上海针灸杂志2017，Vol.36Issue(12)：1420-1424,5.DOI:10.13460/j.issn.1005-0957.2017.12.1420
经筋结点恢刺法配合PNF技术改善偏瘫肩痛上肢运动功能及生活质量的临床观察
Clinical Observation of Relaxing Needling at Meridian-muscle Nodes plus PNF Method in Improving Upper-limb Motor Function and Quality of Life in Hemiplegic Shoulder Pain
摘要
Abstract
Objective To observe the effect of relaxing needling at meridian-muscle nodes plus rehabilitation techniques on upper-limb motor function and quality of life (QOL) in hemiplegic shoulder pain after cerebral stroke. Method Ninety patients with hemiplegic shoulder pain after cerebral stroke were randomized into a rehabilitation group of 30 cases [intervened by proprioceptive neuromuscular facilitation (PNF) method], a relaxing needling group of 30 cases (intervened by relaxing needling at meridian-muscle nodes), and a comprehensive group of 30 cases (intervened by relaxing needling at meridian-muscle nodes plus PNF method), to receive 6-week treatment in total. Before and after the intervention, Assessment Face Scale (AFS), Fugl-Meyer Assessment Scale (FMA) and Stroke Specific Quality of Life Scale (SS-QOL) were evaluated, and the occurrence rate of shoulder-hand syndrome was assessed. Result After 1-week treatment, the AFS score of the comprehensive group was significantly different fromthat in the rehabilitation group and relaxing needling group (P<0.05). After 6-week treatment, the FMA and SS-QOL scores in the comprehensive group were significantly different from those in both rehabilitation group and relaxing needling group (P<0.05). Twelve weeks later, the occurrence rate of shoulder-hand syndrome in the comprehensive group was significantly different from that in the other two groups (P<0.05). Conclusion Relaxing needling at meridian-muscle nodes plus PNF method can effectively improve the efficacy in the treatment of hemiplegic shoulder pain, reduce the occurrence of shoulder-hand syndrome, and enhance the QOL, thus is an effective approach.关键词
针刺/经筋结点/恢刺/康复训练/中风并发症/偏瘫/肩痛/FMA/SS-QOL/AFSKey words
Acupuncture/Meridian-muscle nodes/soothing puncture/Rehabilitation/Post-stroke syndrome/Hemiplegia/Shoulder pain/FMA/SS-QOL/FAS分类
医药卫生引用本文复制引用
韩振翔,祁丽丽,周一心,张宏,许文杰,王宏林,张贞,王智博..经筋结点恢刺法配合PNF技术改善偏瘫肩痛上肢运动功能及生活质量的临床观察[J].上海针灸杂志,2017,36(12):1420-1424,5.基金项目
上海市卫计委中发办项目(2014LQ030A) （2014LQ030A）
上海市中医药领军人才建设项目学术共同体(ZY3-RCPY-1-1001) （ZY3-RCPY-1-1001）
上海市杏林新星(ZY3-RCPY-2-2077) （ZY3-RCPY-2-2077）
上海市浦东新区卫计委项目(PW2014B-15) （PW2014B-15）
上海市浦东新区重点专科(中风专科)建设项目(PDZYXK-1-2014001) （中风专科）
