The Effect On Wheelchair Handrail Compensator Combined With Traditional And Modern Rehabilitation Treatment In Patients With Post-stroke Shoulder Pain

ObjectiveTo investigate the clinical effect of combining wheelchair handrail compensator with traditional and modern rehabilitation treatment for patients with post-stroke shoulder pain. To understand the clinical significance in preventing and mitigating post-stroke shoulder pain by the equipment. And try to afford an effective treatment for preventing and reducing post-stroke shoulder pain. Then to provide a theoretical basis for making a perfect therapeutic regimen of post-stroke shoulder pain.MethodsThe study is a randomized control and classificatory research. Sixty patients who suffered from post-stroke shoulder pain were divided randomly into two groups according to the ratio of 1:1. The patients in the treatment group received comprehensive rehabilitation and correct posture by using the wheelchair handrail compensator. The patients in the control group received comprehensive rehabilitation training and ordinary wheelchair. It will take 12 weeks for treatment and observation. Before treatment and in 1、2、3、4、 6、8、12 weeks after treatment, two groups of patients were assessed by Visual Analogue Scale/Score(VAS). And before treatment and in4、6、8、12 weeks after treatment, they were assessed by Visual Analogue Scale/Score(VAS), Fugl-Meyer assessment of upper extremity (FMA-U), Modified Barthel Index(MBI) and Quality of Life Index(QLI). At the end of the treatment, we take software packages SPSS17.0 for management and statistical analysis, in which t paired test, chi-square test and rank test have been used.Results1. Baseline comparison:Difference was not significant (P>0.05) in general information and the scores of VAS, FMA-U, MBI, QLI before treatment in two groups of patients.2. Effect comparison in the same group:Within the group, difference was significant (P<0.05) in the scores of VAS, FMA-U, MBI and QLI before and after the treatment.3. Effect comparison between the two groups after treatment:Different time after treatment, difference was significant (P<0.05) in the scores of VAS, FMA-U, MBI and QLI between the two groups. Among the patients without shoulder pain,40 percent of the patients developed into shoulder pain during the course in the control group. At the same time,9.1 percent of the patients get shoulder pain in the treatment group.4. Effect comparison in classification group:By stratified analysis, the therapy which combining wheelchair handrail compensator with traditional and modern rehabilitation treatment is more effective in reducing the shoulder pain for patients with shorter course of disease and older age. And’it’s also more effective in improving ADL for patients with shoulder pain than those without that. For the patients with shoulder subluxation, the effect in reducing shoulder pain is much better than those without shoulder subluxation. However, the therapy is more function in improving ADL and upper limb motor function for the patients without shoulder subluxation.5. During the period of this study, the treatment group and the control group didn’t have any adverse reaction.Conclusion1. This study found that wheelchair handrail compensator combine with traditional and modern rehabilitation treatment could prevent shoulder pain,2. The method could also improve the ability of daily living, upper limb motor function and quality of life for patients with shoulder Pain.3. The therapy is more effective in reducing shoulder pain for patients with older age, shorter course of disease and shoulder subluxation. And it’s is also more effective in improving ADL and upper limb motor function for the patients without shoulder subluxation.