| Objective: To observe the effect of extracorporeal shock wave acupoint shock therapy on hemiplegic shoulder pain (HSP). Methods: A total of 54 HSP patients who met the standards were selected and randomly divided into 3 groups with 18 cases each. The control group was treated with routine rehabilitation therapy, the observation group A was treated with extracorporeal shock wave pain point therapy, and the observation group B was treated with extracorporeal shock wave acupoint shock therapy on the basis of the observation group A. The Visual Analog Scale (VAS), Upper Limb Fugl Meyer Motor Function Assessment (U-FMA) and pain-free Passive Joint Range of Motion (PROM) of shoulder flexion, abduction, and external rotation were compared among the three groups before treatment, after treatment, and during the follow-up period. Results: After treatment and during follow-up, the VAS scores in three groups were lower than those before treatment (P<0.05). U-FMA scores and pain-free PROM of flexion, abduction and external rotation were higher than those before treatment (P<0.05). After treatment, the VAS scores in the observation group A and observation group B were lower than those in the control group (P<0.05), the pain-free PROM of flexion in the observation group A and pain-free PROM of flexion and abduction in the observation group B were higher than those in the control group (P<0.05). During the follow-up period, the VAS scores in the observation group A and observation group B were lower than those in the control group (P<0.05), and those in the observation group B were lower than those in the observation group A (P<0.05). The U-FMA scores in the observation group A and observation group B were higher than those in the control group (P<0.05). The pain-free PROM of flexion and abduction in the observation group A and observation group B was higher than that in the control group (P<0.05), and that of flexion, abduction and external rotation in the observation group B was higher than in the observation group A (P<0.05). Conclusion: Both traditional extracorporeal shock wave therapy and extracorporeal shock wave acupoint therapy are beneficial to the improvement of pain degree, pain-free PROM of shoulder joint and motor function of upper limb in patients with HSP, and the effect of extracorporeal shock wave acupoint therapy is better. |
