Clinical Observation on the Ultra-micro Acupotomology Combined with High and Low Frequency Repetitive Transcranial Magnetic Stimulation in the Treatment of Upper Limb Spasm After Stroke
10.13359/j.cnki.gzxbtcm.2024.09.006
- VernacularTitle:超微针刀联合高低频重复经颅磁刺激治疗脑卒中后上肢痉挛的临床观察
- Author:
Wan-Chun HU
1
;
Chang-Chang ZHANG
;
Man-Man ZHAO
;
Jun-Jie ZHANG
;
Xing LIU
Author Information
1. 广州中医药大学第五临床医学院,广东广州 510095
- Keywords:
ultra-micro acupotomology;
high and low frequency repetitive transcranial magnetic stimulation;
stroke;
upper limb spasm;
motor function;
clinical observation
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(9):2259-2265
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of ultra-micro acupotomology combined with high and low frequency repetitive transcranial magnetic stimulation(rTMS)in the treatment of upper limb spasm after stroke.Methods A total of 106 patients with upper limb spasm after stroke were randomly divided into observation group and control group,53 cases in each group.Both groups were treated with conventional drugs and exercise therapy.The control group was treated with high and low frequency rTMS.The observation group was treated with ultra-micro needle knife on the basis of the control group.Both groups were treated for four weeks.After two weeks and four weeks of treatment,the clinical efficacy of the two groups was evaluated respectively.The changes of modified Ashworth scale(MAS)score and upper limb Fugl-Meyer scale score were observed before and after treatment in the two groups.The changes of Berg Balance Scale(BBS)score and modified Barthel Index(BI)score were compared before and after treatment between the two groups.The safety and adverse reactions of the two groups were evaluated.Results(1)After two weeks of treatment,the total effective rate was 81.13％(43/53)in the observation group and 62.26％(33/53)in the control group.The curative effect of the observation group was superior to that of the control group,and the difference was statistically significant(P＜0.05).(2)After four weeks of treatment,the total effective rate was 90.57％(48/53)in the observation group and 73.58％(39/53)in the control group.The curative effect of the observation group was superior to that of the control group,and the difference was statistically significant(P＜0.05).(3)After two and four weeks of treatment,the MAS score and upper limb Fugl-Meyer score of the observation group were significantly improved(P＜0.05),and the observation group was significantly superior to the control group in improving the MAS score and upper limb Fugl-Meyer score,the differences were statistically significant(P＜0.05).(4)After two and four weeks of treatment,the BBS score and modified BI Score of the observation group were significantly improved(P＜0.05),and the improvement of BBS score and modified BI score in the observation group was significantly superior to that in the control group,the differences were statistically significant(P＜0.05).(5)There was no significant difference in the incidence of adverse reactions between the observation group and the control group(P＞0.05).Conclusion Ultra-micro acupotomology combined with high and low frequency rTMS in the treatment of upper limb spasm after stroke can significantly improve the clinical symptoms of patients,improve the muscle strength of the upper limbs of patients,the movement and balance ability of the upper limbs,and improve the daily living ability of patients,there being remarkable curative effect.
