The influence of scapular girdle stability training on shoulder joint mobility in stroke patients
脑卒中患者肩胛带稳定性训练对肩关节活动能力的影响

摘要

目的 探讨肩胛带稳定性训练在脑卒中患者康复训练中对肩关节活动能力的影响。方法 选取本院2025年3月-2025年6月脑卒中患者50例，依据康复训练划分两组，常态化康复训练组25例，采用常态化康复训练，肩胛带稳定性训练组25例，采用肩胛带稳定性训练。统计分析两组肩关节活动能力、神经功能缺损程度、肢体功能、自理能力、临床疗效、满意度。结果 肩胛带稳定性训练组肩关节伸展、外展、屈曲活动度均大于常态化护理组（P<0.05），NIHSS评分低于常态化护理组（P<0.05），上肢、下肢评分及FMA总分均高于常态化护理组（P<0.05），BI评分、总有效率、满意度均高于常态化护理组（P<0.05）。结论 肩胛带稳定性训练在脑卒中患者康复训练中较常态化康复训练更能将肩关节活动能力提升。

Abstract

Objective To explore the effect of scapular girdle stability training on the shoulder joint mobility in the rehabilitation training of stroke patients.
Methods Fifty stroke patients in our hospital from March 2025 to June 2025 were selected and divided into two groups based on rehabilitation training. There were 25 cases in the regular rehabilitation training group who received regular rehabilitation training, and 25 cases in the scapular band stability training group who received scapular band stability training. The shoulder joint mobility, degree of neurological deficit, limb function, self-care ability, clinical efficacy and satisfaction of the two groups were statistically analyzed.
Results The shoulder joint extension, abduction and flexion range of motion in the scapular band stability training group were all greater than those in the regular care group (P<0.05), the NIHSS score was lower than that in the regular care group (P<0.05), and the scores of the upper limb and lower limb and the total FMA score were all higher than those in the regular care group (P<0.05). The BI score, total effective rate and satisfaction rate were all higher than those of the regular nursing group (P<0.05).
Conclusion   Scapular girdle stability training is more effective in improving the shoulder joint mobility in the rehabilitation training of stroke patients than regular rehabilitation training.