论文部分内容阅读
[目的]观察按揉二步推拿手法对于改善中风后肩关节半脱位（GHS）的作用。[方法]将100例中风后GHS患者随机分为观察组（50例）和对照组（50例），对照组采用良肢位摆放和康复训练，观察组在对照组的基础上增加按揉二步推拿手法，治疗前后分别给予Fugl-Meyer运动量表（上肢部分）评估和肩峰至肱骨头间距（acromio-humeral interval ，AHI）测量，比较两组间疗效的差异。[结果]经过6周治疗后，观察组上肢部分Fugl-Meyer评分显著高于对照组（P＜0．01），患侧AHI显著小于对照组（P＜0．05），观察组显效率优于对照组，且两组相比较差异有显著性（P＜0．05）。[结论]按揉二步推拿手法操作简单，治疗中风后GHS具有较好疗效，值得临床应用推广。“,”[Objective] To observe the effect of two-step massage(pressing and kneading ) on recovery of post-stroke glenohumeral joint subluxation(GHS) .[Methods]Totally 100 patients with GHS after stroke were randomly divided into observation group( n=50) and control group( n=50) .The control group received nor-mal limb positioning and rehabilitation training ,while the observation group was additionally given the two-step massage(pressing and kneading) based on the treatment of the control group .Fugl-Meyer exercise scale (upper limbs) for assessment was performed and acromio-humeral interval(AHI) were measured before and after the treatment .The efficacy was compared between two groups .[Results] After 6 weeks of treatment , Fugl-Meyer score for upper limbs in observation group was higher than that in control group ( P < 0 .01) , while AHI of the diseased sides was shorter than that in control group ( P<0 .05) .The excellence rate of ob-servation group was superior to the control group ( P <0 .05) .[Conclusion]The two-step massage(pressing and kneading) is simple and effective for the treatment of post-stroke GHS .Therefore ,it is worthy of clinical promotion .