Chinese Bubble Wash Combined With Clinical Research, Rehabilitation Training On The Shoulder - Hand Syndrome After Stroke

This study based on the theory of traditional Chinese medicine(TCM) and directed by the theory of modern rehabilitation was undertaken to evaluate the treatment with herb soaking and facilitation technique of rehabilitation for the post-stroke shoulder-hand syndrome(SHS).The paper includes two parts :the literature summaries and the clinical study.There are three literature summaries .The first one is "systematic review on rehabilitation after stroke",it introduces the general questions,the assessment ,the facilitation technique and the studies of post-stroke rehabilitation of TCM.The secend one is "systematic review of post-stroke shoulder-hand syndrome ",It introduces the term of shoulder-hand syndrome,the criterion of diagnosis ,the aetiology.the pathogenesis and the treatments of the post-stroke shoulder-hand syndrome . The Third one is "systematic review of TCM about the post-stroke shoulder-hand syndrome", it introduces the term ,the pathogenesis and the treatments of the post-stroke shoulder-hand syndrome from the aspect of TCM.The second part is about the clinical study . This study included 30 post-stroke shoulder-hand syndrome patients .There were 20 patients in the subject group ,which were treated with herb soaking and facilitation technique of rehabilitation for 10 days . There were 10 patients in the control group .which were only treated with facilitation technique of rehabilitation for the same time .All patients were assessed by Fugl-Meyer Assessmnet (only the upper limbs part) ,modified Ashworth Scale, Swelling Index and Visual Analogue Scale (VAS) .Statistical analysis showed that the subject group had better effect on the relief of pain and swelling than the control group ,The difference between the two groups was significant (PO.05 ). The improvement of Fugl-Meyer Assessmnet was significant in the two groups (PO.05) jiowever the improvement of modified Ashworth Scale was not significant (P>0.05 ) .None of the Fugl-Meyer Assessmnet and modified Ashworth Scale showed significant difference in the two group both before and after therapy (PX).05 ) .Conclusion : the treatment with herb soaking and facilitation technique of rehabilitation in subject group lias better effect than the control group on the relief of pain and swelling.