Clinical Study Of Shu Jin Zhi Tong Water Ontophoresis Combined With Rehabilitation Training In The Treatment Of Post Stroke Shoulder Pain

Objective:Through the observation of Shu jin Zhi tong water iontophoresis combined with the clinical curative effect of rehabilitation training in the treatment of post stroke shoulder pain, in order to provide a more effective treatment of shoulder pain after stroke clinical treatment. Methods:Randomised controlled trial of use, will meet the diagnostic criteria and inclusion criteria 72 cases of subjects were randomly divided into two groups, the treatment group 34 cases (off 2 cases),33 cases of the control group (3 cases of loss). The control group was given neural Department of internal medicine treatment and rehabilitation training routine, in the treatment group treated with Shu Jin Zhi Tong Water iontophoresis, before and after treatment, two groups of patients were rehabilitation assessment:using Fugl-Meyer motor function assessment (FMA upper extremity) assessment in patients with ipsilateral upper extremity motor function using visual analogy; score (VAS) assessment in patients with shoulder pain degree; and recorded during the treatment in patients with shoulder pain can not be tolerated taking frequency of analgesic drugs. After 3 weeks of treatment, statistical analysis was performed on two groups of FMA scores, VAS scores before and after treatment and during treatment the number of painkillers.Results:1.Two groups of patients with shoulder pain degree and the trouble side upper limb movement function after treatment were improved, compared with that before treatment, the difference was statistically significant (P<0.01).2.After 3 weeks, the patients in the treatment group were shoulder pain, ipsilateral upper limb movement function compared with the control group, the difference was statistically significant (P<0.01).3.In treatment group patients with shoulder pain can not be tolerated pain medication times compared with the control group, the difference was statistically significant (P<0.01).4.Among patients with shoulder pain degree and the side upper limb motor function after stroke is highly negative correlation (P<0.01).Conclusion:1.Shu Jin Zhi Tong Water iontophoresis combined with rehabilitation and simple rehabilitation training, after 3 weeks of treatment, the former in remission in patients with shoulder pain, improve the degree of upper limbs motor function was better than that of the latter, and fewer painkillers;2.Whether Shu Jin Zhi Tong Water iontophoresis combined with rehabilitation training group or simple rehabilitation training group, after 3 weeks of treatment, two groups of methods can alleviate shoulder pain patients, and can improve the upper limb movement function in the patients with;3.Patients with shoulder pain after stroke and the degree of upper limbs motor function was highly negative correlation, the more severe the degree of shoulder pain, upper limb movement function worse; on the contrary, shoulder pain, the more light, the better the motor function of upper limbs.