研究影响中风幸存者的肩部疼痛因素
Arslan Cemil1, Baskan Emre2, Dengiz Aziz3
1Department of Physiotherapy and Rehabilitation, Bingol State Hospital, Bingöl, Türkiye.
概括
脑卒中幸存者的肩部疼痛与肌肉问题,软组织损伤和延迟康复有关. 早期专注于肩部运动有助于恢复和预防疼痛.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
背景情况:
- 肩膀疼痛是中风幸存者常见和复杂的问题.
- 多种潜在因素有助于其发展和持续.
研究的目的:
- 在中风幸存者中识别和量化与肩膀疼痛相关的因素.
- 了解这些因素对疼痛和功能的影响.
主要方法:
- 评估了62名中风患者 (Brunnstrom阶段≥3) 使用VAS.
- 评估的肌肉度 (修改的阿什沃思尺度),运动范围 (goniometer) 和上肢功能 (Fugl-Meyer).
- 研究了肌肌触发点和特定的软组织病理 (Neer,速度,感知测试).
主要成果:
- 50%的患者经历了半性肩部疼痛 (HSP),前/后部位置很常见.
- 高血压与延迟康复启动,较低的布伦斯特罗姆阶段和上肢功能降低相关.
- 增加的肌肉度 (下,大胸部) 和肌筋触发点与HSP有显著的关联.
- 软组织病理 (冲击,恐惧) 与HSP有很强的相关性.
结论:
- 在中风幸存者的HSP是多因素的,涉及肌肉关触发点,软组织损伤,延迟康复,增加肌肉度和运动功能受损.
- 针对肩部移动性的早期干预对于预防和管理HSP至关重要.
- 解决这些因素可以促进中风幸存者的更好的功能恢复和生活质量.
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