脑血管病偏瘫合并肩手综合征对肢体功能康复的影响

脑血管病偏瘫合并肩手综合征20例（观察组）和脑血管病偏瘫20例（对照组）患者均采用理学疗法为主的康复治疗，2组疗效表明肩手综合征对患者上肢、手指功能、手功能和日常生活活动能力（ADL）的康复有不利影响。通过治疗，对照组肢体功能恢复明显优于观察组，但观察组患者早期发现早期治疗效果仍显著。提示：脑血管病偏瘫合并肩手综合征患者使康复疗程变长，但对远期ADL能力的影响不大。

Influence of Hemiplegia of Cerebrovascular Accident Associated with Shoulder-hand Syndrome on Extremity Function Rehabilitation

Twenty cases of cerebrovascular accident associated with shoulder-hand syndrome (group A) and 20 cases of cerebrovascular diseases (group B) underwent the rehabilitation treatment of physical therapy. The therapeutic effects in the 2 groups showed that should-hand syndrome had bad influence on the rehabilitation of the functions of upper limb, finger and hand, and ADL. The recovery of extremity function after the treatment in group B was superior to that in group A. However, in the early stage, the therapeutic effects in the cases of cerebrovascular accident associated with shoulder-hand syndrome were satisfactory, suggesting the associated shoulder-hand syndrome might prolong the duration of rehabilitation , but had no obvious in fluence on the long-term ADL.