Efficacy Of The Combination Of Neuromuscular Electrical Stimulation With Scapular Control Training In The Treatment Of Hemiplegic Shoulder Pain: A Clinical Observation

Objective: To observe the clinical efficacy of neuromuscular electrical stimulation combined with scapular control training in the hemiplegic shoulder pain.Methods: A total of 46 patients with post-stroke hemiplegic shoulder pain who met the inclusion criteria were selected and randomly divided into control group(n=23)and experimental group(n=23).Participants in both groups received symptomatic treatment by internal medicine,acupuncture and conventional rehabilitation therapy.Additionally,the control group was given scapular control training,and the experimental group received neuromuscular electrical stimulation combined with scapular control training.The visual analogue scale(VAS),simplified Fugl-Meyer assessment upper extremity scale(FMA-UE),the passive range of motion(PROM)of shoulder flexion,abduction and external rotation,and modified Barthel index(MBI)were measured at baseline,and at 2 weeks,4 weeks and 6 weeks after intervention.Results: 1.A total of 44 subjects were enrolled,including 22 in the control group and 22 in the experimental group,respectively.One subject each dropped out in both two groups.The VAS scores of two groups at 2 weeks,4 weeks and6 weeks after intervention were significantly improved compared with those at baseline(P<0.05).However,there was no significant difference between the two groups at 2 weeks after intervention(P>0.05).The VAS scores of the experimental group was significantly lower than that of the control group at 4and 6 weeks after intervention and the difference was statistically significant(P<0.05).2.The FMA-UE scores and MBI scores of the two groups at 2 weeks,4weeks and 6 weeks after intervention were significantly improved compared with those at baseline,and the differences were statistically significant(P<0.05).However,there was no significant difference between the two groups at 2weeks after intervention(P>0.05).The FMA-UE scores and MBI scores of the experimental group was significantly higher than that of the control group at 4and 6 weeks after intervention and the difference was statistically significant(P<0.05).3.Compared baseline,the PROM of flexion,abduction and external rotation of shoulder joint in the two groups were significantly improved at 2weeks,4 weeks and 6 weeks after intervention,and the difference was statistically significant(P<0.05).However,there was no significant difference between the experimental group and control group at baseline and 2 weeks,4weeks and 6 weeks after intervention.Conclusion:1.Neuromuscular electrical stimulation combined with scapular control training can more effectively relieve shoulder pain,and improve motor function of upper limb and activities of daily living in stroke patients with hemiplegic shoulder pain.2.The efficacy of neuromuscular electrical stimulation combined with scapular control training in improving the passive range of motion of shoulder joint in stroke patients with hemiplegic shoulder pain is not better than that of scapular control training alone.