| Objective: To observe the efficacy of neurodynamic technique for shoulder-hand syndrome (SHS) after stroke, so as to provide a more optimized treatment plan for the rehabilitation of SHS after stroke. Methods: A total of 36 cases of SHS were randomly divided into the treatment group and the control group with 18 patients in each group. The control group and treatment group received routine rehabilitation training, and the treatment group was given additional neurodynamic technique. The Fugl-Meyer Assessment of upper extremity (FMA-UE), visual analogue scale (VAS), 8-word twist circumference and the Modified Barthel Index (MBI) were used to evaluate the upper extremity motor function, pain, edema and activities of daily living (ADL) of the patients respectively before and after 4 weeks of treatment.Results: After 4 weeks of treatment, the scores of FMA-UE and MBI in the two groups were significantly higher than those before treatment (all P<0.01), and those in the treatment group were significantly higher than those in the control group (all P<0.05). The VAS scores in the two groups after treatment were significantly lower than those before treatment (P<0.01, 0.05), and those in the treatment group were significantly lower than those in the control group (P<0.05). The difference of hand circumference after treatment in the two groups was significantly less than that before treatment (all P<0.01), and that in the treatment group was significantly less than that in the control group (P<0.01).Conclusion: Neurodynamic technique can significantly improve the upper limb motor function, pain, edema and ADL of SHS patients after stroke, and it is an effective training measure. |
