Tuina along the meridians combined with Chinese medicine for motor functions and activities of daily living in patients with post-stroke upper limb spasticity
10.1007/s11726-015-0870-6
- VernacularTitle:循经推拿加中药对脑卒中后上肢痉挛患者运动功能和日常生活活动能力的影响
- Author:
Shukai HAN
;
Zhiwei MA
;
Na ZHANG
;
Caiping CHEN
;
Zhanchang REN
- Publication Type:Journal Article
- Keywords:
Tuina;
Massage;
Drugs,Chinese Herbal;
Spasm;
Post-stroke Syndrome;
Activities of Daily Living;
Rehabilitation
- From:
Journal of Acupuncture and Tuina Science
2015;(5):295-299
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of combining Chinese medicine and tuina along the meridians on motor function and activities of daily living (ADL) in patient with post-stroke upper limb spasticity. Methods:A total of 220 patients with post-stroke upper limb spasticity were randomly allocated into a treatment group (n=110) and a control group (n=110). Patients in the treatment group received tuina along the meridians combined with spasticity-alleviating and collateral-unblocking Chinese medicine, whereas patients in the control group received routine rehabilitation therapy. Patients in both groups were treated for 3 weeks. Then the patients’ motor function, ADL and muscle tone were evaluated before and after treatment using the Fugl-Meyer assessment scale (FMA), modified Barthel index (MBI) and modified Ashworth scale (MAS). Results:After treatment, the FMA scores, MBI scores, and muscle (shoulder intortor, elbow flexors and wrist flexors) tones were significantly improved (P<0.05), but the improvement was more significant in the treatment group than that in the control group (P<0.05). Conclusion:Tuina along the meridians combined with spasticity-alleviating and collateral-unblocking Chinese medicine can substantially alleviate muscle tone on the affected side and remarkably improve the patients’ motor function and ADL.