Clinical research of comprehensive rehabilitation in treating brachial plexus injury patients

作     者：ZHOU Jun-ming GU Yu-dong XU Xiao-jun ZHANG Shen-yu ZHAO Xin 

作者机构：Department of Hand Surgery Huashan Hospital Fudan UniversityKey Laboratory of Hand Reconstruction Ministry of HealthShanghai Key Laboratory of Peripheral Nerve and MicrosurgeryShanghai 200040 China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2012年第125卷第14期

页      面：2516-2520页

核心收录：

学科分类：1002[医学-临床医学] 100204[医学-神经病学] 10[医学] 

基　　金：the Project of Ministry of Health (Comprehensive Research on Brachial Plexus Injury) 

主　　题：brachial plexus injury comprehensive rehabilitation therapeutic effects 

摘      要：Background Brachial plexus injury is one of the difficult medical problems in the world. The aim of this study was to observe the clinical therapeutic effect of comprehensive rehabilitation in treating dysfunction after brachial plexus injury. Methods Forty-three cases of dysfunction after brachial plexus injury were divided into two groups randomly. The treatment group, which totaled 21 patients （including 14 cases of total brachial plexus injury and seven cases of branch brachial plexus injury）, was treated with comprehensive rehabilitation including transcutaneous electrical nerve stimulation, mid-frequency electrotherapy, Tuina therapy, and occupational therapy. The control group, which totaled 22 patients （including 16 cases of total brachial plexus injury and six cases of branch brachial plexus injury）, was treated with home-based electrical nerve stimulation and occupational therapy. Each course was of 30 days duration and the patients received four courses totally. After four courses, the rehabilitation effect was evaluated according to the brachial plexus function evaluation standard and electromyogram （EMG） assessment. Results In the treatment group, there was significant difference in the scores of brachial plexus function pre- and post-treatment （P 〈0.01） in both ＂total＂ and ＂branch＂ injury. The scores of two ＂total injury＂ groups had statistical differences （P 〈0.01）, while the scores of two ＂branch injury＂ groups had statistical differences （P 〈0.05） after four courses. EMG suggested that the appearance of regeneration potentials of the recipient nerves in the treatment group was earlier than the control group and had significant differences （P 〈0.05）. Conclusion Comprehensive rehabilitation was more effective in treating dysfunction after brachial plexus injury than nonintegrated rehabilitation.