| Objective: Based on the routine rehabilitation of hemiplegic patients combined with shoulder isokinetic muscle strength training,the curative effect of this treatment method on the shoulder joint function of hemiplegia patients was evaluated and analyzed.Methods: Sixty patients with hemiplegia admitted to the Hospital of Rehabilitation of affiliated Hospital of Zunyi Medical College from December 2015 to October 2017 were selected as research objects,and divided into two groups according to the method of random digital table,namely the observation group(30 cases)and control group(30 cases).For inclusion criteria: Stroke meets the diagnostic criteria set by the 4th Conference on Cerebrovascular Disease.There was a clear history of traumatic brain injury.All the patients were confirmed by CT/MRI.The site of the injury was located in the unilateral basal ganglia region and there were unilateral upper limb movement disorders.First-onset,course of disease within 6 months;The vital signs were stable and the neurological signs were no longer progressing;the trainers have no severe cognitive function or shoulder joint dysfunction affected the training;Manual muscle strength measurement,the max muscle strength of muscle group around shoulder joint is 1-3 level(Lovette grading);I or family members signed informed consent.The patients in the control group were treated with routine rehabilitation,and the patients in the observation group were treated with routine rehabilitation combined with isokinetic muscle strength training of hemiplegic shoulder joint.Constant-Murley shoulder function rating scale,Modified Ashworth spasticity scale,Fugl-Meyer Simple Upper Limb Motor Function Score were used to evaluate the function of the patients at the beginning and after 3 and 6 weeks of treatment,the comprehensive function of shoulder joint,muscle tension of shoulder fiexor and hemiplegic upper limb comprehensive motor function between the two groups were compared.To avoid differences,all assessments were performed and recorded by the same rehabilitative physician.Results: 1.There was no significant difference in age,sex,course of disease,disease type,hemiplegic side,CMS score,modified Ashworth score,FMA-UE score and painscore between the two groups before treatment(P>0.05);2.After 3 weeks of treatment,the FMA-UE score of the two groups was significantly higher than that before the treatment(P<0.05),but the FMA-UE score of the observation group was significantly higher than that of the control group.(P<0.05);At 6 weeks,the FMA-UE score of the two groups was significantly higher than that at 3 weeks(P<0.05),and the FMA-UE score of the observation group was significantly higher than that of the control group(P<0.05).3.After3 weeks of treatment,the CMS score of the two groups was significantly higher than that before the treatment(P<0.05),but there was no significant difference in the CMS score between the observation group and the control group(P>0.05);At 6 weeks,the CMS score of the two groups was significantly higher than that at 3 weeks(P<0.05),and the CMS score of the experimental group was significantly higher than that of the control group(P<0.05);4.There was no significant difference in the modified Ashworth score between the two groups before and after treatment(P<0.05);5.There was no significant difference in pain index between the two groups after treatment.(P<0.05)Conclusion: 1.The isokinetic muscle strength training of the shoulder joint could improve the function of the hemiplegia side shoulder joint and the hemiplegic upper limb significantly.2.Isokinetic muscle strength training is effective in the recovery of shoulder joint function of hemiplegia caused by stroke and brain injury.3.Shoulder joint isokinetic muscle strength training did not significantly increase the muscle tension and the shoulder pain of the affected side. |
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