| Objective： To observe the effects of upper extremity compression vibration combined with sling exercise therapy (SET) on glenohumeral subluxation and function in stroke patients. Methods： A total of 60 stroke patients with glenohumeral subluxation were randomly divided into treatment group and control group, 30 cases in each group. The control group used SET system for closed kinetic chain exercise on the affected upper extremity, and the treatment group was given the affected upper extremity compression vibration combined with SET. The acromion humeral interval (AHI), the degree of shoulder pain by visual analogue scale (VAS), the passive range of motion of the shoulder (three directions of glenohumeral joint flexion, horizontal abduction, and adduction), the upper extremity portion of the Fugl-Meyer motor assessment (FMA-UE), Modified Barthel Index (MBI) and revised Nottingham Sensory Assessment (rNSA) were evaluated before and after treatment. Results： Before the treatment, there was no significant difference in AHI, VAS, PROM, FMA-UE, MBI and rNSA (P>0.05). After 4 weeks of treatment, there was significant improvement in the scores of AHI, VAS, PROM, FMA-UE, MBI and rNSA in both groups as compared with those before treatment (P<0.05), and the scores in the treatment group were higher than those in the control group (P<0.05). Conclusion： Upper extremity compression vibration combined with SET can improve the degree of glenohumeral subluxation and the passive range of motion and function, and relieve pain in post-stroke patients. |
