文章摘要
胡秀茹,李益,刘建华.肩胛带重复外周磁刺激治疗偏瘫肩痛的疗效观察[J].中国康复,2025,40(6):358-361
肩胛带重复外周磁刺激治疗偏瘫肩痛的疗效观察
Efficacy of repetitive peripheral magnetic stimulation applied over the scapular girdle in the treatment of hemiplegic shoulder pain
  
DOI:10.3870/zgkf.2025.06.007
中文关键词: 重复外周磁刺激  肩痛  偏瘫  脑卒中
英文关键词: repetitive peripheral magnetic stimulation  shoulder pain  hemiplegia  stroke
基金项目:
作者单位
胡秀茹 1.日本国际医疗福祉大学理学疗法学科日本大田原市 
李益 2.西充县多扶中心卫生院四川 南充 637211 
刘建华 3.中国康复研究中心北京博爱医院运动疗法科北京 1000684.首都医科大学康复医学院北京 100068 
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中文摘要:
  目的:探讨观察重复外周磁刺激(rPMS)治疗偏瘫肩痛(HSP)的临床疗效。方法:选取脑卒中HSP住院患者59例,使用随机数字表法随机分为对照组29例和观察组30例。对照组给予常规康复治疗,观察组在常规康复治疗基础上增加肩胛带rPMS治疗,持续治疗4周。治疗前后采用肩部疼痛数字评分法(NRS)评估患者肩部疼痛,采用Fugl-Meyer评定量表上肢部分(FMA-UE)评分评估患者上肢功能,采用Bathel指数(BI)评分评估患者日常生活活动能力。结果:治疗4周后,2组NRS评分均较治疗前降低(P<0.01),FMA-UE评分和BI评分均较治疗前增高(P<0.01)。观察组NRS、BI及FMA-UE评分治疗前后差值均高于对照组(P<0.01)。结论:肩胛带rPMS治疗结合常规康复治疗相较于常规康复治疗能显著降低HSP患者的疼痛程度,促进上肢运动功能恢复,改善日常活动能力。
英文摘要:
  Objective: To investigate the clinical efficacy of repetitive peripheral magnetic stimulation (rPMS) in the treatment of hemiplegic shoulder pain (HSP). Methods: Totally, 59 inpatient HSP stroke cases were selected and randomly divided into a control group (29 cases) and an experimental group (30 cases) using a random number table. The control group received routine rehabilitation treatment, while the experimental group received routine rehabilitation treatment combined with scapular rPMS therapy for 4 weeks. Before and after treatment, shoulder pain was assessed using the Numerical Rating Scale (NRS), upper limb function was evaluated using the Fugl-Meyer Assessment for Upper Extremity (FMA-UE), and activities of daily living (ADL) were measured using the Barthel Index (BI). Results: After 4 weeks of treatment, the NRS scores in the experimental group and the control group decreased, while the FMA-UE and BI scores increased. The difference in NRS scores before and after treatment in the experimental group was significantly higher than that in the control group (P<0.01). The difference in FMA-UE scores before and after treatment in the experimental group was significantly higher than that in the control group (P<0.01). The difference in BI scores before and after treatment in the experimental group was significantly higher than that in the control group (P<0.01). Conclusion: Scapular rPMS therapy combined with routine rehabilitation treatment can significantly reduce the level of pain in HSP patients, promote the recovery of upper limb motor function, and improve the daily activities.
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