DOI专题棍棒操预防脑卒中后肩手综合征的临床疗效.pdf

中国康复理论与实践2012 年6 月第18 卷第6 期 Chin J Rehabil Theory Pract, Jun 2012, Vol. 18, No. 6 - 524 - DOI : 10.3969/j.issn. 1006-9771.2012.06.008 ·专题· 棍棒操预防脑卒中后肩-手综合征的临床疗效① 1 2 1 1 1 1 1 倪欢欢 ，胡永善 ，崔晓 ，黄德权 ，瞿佩玉 ，汪军 ，史骏超 [摘要] 目的 探讨自编的棍棒操防治脑卒中后肩-手综合征的临床疗效。方法 将100例脑卒中早期上肢处于Brunnstrom Ⅰ~ Ⅲ级，同时未出现肩痛、手肿患者，随机分为观察组(n=50)和对照组(n=50) ，两组均进行常规康复治疗，观察组在此基础上结合棍 棒操，30 d 为1个疗程。比较两组治疗前、治疗2 个疗程后肩痛的发生率、肩关节主动活动范围、上肢运动功能以及日常生活活动 能力(ADL) 。结果 治疗前两组各项指标均无显著性差异(P0.05) ，治疗2 个疗程后观察组肩关节的主动活动范围、上肢运动功能 评分、ADL 均显著高于对照组(P0.001) ，肩痛的发生率明显低于对照组(P0.0 1) 。结论 自编的棍棒操能降低脑卒中后患者肩痛 的发生，改善肩关节活动度，提高上肢功能，最终提高患者ADL ，有效地预防脑卒中后肩-手综合征的发生。 [关键词] 脑卒中；肩-手综合征；上肢运动功能；日常生活活动能力；棍棒操 Effect of Club Exercise on Prevention of Shoulder-hand Syndrome after Stroke NI Huan-huan, HU Yong-shan, CUI Xiao, et al. De- partment of Rehabilitation, Tianshan Traditional Chinese Medicine Hospital of Changning District, Shanghai 200051, China Abstract: Objective To observe the clinical effect of the club exercise designed ourselves on the prevention of should-hand syndrome after stroke. Methods 100 stroke patients in early stage, whose motor function of upper limb were lower than Grade Ⅲ evaluated by Brunnstrom assessment and without shoulder pain and swelling of hand, were randomly divided into control group (n=50) and observation group (n=50). All of them received routine rehabilitation therapy, and the observation group received club exercise in addition. The inci- dence of shoulder pain, the active range of motion of shoulder, the motor function of upper limb and activities of daily living (ADL) of 2 groups were evaluated before and 2 courses (60 d) after treatment. Results