矫形按摩联合肌肉能量技术对脑卒中患者上肢运动功能的疗效

目的:观察在常规康复的基础上应用矫形按摩(OM)联合肌肉能量技术(MET)对脑卒中患者上肢运动功能的疗效。方法:42例脑卒中伴肩痛患者随机分为对照组和观察组各21例,对照组给予常规的康复治疗,观察组在常规康复的基础上应用OM联合MET技术,2组患者均于治疗前及治疗4个月后采用视觉模拟评分(VAS)、简化Fugl-Meyer运动功能评分(FMA)上肢项、改良Barthel指数(MBI)及肩峰与肱骨头间距值(AHI)评定治疗效果。结果:治疗后,2组患者VAS评分、FMA评分、MBI评分以及AHI均明显优于组内治疗前(P0.05),且观察组各项评分均更优于对照组(P0.05)。结论:在常规康复的基础上应用矫形按摩联合肌肉能量技术能有效地缓解脑卒中患者肩痛,改善上肢运动功能,提高患者日常生活活动能力。

Effect of orthopedic massage and muscle energy techniques for upper limb motor function of stroke patients

Objective: To observe the effects of orthopedic massage (OM) muscle energy technique (MET) for motor function of upper limb in stroke patients on the basis of application of conventional rehabilitation. Methods: Forty-two stroke patients with the pain of shoulder were randomly divided into control group (n=21) and treatment group (n=21). The control group received conventional rehabilitation therapy, and the treatment group was given OM and MET additionally on the basis of conventional rehabilitation. The curative effectiveness was assessed by visual analogue scale (VAS), simplified Fugl-Meyer motor function score (FMA) upper limb, modified Barthel Index (MBI), and the acromion and humeral interval (AHI) before and 4 months after treatment. Results: Before and after 4 months, there were significant differences in VAS score, FMA score, MBI score and AHI in two groups (P<0.05). Those scores in the treatment group were higher than in the control group (P<0.05). Conclusion: The application of OM and MET on the basis of conventional rehabilitation could effectively alleviate cerebral shoulder pain of stroke patients, improving the upper limbs motor function and activities of daily living of patients.