中国神经再生研究(英文版) ›› 2018, Vol. 13 ›› Issue (4): 673-676.doi: 10.4103/1673-5374.230293

• 原著:脑损伤修复保护与再生 • 上一篇    下一篇

干针刺激肌筋膜触发点缓解慢性脑卒中后肩部痉挛

  

  • 收稿日期:2018-02-11 出版日期:2018-04-15 发布日期:2018-04-15

Dry needling at myofascial trigger points mitigates chronic post-stroke shoulder spasticity

Li Tang1, Yan Li1, Qiang-Min Huang2, Yang Yang1   

  1. 1 Tong Ren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
    2 Shanghai University of Sport, Shanghai, China
  • Received:2018-02-11 Online:2018-04-15 Published:2018-04-15
  • Contact: Yan Li, liyan_8327@163.com

摘要:

脑卒中后痉挛与肩关节活动范围有关,改善肌肉张力障碍可能有助于缓解脑卒中肩部痉挛患者肌肉功能障碍。干针疗法是一种不使用药物只应用注射器针头,对扳机点进行针刺的方法,目前主要用于治疗肩颈腰背疼痛。文章报告了1例右额叶脑出血,经12年康复治疗仍存在肩部痉挛的62岁男性患者,经9次干针刺激冈下肌、小圆肌、三角肌后部和胸大肌部位肌筋膜触发点,在第1次和第9次治疗后以改良Ashworth量表和肩部被动活动范围评价效果,显示患者肩部的痉挛状态和肩关节运动范围明显改善。说明干针刺激肌筋膜触发点可有效治疗慢性脑卒中后肩部痉挛。

orcid:0000-0002-4951-5174(Yan Li)

 

关键词: 神经再生, 脑卒中, 痉挛, 干针, 肩部痉挛, 改良Ashworth量表, 肩部被动活动范围

Abstract:

Post-stroke spasticity is associated with restriction in the range of motion of the shoulder. Reducing muscular dystrophy may help relieve muscular dysfunction in patients with post-stroke shoulder spasticity. Dry needle therapy is a method of needling the trigger points using a syringe needle without the use of a drug. Dry needle therapy is commonly used for pain at the shoulder, neck, waist, and back. In this case study, a 62-year-old male patient affected with cerebral hemorrhage of the right frontal lobe had received rehabilitative treatment for 12 years. However, he still experienced shoulder spasticity. The patient received daily dry needling at the trigger points of infraspinatus,teres minor, posterior deltoid, and pectoralis major on 9 days. After the first and ninth treatment, the Modified Ashworth Scale and the passive range of motion of the shoulder was used to assess the effect of the treatment. The spasticity and range of motion of the shoulder showed obvious improvement. These results indicate that dry needling at the myofascial trigger points can effectively treat chronic poststroke shoulder spasticity.

Key words: nerve regeneration, stroke, dry needling, shoulder spasticity, Modified Ashworth Scale, passive range of motion, neural regeneration