Effect of upper limb selective peripheral neurotomy combined with early postoperative rehabilitation on motor function of patients with post-stroke spastic hemiplegia
XU Jiankun
LIU Deqing
CAI Chengfeng
WU Hansheng
HE Zhongzheng
Abstract：Objective To analyze the effect of upper limb selective peripheral neurotomy combined with early postoperative rehabilitation on motor function in patients with post-stroke spastic hemiplegia.Methods A total of 62 patients with post-stroke spastic hemiplegia admitted from January to December in 2023 were selected.According to the random number table method,they were divided into the observation group and the control group with 31 patients in each group.The control group was given conventional rehabilitation treatment,while the observation group was treated with upper-limb highly selective peripheral neurotomy combined with early postoperative rehabilitation.The clinical efficacy and recurrence,modified Ashworth spasm rating scale(MAS),medical research council(MRC)scale for muscle strength grading,Fugl-Meyer assessment scale(FMA)score,modified Barthel index rating scale(MBI)score,stroke impact scale(SIS)score and complications were compared between the two groups.Results During the study period,2 patients were lost in the observation group,so the evaluation results were analyzed in 29 patients.The scores of upper limb FMA,MBI and SIS in the observation group were higher than those in the control group at 1,3,and 6 months and at 1 year after operation(P＜0.05).The improvement of MAS gradiing and MRC scale for muscle strength grading in the observation group was better than that in the control group at 6 months and 1 year after operation(P＜0.05,P＜0.01).At 1 year after operation,the total effective rate of the observation group[100.00％(29/29)]was higher than that of the control group[80.65％(25/31)](P＜0.05).There was no significant difference in the incidence of complications and recurrence rate within 1 year between the two groups(P＞0.05).Conclusion Upper-limb highly selective peripheral neurotomy combined with early postoperative rehabilitation intervention is effective in patients with post-stroke spastic hemiplegia,which can effectively ameliorate the severity of spasm,reduce muscle tension and improve upper limb motor ability.
Keywords：strokespastic hemiplegiahighly selective peripheral neurotomypostoperative rehabilitationmuscle tensionmotor functionrecurrence
Publication Date：2025-12-28
Online Publishing Date：2026-01-16(First online date of this platform, not the publication date of the document)
Pages：9( 32-40 )