Clinical study of exercise-based acupuncture for motor dysfunction after ischemic stroke
10.1007/s11726-024-1439-z
- VernacularTitle:运动针法治疗缺血性中风后运动功能障碍的临床研究
- Author:
Liang ZHOU
;
Shuang MA
;
Peifeng ZHENG
;
Yi LI
;
Guirong DONG
;
Chunling BAO
;
Bangyou DING
;
Hongsheng DONG
;
Jue HONG
- Keywords:
Acupuncture Therapy;
Point-toward-point Needling Method;
Acupuncture Exercise Therapy;
Point,Baihui(GV20);
Ischemic Stroke;
Poststroke Syndrome;
Motor Activity;
Activity of Daily Living
- From:
Journal of Acupuncture and Tuina Science
2024;22(3):223-231
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical efficacy of exercise-based acupuncture in treating ischemic stroke and its effects in improving the patient's motor function and daily living ability. Methods:A total of 106 patients with motor dysfunction due to cerebral infarction were randomized into a trial group and a control group,each consisting of 53 cases.Both groups received conventional rehabilitation;in addition,the control group was given point-toward-point acupuncture at scalp points,and the trial group was offered exercise-based acupuncture,3 times weekly for 4 consecutive weeks.Before treatment,after 2 and 4 weeks of treatment,and at the 2-month follow-up,the Fugl-Meyer assessment(FMA)scale,Lovett scale for muscle strength,modified Ashworth scale(MAS),and activities of daily living(ADL)scale were used to assess the patient's motor function,muscle strength,muscle tension,and daily living ability. Results:After treatment,both groups gained improvements in motor function and daily living ability;after 4-week treatment and at the 2-month follow-up,the trial group had higher FMA and ADL scores than the control group(P<0.05).The MAS score decreased after treatment in both groups;after 2 and 4 weeks of treatment and at the 2-month follow-up,the MAS score was lower in the trial group than in the control group(P<0.05).After the intervention,the Lovett score increased in both groups;after 4 weeks of treatment,the Lovett score was higher in the trial group than in the control group(P<0.05). Conclusion:Based on routine rehabilitation,exercise-based acupuncture and scalp point-toward-point acupuncture both can improve the motor function and daily living ability in ischemic stroke patients;exercise-based acupuncture performs better than scalp point-toward-point acupuncture.
