xxc ygj sxs hvl

yxfbbiedtj · Wysłany: Nie 4:44, 13 Mar 2011

Comprehensive treatment of shoulder subluxation observed 72 cases

Guan, Hegu, and other points in Nagisa. Shoulder and arm hole as well and will take the points. Treatment of band: density wave, frequency: 3 ~ 5Hz, time: 20min. 1.3 Efficacy evaluation will be based on years of experience effect the author is divided into three, the cure: the normal shoulder anteroposterior x-ray films; markedly: the shoulder joint before and after treatment anteroposterior x ray films to reduce the degree of shoulder subluxation; invalid: before and after treatment anteroposterior shoulder X ray films did not change. 2 results of combination therapy treatment, 54 cases were cured, 75.0%; markedly effective in 12 cases, accounting for 16.7%; 6 cases, accounting for 8.3%. The total effective rate was 91.7%. 3 Discussion of shoulder subluxation in hemiplegic patients is common, the incidence rate of flaccid paralysis of upper limb accounted for 60% to 80%, good place to BrunstromII ~ Ⅲ stage of muscle tension and relaxation, occurs in patients after 3 months. The mechanism is flaccid paralysis, low muscle tone around the shoulder joint, decreased muscle strength and muscle reflex, traction mechanisms for loss of shoulder, upper limb weight due to the soft tissue around the shoulder joint is stretched, the head of the humerus out in the dislocation from the glenoid. Functional electrical stimulation can stimulate the emergence of shoulder muscle tension around the stable, while stimulating afferent nerve; with repetitive motion patterns Afferent central nervous system, the formation of excited traces in the cortex, so that the affected side gradually restore the original motor function】. Exercise therapy can correct the glenoid fossa of the scapula and the humerus position, restoring the normal solid shoulder lock mechanism, while in the joints and surrounding tissue without damaging the structure of the situation, to maintain full range of motion, can effectively stimulate and activate the shoulder around the stability of the muscle. Compression in the shoulder joint movement therapy training can promote around the shoulder extensor, by tapping, rubbing, lightly pressed and so stimulation of muscle contraction ... flaccid. EA can make 321 * cerebral vasodilation in stroke patients, cerebral vascular resistance decreased blood flow to the brain. The law has played Huoxuetongluo, the role of qi and blood. The continuous stimulation by pulse current can accelerate local blood circulation, to more effectively prevent tissue, muscle atrophy 5, to promote recovery of neurological function and reduce disability 6. Meanwhile, EA has the dual role of acupuncture and electrical stimulation, thereby promoting the recovery of the nervous system and paralysis of muscle tension. During functional electrical stimulation therapy, physical therapy and acupuncture therapy process, always use the shoulder harness to patients to prevent early hemiplegia due to flaccid paralysis of deltoid and supraspinatus muscle strain caused by pain, but also raise the forearm and hand of patients can reduce edema [. When using the shoulder straps, should be close to the trunk midline, but not around the neck, should be able to hold up the forearm and hand. In addition, to these patients in the anteroposterior x-ray film should note the following: (1) to avoid extensor tension. To avoid the supine position caused the extensor tonic labyrinth reflex tension and resistance in the standing position, gravity caused the extensor nervous filming to take seats. (2) patients with stroke is difficult to avoid the natural rotation of outreach to the upper limb after the projection position. To do this, use the natural sagging upper limbs, forearm supination the palm toward the side of the body of the stroke are easy to accept and maintain the muscles relaxed position. (3) projection method. x-ray tube in the center height and lateral clavicle consistent with the upper edge, center line center line coincides with the humeral head, tilt the tube side to the foot 15. , A distance of 1m. The patients treated showed that the total effective rate was 91.7%, fully shows that the combination therapy for treatment of shoulder subluxation is effective. 【
],[