全身振动训练联合超声注射治疗脑卒中肩痛患者的疗效观察

doi:10.13418/j.issn.1001-165x.2024.6.16

Abstract

Abstract: Objective To investigate the therapeutic effect of whole body vibration training combined with ultrasound injection in the treatment of shoulder pain after stroke. Methods A total of 60 patients with post-stroke shoulder pain admitted to the department of Rehabilitation Medicine, the Fourth Affiliated Hospital of Guangzhou Medical University from January 2022 to December 2023 were randomly divided into control group and observation group, with 30 patients in each group. The control group received routine rehabilitation training and ultrasound-guided injection of compound betamethasone, and the observation group received whole body vibration training on the basis of the control group. The two groups were compared before treatment (t0) and 7 days after treatment (t1). At 30 days after treatment (t2), pain Visual Analogue Scale (VAS) score, Fugy-Meyer Rating Scale Upper limb partial score (FMA-UE), painless passive shoulder abduction + external rotation total score (PROM) and modified Barthel Index scale (MBI) were used to evaluate the situation. Results There were no significant differences in gender, age, course of disease and type of stroke between the two groups before treatment (P>0.05). Compared with t0, VAS score, FMA-UE score, PROM total score and MBI score of the two groups were improved at each time point after treatment (P<0.01). The FMA-UE score and MBI score of observation group at t1 were significantly higher than those of control group (P<0.01). The FMA-UE score and MBI score at t2 in the observation group were significantly higher than those in the control group (P<0.01), while the VAS score and PROM score in the observation group were significantly lower than those in the control group (P<0.01). Conclusions Whole body vibration training combined with ultrasound injection in the treatment of post-stroke shoulder pain can relieve the pain of the affected shoulder, improve the range of motion of the shoulder joint, and improve the mobility of the shoulder joint.

Key words: Whole body vibration training; , , Ultrasonic injection; , , Shoulder pain after stroke

CLC Number:

R493

Li Weikun, Jiang Taiwen, Xiang Jing, Liang Shuiqi, Bai Wenfang. Therapeutic effect of whole body vibration training combined with ultrasound injection on patients with shoulder pain after stroke[J]. Chinese Journal of Clinical Anatomy, 2024, 42(6): 700-704.

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Therapeutic effect of whole body vibration training combined with ultrasound injection on patients with shoulder pain after stroke

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