Clinical Observation Of The Continuous Passive Motion And Ultrasonic On The Treatment Of Stroke Shoulder-hand Syndrome

ObjectiveBy clinical trials,the study aims to observe the clinical efficacy.The observation is the shoulder-hand syndrome after stroke patients clinical curative effect,by comparing continuous passive motion combined with ultrasonic therapy,occupational therapy and medium frequency electrotherapy,hemiplegic limb treatment and other rehabilitation of conventional treatments with only ultrasonic therapy,occupational therapy and medium frequency electrotherapy,acupuncture and other rehabilitation conventional treatment and the blank group.To explore the continuous passive motion combined with ultrasonic therapy for the possible mechanism in treating shoulder hand syndrome.MethodsFrom August 2016 to December 2017 in patients with shoulder hand syndrome in Rehabilitation Medicine Department of Affiliated Hospital of Tai'an Medical College University,according to the inclusion criteria select 90 cases,49 cases are males,41 cases are females,average age 46.78±10.73 years,course of disease2.98±0.73 weeks.They were randomly divided into treatment group,control group and blank control group,30 cases in each group.There was no significant difference between the three groups.The treatment group use continuous passive motion combined with ultrasonic therapy,occupational therapy and medium frequency electrotherapy and other rehabilitation conventional treatment,while the control group only use ultrasonic therapy,occupational therapy and medium frequency electrotherapy and the blank control group only use the occupational therapy and medium frequency electrotherapy and the other rehabilitation conventional treatments.The treatment time was four weeks,to score the level of pain,clinical symptoms and signs,the study used NRS and Fugl-Meyer motor assessment of the upper extremity(FMA-UE).Through the SPSS 17.0 statistical software for data analysis and processing,through the T test and chi square test to compare the scores of the differences before and after treatment in each group and the differences between the two groups after treatment.To observe the clinical efficacy of passive motion combined with ultrasonic therapy for the treatment of shoulder hand syndrome,and to explore its possible mechanism.Results1.After four weeks,the patients in three groups after treatment NRS score was lower than that the before,the score of FMA-UE was higher than that before treatment(P<0.01?P<0.05),it can reduce the shoulder pain score,improving patients` ADL.2.After four weeks,the patients in the conventional group NRS score lower than the control group and the blank control group,the score of FMA-UE was higher than the other two groups(P<0.01),indicating that the three groups after treatment there were significant differences in the scores;it can be concluded that the treatment group is better than the other two groups in relieving pain and improving the clinical symptoms and improving patients` ADL.3.After four weeks,the three groups are 90 cases.The treatment group cured in 8 cases,markedly effective in 14 cases,effective in 7 cases,invalid in 1 cases,the total effective rate was 97%.The control group of 30 cases,cured in 3 cases,markedly effective in 6 cases,effective in 17 cases,invalid in 4 cases,the total effective rate was 87%.The blank group cured in 3 cases,markedly effective in 5 cases,effective in 17 cases,invalid in 5 cases,the total effective rate was 83.7%.Three groups of patients with total effective rate by chi square test(P<0.05),the difference was statistically significant.ConclusionOccupational therapy and medium frequency electrotherapy and other conventional treatment,can reduce the degree of pain and improve the symptoms and signs in patients with shoulder hand syndrome.Continuous passive motion combined with ultrasonic therapy for the treatment of shoulder hand syndrome significantly better than the effect of simple ultrasonic therapy.