Observation of the effects of back-Shu and front-Mu points combination needling on balance and walking function in patients after stroke and its mechanism
10.1007/s11726-024-1467-8
- VernacularTitle:观察俞募配穴针刺对中风后患者平衡和步行功能的影响及其作用机制
- Author:
Yajie LIU
;
Liping LI
;
Congcong ZHONG
;
Yajie LOU
;
Fuqing ZHANG
- Keywords:
Acupuncture Therapy;
Back-Shu and Front-Mu Points Combination;
Poststroke Syndrome;
Postural Balance;
Walking;
Muscle Strength;
Randomized Controlled Trial
- From:
Journal of Acupuncture and Tuina Science
2024;22(6):462-469
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical efficacy of back-Shu and front-Mu points combination needling on balance and walking function in patients after stroke and its mechanism. Methods:A total of 79 patients with post-stroke balance and walking dysfunction were randomly divided into a control group and an observation group.Both groups received conventional treatments such as dietary guidance and oral medications as well as rehabilitation training.On this basis,the control group was treated with additional conventional acupuncture,and the observation group was treated with additional back-Shu and front-Mu points combination needling.Both groups were treated for 4 consecutive weeks.The thickness of abdominal muscle group(transverse abdominal muscle,rectus abdominis,obliquus internus abdominis,and obliquus externus abdominis),the scores of Berg balance scale(BBS),Fugl-Meyer assessment(FMA),and functional ambulation categories(FAC),and walking velocity and stride were compared between the two groups. Results:During the trial,there was 1 dropout case in the control group and 4 dropout cases in the observation group.Before treatment,there were no statistical differences in the abdominal muscle group thickness,scores of BBS,FMA,and FAC,and walking velocity and stride between the two groups(P>0.05).After 4 weeks of treatment,the thickness of abdominal muscle groups,scores of BBS,FMA,and FAC,and walking velocity and stride in both groups were improved(P<0.01),and the observation group was superior to the control group(P<0.05). Conclusion:Both conventional acupuncture and back-Shu and front-Mu points combination needling are conducive to the improvement of balance and walking function in patients after stroke.The back-Shu and front-Mu points combination needling method has better curative efficacy.Strengthening the core muscle group strength may be one of the mechanisms of back-Shu and front-Mu points combination needling treatment.
