Objective To observe the effects of underwater jet massage combined with water based exercises on improving the shoulder pain and the function of the upper limb in patients with stroke. Methods Forty stroke patients with shoulder pain were randomly divided into experiment group and control group with 20 patients in each. All patients in both two groups were received the conventional rehabilitation training for the stroke. The patients in experiment group received the therapy of underwater jet massage and water based exercises in butterfly bath based on the conventional rehabilitation training for 4 weeks. The Visual analogue scale(VAS), the shoulder passive range of motion(PROM), the upper limb part of Fugl-Meyer Assessment (FMA-U) and the Modified Barthel Index (MBI) were used to evaluate the effectiveness before and after the 4 weeks’ therapy. Results After 4 weeks’ therapy, the value of VAS, PROM, FMA-U and MBI in both groups were signifi-cantly improved compared with before the therapy (t=11.57,7.32,8.58,20.13;9.74,6.34,4.99,8.83, P<0.05). Before the therapy, the value of VAS, PROM, FMA-U and MBI showed no statistical difference between the two groups (t=0.11, 0.17, 0.77, 0.12,P<0.05) while the value of VAS, PROM, FMA-U and MBI of the experiment group were significantly improved than those of control group after 4 weeks’ therapy (t=2.17, 2.05, 3.48, 2.10, P<0.05). Conclusion Un-derwater jet massage combined with water based exer-cise can release the shoulder pain in patients with stroke, and it has significance for improving the func-tion of the upper limb and activities of daily living.%目的：研究水下喷射按摩结合水中肢体训练对脑卒中偏瘫患者肩痛及上肢功能的治疗效果。方法40例脑卒中后并发肩痛患者随机分为实验组和对照组，两组均进行脑卒中后的常规康复治疗，实验组患者增加在蝶形浴槽中进行水下喷射按摩治疗并同步进行水中肢体训练，观察治疗4周后两组患者治疗前后的疼痛视觉类比法（VAS）、肩关节被动活动度（PROM）、Fugl-Meyer上肢运动功能评分（FMA-U）及改良Barthel指数（MBI）。结果实验组和对照组治疗4周后VAS评分、肩关节PROM、上肢FMA-U评分及MBI评分明显较治疗前改善，差异有统计学意义（t分别=11.57、7.32、8.58、20.13；9.74、6.34、4.99、8.83，P均＜0.05）。两组治疗前VAS评分、肩关节PROM、上肢FMA-U评分及MBI评分比较，差异无统计学意义（t分别=0.11、0.17、0.77、0.12，P均＞0.05），但治疗4周后，实验组VAS评分、肩关节PROM、上肢FMA-U评分及MBI评分明显较对照组改善，差异有统计学意义（t分别=2.17、2.05、3.48、2.10，P均＜0.05）。结论水下喷射按摩结合水中肢体训练可有效缓解卒中患者肩部疼痛，对提高患者上肢功能及日常生活活动能力有重要的康复意义。
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