You Young Youl, Her Jin Gang, Woo Ji-Hea, Ko Taesung, Chung Sin Ho
Bronco Memorial Hospital, Republic of Korea.
Department of Rehabilitation Therapy, Graduate School of Hallym University, Republic of Korea.
J Phys Ther Sci. 2014 Apr;26(4):491-5. doi: 10.1589/jpts.26.491. Epub 2014 Apr 23.
[Purpose] This study investigated the effects of stretching and joint stabilization exercises applied to spastic shoulder joints on improving shoulder dysfunction in hemiplegic patients. [Subjects and Methods] Hemiplegic patients were classified into three groups: one group received 30 min of traditional exercise therapy for the spastic shoulder joint; one group received 30 min stretching; and one group received 15 min of stretching and 15 min of joint stabilization exercises. The exercises were performed once a day, five times per week for eight weeks. Changes in the pathologic thickness of tendons and recovery of shoulder function were compared among the three groups. Differences among the three groups before the experiment, at four weeks, and at eight weeks were analyzed using repeated measures ANOVA. [Results] The stretching and joint stabilization exercise therapy group showed greater improvement in shoulder function than the traditional exercise therapy group and the stretching only group. This group also showed greater decreases in the pathologic thickness of tendons, than the other groups. [Conclusion] This study demonstrated that an exercise therapy program that combined stretching and joint stabilization exercise was more effective than other exercises for improvement of spastic shoulder joint dysfunction in hemiplegic patients.
[目的] 本研究调查了针对痉挛性肩关节进行的拉伸和关节稳定训练对改善偏瘫患者肩关节功能障碍的效果。[对象与方法] 偏瘫患者被分为三组：一组接受30分钟针对痉挛性肩关节的传统运动疗法；一组接受30分钟的拉伸训练；一组接受15分钟的拉伸训练和15分钟的关节稳定训练。训练每天进行一次，每周五次，共八周。比较三组肌腱病理厚度的变化和肩关节功能的恢复情况。使用重复测量方差分析对三组在实验前、四周和八周时的差异进行分析。[结果] 拉伸和关节稳定训练治疗组在肩关节功能改善方面比传统运动疗法组和仅拉伸组更显著。该组在肌腱病理厚度的减少方面也比其他组更明显。[结论] 本研究表明，对于改善偏瘫患者痉挛性肩关节功能障碍，结合拉伸和关节稳定训练的运动疗法方案比其他训练更有效。
