Abstract：Objective To discuss the clinical effect of acupuncture-exercise therapy combined with joint mobilization technique(JMT)and far-infrared physiotherapy paste(FIRPP)in treatment of post-stroke shoulder pain which pathological pattern was long head of biceps brachii(LHBB)lesion. Methods 〓Totally 64 patients with the post-stroke shoulder pain were randomly divided into two groups. Thirty-two patients in the control group received JMT and FIRPP and another 32 patients in the treatment group received extra acupuncture-exercise combined with JMT and FIRPP. All cases received treatment for 5 times per week, 4 weeks for the 1 course. The shoulder pain was assessed by visual analogue scale(VAS)and passive range of motion(PROM)in the two groups before treatment and at the 4th week and the eighth week of treatment. Result 〓The score of VAS showed no significant difference between the two groups at the 4th week of treatment(P0.05). But after the 2 course of treatment, the scores of VAS and PROM improved in both groups(P0.05)and improved more in the treatment group than those in the control group(P0.05). The total effective rate was significantly higher in the treatment group than in control group(94.52% vs. 82.76%; P0.05). Conclusion 〓Acupuncture-exercise therapy combined with JMT and FIRPP could relieve shoulder pain, and improve shoulder range of motion in forward bend and abduction, and external rotation of humerus.
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机译：摘要：目的探讨针刺结合联合动员技术（JMT）和远红外理疗膏（FIRPP）联合治疗肱二头肌长头病（LHBB）的临床特点。病变。方法〓将64例中风后肩痛患者随机分为两组。对照组中的32例患者接受了JMT和FIRPP，而治疗组中的32例患者接受了额外的针灸锻炼结合JMT和FIRPP。所有病例每周接受5次治疗，第1疗程为4周。两组均在治疗前以及治疗第4周和第8周通过视觉模拟量表（VAS）和被动运动范围（PROM）评估肩痛。结果〓治疗第4周，两组间VAS评分无明显差异（P> 0.05）。但经过2个疗程的治疗，两组的VAS和PROM评分均有所改善（P <0.05），治疗组较对照组有明显改善（P <0.05）。治疗组总有效率明显高于对照组（94.52％vs. 82.76％; P <0.05）。结论〓针刺结合JMT和FIRPP可以减轻肩部疼痛，改善肩关节前屈，外展和肱骨外旋的运动范围。
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