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(Neuromuscular facilitation combined with faradism in the treatment of subluxation of glenohumeral joint in early hemiplegic patients) [Chinese - simplified characters]
Chen D-Q, Wen L-W, Wu J-M
Zhongguo Linchuang Kangfu [Chinese Journal of Clinical Rehabilitation] 2005 Sep 7;9(33):28-29
clinical trial
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: Yes; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

AIM: To observe the recovery condition of limbs motor function in stroke and hemiplegic patients with early subluxation of glenohumeral joint by using neuromuscular facilitation combined with faradism. METHODS: 106 stroke and hemiplegic patients with subluxation of glenohumeral joint, who were treated in the Shantou Center Hospital from January 2000 to December 2003, were selected and randomly divided into two groups with 53 cases in each group: (1) control group: the patients were treated with neuromuscular facilitation only, including putting of un-injured limb, keeping the passive range of motion on painless the whole shoulder joint and the resistance exercise of scapula muscle group. (2) Treatment group: adding the faradism based on the treatment of the control group, 50 to 100 Hz frequency, 0.1 to 1.0 ms effective range of wave, 5 to 15 V rheobase of stimulation, once a day, five times per week. The recovery condition of dislocation of shoulder was observed through the distance between acromion of x-ray of shoulder joint and the head of humerus before rehabilitation and the 10th week of rehabilitation. The recovery condition of upper limbs motor function was evaluated with Brunnstrom approach. RESULTS: 106 cases were involved in the result analysis after compensation. (1) Distance between the acromion and head of humerus: there was no difference between the two groups before treatment (p > 0.05), and after treatment it was 0 to 10 mm of the injured side in the treatment group with 9 cases, 11 to 15 mm with 38 cases, 16 to 20 mm with 6 cases; In the control group it was 0 to 10 mm of the injured side with 5 cases, 11 to 15 mm with 32 cases, 16 to 20 mm with 16 cases. The effect in the treatment group was better than that in the control group (p < 0.05). (2) The Brunnstrom grade: there was no difference in the two groups before treatment (p > 0.05), after treatment in the treatment group grade 2 with 8 cases, grade 3 with 22 cases, grade 4 with 17 cases, grade 5 with 6 cases, in the control group grade 2 with 13 cases, grade 3 with 27 cases, grade 4 with 11 cases, grade 5 with 2 cases, and that in the treatment group was better than that in the control group (p < 0.05). CONCLUSION: The neuromuscular facilitation combined with faradism can significantly improve the motor function of paralysis limbs in stroke and hemiplegic patient with early subluxation of glenohumeral joint.

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