KẾT QUẢ ĐIỀU TRỊ VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở BỆNH NHÂN BÁN TRẬT KHỚP VAI SAU NHỒI MÁU NÃO ĐIỀU TRỊ BẰNG ĐIỆN CHÂM, TẬP VẬN ĐỘNG VÀ ĐEO ĐAI

Abstract

Objective: This study aimed to: 1. Evaluate the treatment results of shoulder subluxation after cerebral infarction by electro-acupuncture, joint exercise and shoulder belt. 2. Describe some factors related to the treatment outcomes. Subjects and Method: use randomized clinical trial and compare results before-after treatment on 30 patients with shoulder subluxation after cerebral infarction who were treated by electro-acupuncture combined with joint exercise and shoulder belt. Results: 60% of patients had clinically significant improvement in the total FMA (Fugl-Myer Assessment) score and 46.7% of patients recovered from Shoulder subluxation on radiographs. The group of patients with severe Shoulder subluxation had a worse recovery ability than the moderate and mild Shoulder subluxation group (OR = 4,0, 95% CI = 1,71 – 9,35). The linear regression equation is: Change in total FMA score = 0.851 x Change in shoulder partial dislocation distance + 0.218. The factors of age, sex, duration of illness, NISSH (National Institutes of Health Stroke Scale) score, degree of paralysis, paraplegic side, dominant hand, complex pain syndrome did not clearly affect the difference in the level of movement and the level of hand dexterity (p > 0.05). Conclusion: 60% of patients had clinically significant improvement in total FMA score and 46.7% of patients recovered from Shoulder subluxation on radiographs. Severe degree of Shoulder subluxation is less likely to recover from Shoulder subluxation.