基于Brunnstrom理论探讨脑卒中后肩手综合征的中西医结合诊疗策略
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国家自然科学基金项目(81373711,81874500);安徽省自然科学基金项目(1808085QH268);安徽省教育厅自然科学基金重点项目(KJ2020A0377


Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment Strategies for Shoulder-Hand Syndrome after Stroke Based on Brunnstrom Theory
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    摘要:

    肩手综合征(shoulder-hand syndrome,SHS)是脑卒中后常见的以肩手肿胀、疼痛为主要特征的并发症,早期诊断和治疗对患者功能恢复具有积极意义。将现代康复理念与中医基础理论相结合,基于Brunnstrom理论探讨SHS不同时期的多学科综合治疗策略具有重要意义。BrunnstromⅠ期促进患者运动能力的建立,Brunnstrom Ⅱ~Ⅲ期平衡肌群间肌张力,Brunnstrom Ⅳ~Ⅵ期纠正异常运动模式、强化运动协调性。

    Abstract:

    Shoulder-hand syndrome(SHS) is a common complication after stroke characterized by swelling and pain of shoulders and hands, and early diagnosis and treatment have positive significance for functional recovery of patients. With the combination of modern rehabilitation concept and basic theories of traditional Chinese medicine, it is of great importance to explore the multidisciplinary and multimodality treatment strategies for SHS at different stages based on Brunnstrom theory. The construction of motor ability should be promoted for patients with Brunnstrom stage Ⅰ SHS, muscle tension between muscle groups should be balanced for patients with Brunnstrom stage Ⅱ-Ⅲ SHS, and aberrant motor activity should be corrected and motor coordination should be enhanced for patients with Brunnstrom stage Ⅳ-Ⅵ SHS.

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李梦醒,王 玉,宋宗胜,史可鉴,唐 巍.基于Brunnstrom理论探讨脑卒中后肩手综合征的中西医结合诊疗策略[J].安徽中医药大学学报,2021,40(4):5-8

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  • 在线发布日期: 2021-08-14