广州医药2024，Vol.55Issue(5)：524-529,6.DOI:10.3969/j.issn.1000-8535.2024.05.011
作业疗法结合经皮神经电刺激对脑卒中后肩痛的疗效观察
Observation on the therapeutic effect of occupational therapy combined with transcutaneous electrical nerve stimulation on shoulder pain after stroke
摘要
Abstract
Objective To explore the therapeutic effect of occupational therapy combined with transcutaneous electrical nerve stimulation(TENS)on shoulder pain after stroke.Methods Sixty patients with post-stroke shoulder pain who were treated in the First People's Hospital of Zhaoqing from June 2020 to June 2023 were selected as the study subjects and randomly divided into an observation group and a control group,with 30 cases in each group.Among them,the observation group received occupational therapy combined with TENS,while the control group received occupational therapy alone.This study recorded the Visual Analogue Scale(VAS),modified Barthel Index(MBI),and Hamilton Depression Rating Scale(HAMD)of patients before and after 4 weeks of treatment,and conducted the and t-test analysis.Results The test analysis showed a significant difference in treatment effectiveness between the observation group and the control group(P=0.019),with the observation group having a significantly higher treatment effectiveness rate(93.33%)than the control group(63.33%);t-test analysis showed that there was no statistically significant difference in VAS(P=0.536)and HAMD(P=0.558)indicators between the two groups of patients before treatment.However,after treatment,the VAS(P=0.049)and HAMD(P=0.023)indicators decreased compared to before treatment.The observation group had decreased(2.23±1.14)and(4.47±3.06),respectively,which were significantly higher than the control group's(1.27±0.98)and(1.33±1.35),and the inter group differences were statistically significant;before treatment,there was no statistically significant difference in MBI indicators between the two groups of patients(P=0.216).After treatment,their MBI indicators increased compared to before treatment,and the observation group(21.87±10.25)showed a more significant improvement compared to the control group(12.00±13.58).The difference between the groups was statistically significant(P=0.003).Conclusions Occupational therapy combined with TENS can significantly alleviate shoulder pain after stroke,improve daily living ability and psychological state of patients,and reduce the occurrence of depression.关键词
脑卒中/作业疗法/经皮神经电刺激/肩痛Key words
stroke/occupational therapy/transcutaneous electrical nerve stimulation/shoulder pain引用本文复制引用
苏海婷,李天裕,安建军,余惠仪,陈瑞旦..作业疗法结合经皮神经电刺激对脑卒中后肩痛的疗效观察[J].广州医药,2024,55(5):524-529,6.基金项目
肇庆市科技计划项目(202004031434) （202004031434）
