中国康复理论与实践2025，Vol.31Issue(3)：264-273,10.DOI:10.3969/j.issn.1006-9771.2025.03.003
闭链运动训练对脑卒中偏瘫肩痛和肩关节稳定性的效果:基于超声的评定
Effect of closed-chain exercise training on hemiplegic shoulder pain and shoulder joint stability in stroke patients:a study with ultrasound
摘要
Abstract
Objective To investigate the effect of closed-chain exercise training on hemiplegic shoulder pain and shoulder joint sta-bility in stroke patients,and to explore the relationship between hemiplegic shoulder pain and shoulder joint sta-bility. Methods A total of 52 stroke patients with hemiplegic shoulder pain in Jiangsu Province Hospital from October,2020 to January,2023 were selected,and were randomly divided into control group(n=26)and experimental group(n=26).Both groups received conventional rehabilitation therapy,while the experimental group additionally under-went closed-chain exercise training for shoulder joint.Pain severity and motor function were assessed using Visu-al Analog Scale(VAS)and Fugl-Meyer Assessment-Upper Extremities(FMA-UE)before and after intervention.Musculoskeletal ultrasound was used to measure acromion-greater tuberosity distance(AGT),acromion-lesser tu-berosity distance(ALT),acromiohumeral distance(AHD)and supraspinatus thickness(SST)to evaluate shoulder joint stability.Correlation analysis was conducted on the improvements in shoulder pain and shoulder joint stabil-ity in the experimental group. Results Two cases in the control group and two in the experimental group dropped down.Both groups showed signifi-cant improvements in VAS and FMA-UE scores after intervention(|t|>5.214,P<0.001),and the scores im-proved more in the experimental group than in the control group(|t|>2.087,P<0.05).The experimental group also showed significant improvements in AGT,ALT,AHD and SST(|t|>4.187,P<0.001),with AGT,ALT and AHD being superior to those in the control group(|t|>2.155,P<0.05).The difference of VAS score in the exper-imental group was correlated with the difference of FMA-UE,AGT and ALT after intervention(r>0.434,P<0.05). Conclusion Closed-chain shoulder exercise training can significantly improve shoulder joint stability while alleviating shoulder pain,and effectively enhancing upper limb function in stroke patients with hemiplegic shoulder pain.Hemiplegic shoulder pain is correlated with shoulder joint stability.关键词
脑卒中/偏瘫肩痛/闭链运动/肩关节稳定性Key words
stroke/hemiplegic shoulder pain/closed-chain exercise/shoulder joint stability分类
临床医学引用本文复制引用
林昌盛,曹妤,王彤,戴文俊,侯红,胡翠琴,包士雷,庞素芳..闭链运动训练对脑卒中偏瘫肩痛和肩关节稳定性的效果:基于超声的评定[J].中国康复理论与实践,2025,31(3):264-273,10.基金项目
1.西宁市科技计划项目(No.2021-M-23) （No.2021-M-23）
2.南京市重点临床专科资助课题(No.2019060002) （No.2019060002）
3.江苏省医学重点学科项目(No.XK201110) Supported by Xining City Science and Technology Program Project(No.2021-M-23),Nanjing Municipal Key Clinical Specialty Funded Project(No.2019060002)and Jiangsu Province Key Medical Discipline Project(No.XK201110) （No.XK201110）
