Xie Hualong, Liu Shan, Zhan Jiawen, Chen Lei, Yu Suli, Chen Jing, Onoda Ko, Maruyama Hitoshi, Zhu Liguo, Zhang Qing, Huo Ming
Wangjing Hospital of China Academy of Chinese Medical Sciences: Beijing, Chaoyang District, China.
University of Health and Rehabilitation Sciences, China.
J Phys Ther Sci. 2024 Sep;36(9):513-517. doi: 10.1589/jpts.36.513. Epub 2024 Sep 5.
[Purpose] Shoulder subluxation is a common complication of acute stroke that affects clinical rehabilitation training and hinders the recovery of upper limb motor function. This study explored the short-term interventional effects of neuromuscular joint facilitation in patients who experienced stroke with shoulder subluxation. [Participants and Methods] We recruited 36 patients who experienced stroke with shoulder subluxation. All patients were randomly divided into two groups: the neuromuscular joint facilitation group (n=18) and the control group (n=18). The control group underwent routine rehabilitation treatment. The intervention in the neuromuscular joint facilitation group involved neuromuscular joint facilitation of the shoulder joint in four modes based on conventional rehabilitation treatment. Four different interventions were administered. The thickness of the supraspinatus muscle and the acromion-greater tuberosity distance were measured using ultrasound to observe the curative effect. [Results] In neuromuscular joint facilitation group, the thickness of supraspinatus muscle, acromion-greater tuberosity distance and acromion-greater tuberosity distance difference were significantly different before and after intervention. In the control group, there were no significant difference before and after intervention. [Conclusion] Neuromuscular joint facilitation intervention improved the thickness of the supraspinatus muscle, shortened the distance between the acromion and the greater tubercle, and improved shoulder subluxation in patients who experienced stroke.
[目的] 肩关节半脱位是急性脑卒中常见的并发症,影响临床康复训练,阻碍上肢运动功能恢复。本研究探讨神经肌肉关节促进技术对脑卒中伴肩关节半脱位患者的短期干预效果。[对象与方法] 选取36例脑卒中伴肩关节半脱位患者,随机分为两组:神经肌肉关节促进技术组(n = 18)和对照组(n = 18)。对照组采用常规康复治疗,神经肌肉关节促进技术组在常规康复治疗基础上采用四种模式的肩关节神经肌肉关节促进技术进行干预,共进行4次不同干预。采用超声测量冈上肌厚度及肩峰 - 大结节间距观察疗效。[结果] 神经肌肉关节促进技术组干预前后冈上肌厚度、肩峰 - 大结节间距及肩峰 - 大结节间距差值有显著差异;对照组干预前后无显著差异。[结论] 神经肌肉关节促进技术干预可改善脑卒中患者冈上肌厚度,缩短肩峰与大结节间距,改善肩关节半脱位。