湖南中医杂志2025，Vol.41Issue(6)：21-25,5.DOI:10.16808/j.cnki.issn1003-7705.2025.06.005
推拿联合电子生物反馈治疗脑卒中后肩关节半脱位33例临床观察
Clinical effect of massage combined with electronic biofeedback in treatment of post-stroke shoulder subluxation:An analysis of 33 cases
摘要
Abstract
Objective:To investigate the effect of massage combined with electronic biofeedback on upper limb function,degree of dislocation,and shoulder muscle function in patients with post-stroke shoulder subluxation.Methods:A total of 66 patients with post-stroke shoulder subluxation were randomly divided into treatment group and control group,with 33 patients in each group.The patients in the control group received electronic biofeedback therapy,and those in the treatment group received massage in addition to the treatment in the control group.Before treatment and after 4 and 8 weeks of treatment,Fugl-Meyer Assessment(FMA)and Constant-Murley Score(CMS)were used to assess shoulder function;Visual Analogue Scale(VAS)was used to evaluate the degree of shoulder pain;surface electromyography was used to measure the integrated electromyography value of posterior deltoid and supraspinatus during contraction;acromion-greater tuberosity(AGT)was used to assess treatment outcome.Re-sults:One patient in the control group was lost to follow-up during treatment.Both groups had significant increases in FMA score,CMS score,and integrated electromyography value and significant reductions in VAS score and AGT after 4 and 8 weeks of treatment(P＜0.01),and compared with the control group,the treatment group had signifi-cantly higher FMA score,CMS score,and integrated electromyography value and a significant lower AGT after 4 and 8 weeks of treatment,as well as a significantly lower VAS score after 8 weeks of treatment(P＜0.01 or P＜0.05).Conclusion:In patients with post-stroke shoulder subluxation,massage combined with electronic biofeedback thera-py can significantly improve the state of shoulder muscle,alleviate pain,improve shoulder subluxation,facilitate the recovery of upper limb and shoulder function,and promote the improvement in disease conditions.关键词
脑卒中/肩关节半脱位/推拿/电子生物反馈/上肢功能/脱位程度/肩周肌肉功能Key words
stroke/shoulder subluxation/massage/electronic biofeedback/upper limb function/degree of dislocation/shoulder muscle function分类
医药卫生引用本文复制引用
张云涛,赵勇,杨兰兰,廖寿元..推拿联合电子生物反馈治疗脑卒中后肩关节半脱位33例临床观察[J].湖南中医杂志,2025,41(6):21-25,5.基金项目
湖北省潜江市公益性行业科研计划项目(2024GYX009) （2024GYX009）
