PNF技术治疗早期偏瘫后肩关节半脱位的疗效

目的：观察神经肌肉本体易化技术（PNF）对偏瘫后肩关节半脱位的疗效。方法：40例偏瘫后肩关节半脱位患者随机分为PNF组和对照组各20例,均按常规康复治疗,PNF组加用PNF技术,包括徒手接触、简短口令、牵伸、拉挤等方法刺激关节,反复收缩与节律起动激活伸屈肌等。结果：上肢功能Brunnstrom分级和肩关节半脱位复位率与治疗前比较2组均有提高,治疗30d时,PNF组高于对照组（P〈0.01）;治疗60d时,对照组也明显提高,2组间比较差异无显著性意义。结论：PNF对偏瘫患者早期有明显疗效,但远期疗效不明显。

The Therapeutic Effect of PNF on Shoulder Subluxation in Hemiplegin Patients Caused by Stroke

Objective:To investigate the effects of the proprioceptive neuromuscular facilitation(PNF)on the shoulder subluxation after stroke.Methods:Forty stroke patients with shoulder subluxation were randomly divided into control and PNF groups.The patients in the two groups underwent regular rehabilitation therapy,and those in the PNF group received PNF,including unarmed contact,brief password,drafting,pulling,extrusion and so on to stimulate joint;contracting and rhythmically starting repeatedly to activate the flexor muscles.Results:The Brunnstrom graduation and the rate of recovery of shoulder subluxation of upper limbs function were higher after treatment than before treatment in both two groups.Thirty days later,those in PNF group were higher than in control group(P<0.01).At 60th day,those in the control group were significantly increased also,but there was no significant difference between the two groups.Conclusion:PNF has the obvious therapeutic effect to hemiparalysis patients in early stage,but long-term therapeutic effects were not satisfactory.