PDF(Pubmed)
Abstract：
The spinal accessory nerve manipulation or sacrifice during neck dissection results in trapezius muscle denervation and atrophy, leading to shoulder disability. Patients start experiencing pain and weakness while moving their shoulders, including elevation, rotation, and abduction, as well as reduced range of motion (ROM) and dropping of the shoulders. There are several ways to treat the condition, including using painkillers or undergoing physical therapy. Physical therapy plays a major role in improving shoulder function. Dry needling (DN) is an emerging treatment modality that involves eliciting a local twitch response in the region of myofascial trigger points, which can reduce pain and increase the ROM. This case report documents how DN improved shoulder function in a 51-year-old female who had pain when moving the shoulders and limited ROM after undergoing a modified radical neck dissection.
摘要：
颈清扫术中的脊髓副神经操纵或处死会导致斜方肌神经支配和萎缩，导致肩膀残疾。患者在移动肩膀时开始感到疼痛和虚弱，包括高程,旋转,绑架,以及减少的运动范围（ROM）和下降的肩膀。有几种治疗方法，包括使用止痛药或接受物理治疗。物理治疗在改善肩关节功能方面起着重要作用。干针（DN）是一种新兴的治疗方式，涉及在肌筋膜触发点区域引起局部抽搐反应，这可以减少疼痛和增加ROM。该病例报告记录了DN如何改善一名51岁女性的肩部功能，该女性在接受改良的根治性颈清扫术后移动肩部时疼痛且ROM有限。
