背景和目的:我们研究了基于悬吊的主动肩关节运动训练对肩关节半脱位的影响,疼痛,肌肉力量,亚急性中风患者的上肢功能。材料和方法:将28例亚急性脑卒中患者随机分为悬吊式主动肩关节运动(SASE)组(n=14)或机动上肢运动(MUEE)组(n=14)。SASE组积极进行肩关节屈曲,扩展,绑架,内收,外部和内部旋转,使用吊索悬挂系统进行水平外展和内收,而MUEE组使用电动上肢运动机进行了运动计划。所有参与者都接受了为期4周的干预,每天运动30分钟,每周5天。此外,两组均接受一般物理治疗和功能性电刺激30min,每天2次,每周5天.训练前后通过影像学检查测量肩关节半脱位,并评估脾的疼痛,上斜方肌,和使用压力参数的冈下肌。此外,手动肌肉测试仪用于评估肩关节屈肌的肌肉力量,延伸子,绑架者,内征器,以及外部和内部旋转器,Fugl-Mayer评估(FMA)和手动功能测试(MFT)用于评估上肢功能。结果:观察到疼痛的显著群体-时间相互作用,F值F(1,26)=7.470,脾p<0.011,上斜方肌F(1,26)=9.623,p<0.005。观察到肩部肌肉力量的显着时间组相互作用,F值F(1,26)=13.211,p<0.001;F(1,26)=4.974,p=0.035,F(1,26)=9.674,p=0.004绑架者,和外部旋转器,分别。在FMA中观察到显着的时间-群体相互作用,F值F(1,26)=13.243,p<0.001。当比较MFT分数的时间和组之间的交互作用时,观察到显著差异,F值F(1,26)=32.386,p<0.001。结论:这项研究证实,基于悬吊的主动肩关节锻炼可有效改善肩关节半脱位,疼痛,肌肉力量,亚急性中风患者的上肢功能。
Background and Objectives: We investigated the effects of sling-suspension-based active shoulder joint exercise training on shoulder joint subluxation, pain, muscle strength, and upper extremity function in patients with subacute stroke. Materials and Methods: Twenty-eight patients with subacute stroke were randomly assigned to either the sling-suspension-based active shoulder joint exercise (SASE) group (n = 14) or the motorized upper extremity exercise (MUEE) group (n = 14). The SASE group actively performed shoulder joint flexion, extension, abduction, adduction, external and internal rotation, and horizontal abduction and adduction using a sling suspension system, whereas the MUEE group underwent an exercise program using a motorized upper extremity exercise machine. All participants underwent a 4-week intervention with 30 min of exercise once a day for 5 days a week. Additionally, both groups received general physical therapy and functional electrical stimulation for 30 min twice a day for 5 days a week. Shoulder joint subluxation was measured by radiographic examination before and after training, and pain was evaluated in the splenius, upper trapezius, and infraspinatus muscles using pressure parameters. In addition, a manual muscle tester was used to assess the muscle strength of the shoulder joint flexors, extensors, abductors, adductors, and external and internal rotators, and the Fugl-Mayer Assessment (FMA) and Manual Functional Test (MFT) were used to evaluate upper extremity function. Results: A significant group-time interaction was observed for pain, with F-values of F(1, 26) = 7.470, p < 0.011 for the splenius and F(1, 26) = 9.623, p < 0.005 for the upper trapezius. A significant time-group interaction was observed for the muscle strength of the shoulder, with F-values of F(1, 26) = 13.211, p < 0.001; F(1, 26) = 4.974, p = 0.035 and F(1, 26) = 9.674, p = 0.004 for flexors, abductors, and external rotators, respectively. A significant time-group interaction was observed in the FMA, with F-values of F(1, 26) = 13.243, p < 0.001. When comparing the interaction effects between time and group for MFT scores, a significant difference was observed, with F-values of F(1, 26) = 32.386, p < 0.001. Conclusions: This study confirmed that sling-suspension-based active shoulder joint exercises are effective in improving shoulder joint subluxation, pain, muscle strength, and upper extremity function in patients with subacute stroke.