基于外在注意力焦点策略的肩关节辅助活动技术治疗卒中后肩痛的疗效

目的：探讨基于外在注意力焦点策略（EFs）的肩关节辅助活动技术治疗脑卒中后肩痛患者的临床效果。方法：60例卒中后肩痛患者随机分为观察组和对照组各30例，2组患者均进行常规康复治疗，观察组额外进行基于EFs的肩关节辅助活动治疗。治疗前后进行肩关节主动活动范围（AROM）评定，并采用肩关节疼痛视觉模拟量表（VAS）、中文版 Constant-Murley肩关节评分量表（CMS）和简化Fugl-Meyer上肢功能评分量表（FMA-UE）进行评估。结果：治疗4周后，2组患者AROM、CMS评分及FMA-UE评分均显著高于治疗前（P<0.05），VAS评分显著低于治疗前（P<0.05）；且观察组治疗后AROM显著高于对照组（P<0.05），VAS评分显著低于对照组（P<0.05）；治疗后2组CMS评分和FMA-UE评分差异均无统计学意义。结论：施行基于EFs的肩关节辅助活动治疗有助于进一步缓解卒中后肩痛患者的肩痛症状，减轻肩关节功能障碍程度。

Efficacy of shoulder joint assistive movement techniques based on external attentional focus strategy for hemiplegic shoulder pain

Objective: To explore the efficacy of shoulder joint assistive movement techniques based on external attentional focus strategy (EFs) for hemiplegic shoulder pain (HSP). Methods: From September, 2019 to September, 2021, 60 patients with HSP were randomly divided into control group (n=30) and experimental group (n=30). Both groups were subjected to conventional rehabilitation treatments, and patients in the experimental group received shoulder joint assistive movement techniques based on EFs additionally. The active range of motion (AROM) of shoulder joint, visual analogue scale (VAS), Chinese version of the Constant-Murley questionnaire for shoulder pain and disability (CMS), and Fugl-Meyer assessment scale of upper extremity (FMA-UE) were evaluated before and 4 weeks after treatment separately. Results: After 4 weeks of treatment, AROM, VAS score, CMS score and FMA-UE score were significantly improved in both groups (P<0.05), and the experimental group achieved better improvement in AROM and VAS score than the control group (P<0.05). However, there was no significant difference in CMS score and FMA-UE score between the two groups after 4 weeks of treatment (P>0.05). Conclusion: Shoulder joint assistive movement techniques based on EFs is useful to further alleviate the shoulder pain and the dysfunction of shoulder joint for patients with HSP.