阶段性抗阻训练对脑卒中肩手综合征康复效果的影响(1)
[摘要] 目的 探讨阶段性抗阻训练对脑卒中肩手综合征康复效果的影响。 方法 将79例脑卒中肩手综合征患者按照随机数字表法分为两组。对照组(33例)给予常规康复锻炼护理模式，观察组(46例)在对照组基础上给予阶段性抗阻训练模式。治疗3个月后，比较两组治疗前后痉挛程度及关节功能变化、康复效果及生活质量。 结果 治疗后，观察组MAS评分低于对照组，差异有统计学意义(P<0.05)，FMA评分、改良Barthel指数及ROM高于对照组，差异有统计学意义(P<0.05)；观察组治疗总有效率为82.6%(38/46)，对照组为63.6%(21/33)，两组比较，差异有统计学意义(P<0.05)；治疗1个月后，两组患者SF-36量表各项评分均有改善，观察组改善程度优于对照组，差异有统计学意义(P<0.05)。 结论 阶段性抗阻训练应用于脑卒中肩手综合征有助于缓解痉挛状态、改善患者关节功能，提高其生存质量，值得在临床上推广应用。
[关键词] 脑卒中；肩手综合征；阶段性抗阻训练
[中图分类号] R245.81 [文献标识码] A [文章编号] 1674-4721(2016)04(c)-0181-04
Impact of periodical resistance exercise on shoulder-hand syndrome after stroke rehabilitation
YUAN Yun
Department of Neurolgy，Xiangya No.2 Hospital of Central South University，Changsha 410004，China
[Abstract] Objective To explore the effect of periodical resistance exercise on shoulder-hand syndrome after stroke rehabilitation. Methods 79 cases of patients with shoulder-hand syndrome after stroke were selected and randomly divided into 2 groups.33 patients in the control were given routine rehabilitation nursing mode while 46 patients in the observation group were given periodical resistance exercise mode based on the nursing mode in the control group.After three months treatment，the degrees of convulsions，changes of joint function，rehabilitation effect and quality of life of two groups were compared before and after treatment. Results After treatment，MAS scores of observation group were lower than those of control group and the difference was statistically significant (P<0.05).FMA score，modified Barthel indexes and ROM were higher than those of control group and the difference was statistically significant (P<0.05).The total efficiency of the observation group was 82.6% (38/46) while that in the control group was 63.6% (21/33).The differences of comparison of the total efficiency of treatment in two groups had statistical significance (P<0.05).After one month treatment，all scores of SF-36 of two groups were improved.The degree of improvement in the observation group was better than that of control group and the difference was statistically significant (P<0.05). Conclusion Periodical resistance exercise on shoulder-hand syndrome after stroke can help relieve convulsion，improve joint function of patients and improve the quality of life，which is worthy of clinical application.
[Key words] Stroke；Shoulder hand syndrome；Stage of resistance training
肩手综合征是脑卒中患者常见的后遗症之一，是由于脑卒中后盂脆关节半脱位、肌张力减低、肩周肌肉痉挛等导致的肩痛、被动活动明显受限。研究表明[1-2]，脑卒中患者肩手综合征的发病率高达70.0%，严重影响其生活质量，因此，如何治疗成为临床工作者亟待解决的重要问题之一。目前，临床上对于脑卒中后肩手综合征患者多给予康复锻炼护理模式，但效果并不理想，阶段性抗阻训练是根据患者病情分阶段制定锻炼模式，循序渐进的恢复肢体活动，我院神经内科将其用于脑卒中肩手综合征康复治疗，取得较好的效果，现报道如下。, 百拇医药(袁云)
[关键词] 脑卒中；肩手综合征；阶段性抗阻训练
[中图分类号] R245.81 [文献标识码] A [文章编号] 1674-4721(2016)04(c)-0181-04
Impact of periodical resistance exercise on shoulder-hand syndrome after stroke rehabilitation
YUAN Yun
Department of Neurolgy，Xiangya No.2 Hospital of Central South University，Changsha 410004，China
[Abstract] Objective To explore the effect of periodical resistance exercise on shoulder-hand syndrome after stroke rehabilitation. Methods 79 cases of patients with shoulder-hand syndrome after stroke were selected and randomly divided into 2 groups.33 patients in the control were given routine rehabilitation nursing mode while 46 patients in the observation group were given periodical resistance exercise mode based on the nursing mode in the control group.After three months treatment，the degrees of convulsions，changes of joint function，rehabilitation effect and quality of life of two groups were compared before and after treatment. Results After treatment，MAS scores of observation group were lower than those of control group and the difference was statistically significant (P<0.05).FMA score，modified Barthel indexes and ROM were higher than those of control group and the difference was statistically significant (P<0.05).The total efficiency of the observation group was 82.6% (38/46) while that in the control group was 63.6% (21/33).The differences of comparison of the total efficiency of treatment in two groups had statistical significance (P<0.05).After one month treatment，all scores of SF-36 of two groups were improved.The degree of improvement in the observation group was better than that of control group and the difference was statistically significant (P<0.05). Conclusion Periodical resistance exercise on shoulder-hand syndrome after stroke can help relieve convulsion，improve joint function of patients and improve the quality of life，which is worthy of clinical application.
[Key words] Stroke；Shoulder hand syndrome；Stage of resistance training
肩手综合征是脑卒中患者常见的后遗症之一，是由于脑卒中后盂脆关节半脱位、肌张力减低、肩周肌肉痉挛等导致的肩痛、被动活动明显受限。研究表明[1-2]，脑卒中患者肩手综合征的发病率高达70.0%，严重影响其生活质量，因此，如何治疗成为临床工作者亟待解决的重要问题之一。目前，临床上对于脑卒中后肩手综合征患者多给予康复锻炼护理模式，但效果并不理想，阶段性抗阻训练是根据患者病情分阶段制定锻炼模式，循序渐进的恢复肢体活动，我院神经内科将其用于脑卒中肩手综合征康复治疗，取得较好的效果，现报道如下。, 百拇医药(袁云)