手指点穴疗法联合意大利筋膜手法对脑卒中后肩关节半脱位的影响

Effect of finger manipulation in acupoints combined with Italian fascial manipulation in treating glenohumeral subluxation after stroke

  • 摘要: 目的 探讨手指点穴疗法联合意大利筋膜手法对脑卒中后肩关节半脱位(GHS)患者关节功能及疼痛程度的影响。 方法 将100例脑卒中后GHS患者随机分为2组,每组50例。对照组采用肩关节外固定及常规运动疗法,治疗组在对照组基础上采用手指点穴疗法联合意大利筋膜手法治疗。比较2组治疗效果、关节功能及疼痛程度情况。 结果 治疗组总有效率高于对照组,差异有统计学意义(P<0.05); 治疗组上肢Fugl-Meyer运动功能评分高于对照组,视觉模拟评分法(VAS)评分低于照组,差异有统计学意义(P<0.05)。 结论 脑卒中后GHS患者应用手指点穴疗法联合意大利筋膜手法治疗疗效显著,可提高患者肩关节功能,减轻疼痛程度。

     

    Abstract: Objective To investigate the effect of finger manipulation in acupoints combined with Italian fascial manipulation on joint function and pain degree of patients with glenohumeral subluxation(GHS)after stroke. Methods A total of 100 patients with GHS after stroke were selected, and were randomly divided into two groups, with 50 cases in each group. The control group used external fixation of shoulder joint and conventional exercise therapy. On the basis of the control group, the treatment group was treated with finger manipulation in acupoints combined with Italian fascial manipulation. The treatment effects, joint function and pain degree of the two groups were compared. Results The total effective rate in the treatment group was significantly higher than that of the control group(P<0.05); the Fugl-Meyer motor function score of upper limb in the treatment group was significantly higher than that of the control group, and Visual Analogue Scale(VAS)score was significantly lower than that of the control group(P<0.05). Conclusion Finger manipulation in acupoints combined with Italian fascial manipulation for GHS patients after stroke has a significant effect, which can improve function of shoulder joints, and reduce the degree of pain.

     

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