Clinical observation of OT combined with PNF in treating shoulder-hand syndrome after stroke
Sun Dongyan
Yu Qingpeng
Dong Yunli
Yang Feng
Zhang Dajiong
Gao Yuan
Yin Chunling
Hong Wei
Abstract：Objective To evaluate the clinical efficacy of occupational therapy(OT)combined with proprioceptive neuromus-cular facilitation(PNF)in treating shoulder-hand syndrome after stroke(SHSAS),providing evidence for clinical manage-ment.Methods One hundred five SHSAS patients admitted to Ma'anshan Hospital of Traditional Chinese Medicine(Janu-ary 2022-January 2024)were randomized into the OT group(n=51)and combination group(n=54).Both groups re-ceived basic treatments including blood pressure,blood glucose,and blood lipid management,cerebral circulation improve-ment,and neurotrophic therapy.The OT group received occupational therapy alone,while the combination group received additional PNF rehabilitation.Treatment lasted 8 weeks.Outcomes included Visual Analog Scale(VAS)scores,shoulder joint,hand joint peak torque(PT),shoulder joint range of motion(ROM),Modified Ashworth Scale(MAS)scores,and Fugl-Meyer Assessment(FMA)scores before and after treatment.Results Pre-treatment shoulder and hand VAS scores showed no significant differences(P>0.05).Post-treatment,both groups exhibited significantly reduced VAS scores(P<0.05),with the combination group demonstrating significantly lower scores than the OT group(P<0.05).Shoulder ROM[forward flexion(FE),extension(E),abduction(AB),internal rotation(IR),external rotation(ER)]showed no baseline differences(P>0.05).Post-treatment,all shoulder ROM angles(FE,E,AB,IR,and ER)significantly increased in both groups(P<0.025),with greater improvement in the combination group(P<0.025).Shoulder abductor/flexor and hand extensor/flexor PT values showed no significant differences compared with those pre-treatment(P>0.05),but indicated a significant increase post-treatment in both groups(P<0.025),with the combination group outperforming the OT group(P<0.025).Pre-treatment MAS and FMA scores showed no significant differences(P>0.05).Post-treatment MAS scores decreased significantly in both groups,with lower values in the combination group than the OT group(P<0.05),while FMA scores increased significantly,with higher values in the combination group than the OT group(P<0.05).Con-clusion OT combined with PNF markedly alleviates pain/swelling,ameliorates limited joint mobility,promotes joint ROM and muscle strength,reduces spasticity,and strengthens upper limb motor function in SHSAS patients.
Keywords：StrokeShoulder-hand syndromeOccupational therapyProprioceptive neuromuscular facilitation technology
Publication Date：2025-03-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 106-112 )