of daily living was assessed by Modified Bathel Index. Results: After 3 weeks of treatment, the scores of McGill Pain Questionnaire, Fugl-Meyer Rating Scale and Modified Bathel Index were significantly increased in three groups as compared with those before treatment (P<0.05). The above scores after treatment in group C were significantly increased as compared with those in groups A and B (P<0.05), and there was significant difference before and after treatment in group C. The McGill Pain Questionnaire score showed significant difference before and after treatment in group B, and that was significantly greater in group B than that in group A (P<0.05). There was significant difference in the scores of Fugl-Meyer Assessment and the Modified Bathel Index before and after treatment in B group, and those were significantly greater in group B than in group A (P<0.05). Conclusion: High-intensity laser therapy combined with PNF treatment can significantly reduce the degree of shoulder pain after stroke, improve motor control and the activities of daily living in stroke patients.
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