Post-stroke Shoulder-hand Syndrome Research Articles

Penetration acupuncture at Baxie(EX-UE 9) combined with rehabilitation for swelling hand of post-stroke shoulder-hand syndrome

To compare the effects between penetration acupuncture at Baxie (EX-UE 9) combined with rehabilitation and simple rehabilitation for swelling hand in post-stroke shoulder-hand syndrome. Sixty patients were randomly assigned into an observation group and a control group,30 cases in each one. Penetration acupuncture at Baxie (EX-UE 9) combined with rehabilitation were used in the observation group,and the acupoints were the affected Baxie (EX-UE 9) and Wailaogong (EX-UE 8). Simple rehabilitation was used in the control group. All the treatment was given for 3 weeks,5 days a week with 2 days at the interval,once a day. The swelling degree and motor function of the affected hand were assessed before and after treatment in the two groups. Also,the effects were compared. The swelling and motor function scores after treatment were improved compared with those before treatment in the two groups(all P<0.01),with better effects in the observation group(both P<0.01). The total effective rate was 93.3%(28/30) in the observation group,which was better than 73.3%(22/30) in the control group(P<0.01). Penetration acupuncture at Baxie (EX-UE 9) combined with rehabilitation can effectively and timely alleviate the swelling hand and motor function of post-stroke shoulder-hand syndrome,which are better than simple rehabilitation.

脳卒中後の肩手症候群2症例における臨床所見と肩のMRI

In two cases of poststroke shoulder-hand syndrome, the patients complained of hemi-paretic shoulder pain. Both cases showed characteristic findings on magnetic resonance imaging (MRI) of the paretic shoulder. Case 1 underwent MRI before the syndrome occurred, while Case 2 underwent MRI after the syndrome occurred. In both cases, chemical saturation T2-weighted images revealed high intensity signals mainly anterior to the scapula, but also surrounding the articular capsule of the shoulder joint. Also, the subscapular muscle and subscapular bursa appeared damaged, and bloody fluid extended into the connective tissue. In Case 2, chemical saturation T2-weighted images revealed high intensity signals in the axillary fat. The paretic hands of both patients showed conscious and objective allodynia, edema, and decreased range of finger flexion and carpal extension. Observed symptoms were consistent with a diagnosis of complex regional pain syndrome (CRPS). Adherence of the posterior brachial plexus to the subscapular muscle may result in positional relationship changes and tears to the cords when the paretic shoulder is moved. The resultant small fiber neuropathy may result in edema by conduction block. Furthermore, aseptic synovitis from neurogenic inflammation may also occur. In Case 1, the arthritis of the shoulder appeared before the neuropathy. This indicates that damage to the subscapular bursa rather than neuropathy may be the underlying cause of the arthritis.

Study on the application of comprehensive rehabilitation nursing intervention in patients with post-stroke shoulder-hand syndrome

Objective To investigate the improving effects of comprehensive rehabilitation nursing intervention on the limb function of patients with post-stroke shoulder-hand syndrome and improve the quality of life.Methods Totaled of 100 patients were selected and randomly divided into observation group and control group with 50 patients each group; both groups were given with rehabilitation and routine nursing,the observation group was given comprehensive rehabilitation nursing intervention additionally,and the clinical therapeutic effects of the two groups were observed.Results The differences in VAS score and FMA score when entering the groups between the patients of the two groups were statistically insignificant (P ＞ 0.05) ; after nursing,the VAS score and FMA score were improved in the patients of both groups (P ＜ 0.05),but those of the patients of the observation group were improved more significantly (P ＜ 0.05).The fineness percentages of the clinical therapeutic effects of the observation group was 90.00％,it was significantly higher than that of the control group (70.00％),and the difference was statistically significant (P ＜ 0.05).Conclusions Early rehabilitation nursing intervention can effectively promote the limb function recovery in patients with post-stroke shoulder-hand syndrome,ease pain in the shoulder and hands,eliminate swelling,and elevate the clinical recovery rate and the life quality of the patients. Key words: Nursing intervention; Rehabilitation treatment ; Stroke ; Shoulder-hand syndrome

Effect observation on point-through-point needling combined with tuina for post-stroke shoulder-hand syndrome

Objective To observe the effect of point-through-point needling combined with tuina for shoulder-hand syndrome after stroke.

Treatment of 40 cases of poststroke shoulder-hand syndrome by acupuncture

Acupuncture and rehabilitation therapies were used to treat 40 cases of shoulder-hand syndrome, the results show that integration of acupuncture and rehabilitation can increase therapeutic effects and shorten treatment courses to accelerate recovery.