LAUSR

ObjectiveTo investigate the community promotion feasibility of superficial needling plus club swing for post-stroke motion impairment of the shoulder joint.MethodsA total of 180 cases (duration <1.5 years) with post-stroke motion impairment of the shoulder joint were recruited from three community health centers in Changning District, 60 from each community. They were randomly allocated into an observation group (n=90) and a control group (n=90). Patients in both groups received standard internal and rehabilitation care. Patients in the observation group received additional superficial needling plus club swing. The visual analogue scale (VAS) was conducted before and 60 d after the treatment to evaluate the severity of shoulder pain. The active movement of the shoulder joint and activities of daily living (ADL) were also observed.ResultsThere were no between-group statistical differences before the treatment (all P>0.05). After a 60-day treatment, the shoulder pain severity, active range of motion of the shoulder joint and ADL in the observation group were significantly improved than those in the control group (all P<0.01). In addition, no adverse events were reported by participants in the observation group.ConclusionSuperficial needling plus club swing plays a positive role in improving post-stroke motion impairment of the shoulder joint. This safe, reliable and economical therapy has good patient compliance and is suitable for community promotion.摘要目的探讨浮刺结合棍棒操治疗中风后肩关节活动障碍的有效性及在社区推广的可行性。方法选取上海市长宁区3 个社区服务中心中的中风后肩关节活动障碍患者180 例(病程<1.5 年), 每个社区收集60 例患者。 将患者按随机数字表分为观察组和对照组, 每组90 例。两组患者均接受相同的常规内科及康复治疗, 观察组在 此基础上加用浮刺结合棍棒操治疗, 对照组不接受其他治疗。两组分别于治疗前、治疗60 d 后采用视觉模拟量 表(VAS)评价肩痛程度, 并观察肩关节的主动活动范围及日常生活活动能力。结果治疗前两组患者比较均无统计 差异(均P>0.05), 治疗60 d 后观察组肩痛程度、肩关节的主动活动范围、日常生活自理能力均明显优于对照组(均 P<0.01), 且观察组中均无不良反应发生。结论浮刺结合棍棒操训练在改善中风后肩关节活动障碍方面具有积极的作用, 经济简便, 安全可靠, 患者依从性好, 值得在社区推广应用。