| 徐胜,李万庭,张敏.器械辅助软组织松解技术对于偏瘫肩痛的疗效观察[J].中国康复,2022,37(4):209-213 |
| 器械辅助软组织松解技术对于偏瘫肩痛的疗效观察 |
| Effect of instrument-assisted soft tissue mobilization release on hemiplegic shoulder pain |
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| DOI： |
| 中文关键词: 卒中肩痛 器械辅助软组织松解技术 手法治疗 |
| 英文关键词: hemiplegic shoulder pain instrument-assisted soft tissue mobilization manipulation treatment |
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| 中文摘要: |
| 目的：研究器械辅助软组织松解技术(IASTM)对于偏瘫肩痛（HSP）患者的疗效观察。方法：将HSP患者43例随机分为观察组23例和对照组20例。2组均采用常规个体化康复治疗，观察组加用IASTM对肩周软组织进行治疗，对照组给予手法治疗，共治疗4周。治疗前后评估上肢运动功能采用上肢简化Fugl-Meyer量表评分(FMA-UE)评估，肩关节被动活动度（PROM）采用通用量角器进行测量评估，疼痛采用视觉模拟评分法 ( VAS) 进行评估，日常生活活动能力采用改良Barthel指数（MBI）评估。结果：治疗前，2组患者FMA-UE评分、肩关节PROM、VAS评分以及MBI评分比较均无显著差异，治疗4周后，2组FMA-UE评分、肩关节PROM及MBI评分均较治疗前明显提高（P＜0.05），且观察组均优于对照组（P＜0.05）。2组VAS评分均较治疗前明显降低（P＜0.05），且观察组低于对照组（P＜0.05）。结论：IASTM和手法治疗均能改善患者上肢运动功能，PROM，疼痛程度以及ADL能力，且IASTM对HSP患者的改善效果要优于手法治疗。 |
| 英文摘要: |
| Objective: To study the influence of “instrument-assisted soft tissue mobilization” (IASTM) on hemiplegic shoulder pain (HSP). Methods: Totally, 43 HSP patients were randomly divided into the experimental group (IASTM group, n=23) and the control group (manipulation group, n=20). Both groups were treated with routine individualized rehabilitation therapy. The experimental group was treated with IASTM for soft tissue around the shoulder, and the control group was treated with manipulation therapy for 4 weeks. Assessment was done before and after treatment: upper limb motor function was assessed by Fugl-Meyer Assessment of Upper Extremity (FMA-UE), passive range of motion (PROM) of shoulder joint was measured by a universal protractor, pain was assessed by visual analogue scale (VAS), and the activities of daily living were assessed by Modified Barthel Index (MBI). Results: Before treatment, there were no significant differences in FMA-UE score, shoulder PROM score, VAS score and MBI between the two groups (P>0.05). After 4 weeks of treatment, all evaluation indexes in the two groups were significantly improved as compared with those before treatment (P<0.05), and those in the experimental group were better than in the control group (P<0.05). Conclusion: Both ASTM and manual treatment can improve upper limb motor function, PROM, pain degree and ADL ability, and IASTM is superior to manual treatment in improving HSP patients. |
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