| 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. |
