Effect of Two Acupuncture Methods on Three-dimensional Gait Time-space Parameters and Surface Electromyography of Post-stroke Patients with Flaccid Paralysis
10.13359/j.cnki.gzxbtcm.2016.05.009
- VernacularTitle:两种不同针刺方法对脑卒中迟缓性瘫痪患者三维步态时空和表面肌电的影响
- Author:
Heqiang WANG
;
Jiang HONG
;
Si CHENG
;
Zhenghua XIAO
;
Hui YANG
;
Xiangli LING
- Publication Type:Journal Article
- Keywords:
post-stroke patients with flaccid paralysis;
warm-needle moxibustion;
three-dimensional gait;
time-space parameters;
surface electromyography
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2016;33(5):653-658
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of electro-acupuncture(EA) and warm-needle moxibustion(WNM) on the foot three-dimensional gait time-space parameters and surface electromyography of post-stroke patients with flaccid paralysis. Methods A total of 61 patients were randomly divided into EA group (N=30) and WNM group(N=31). Both groups were given post-stroke conventional treatment, and additionally EA group received EA while WNM group was given WNM. Before treatment and after 2 treatment courses, we detected the foot three-dimensional gait time-space parameters of pace race, stance phase, swing phase, bilateral stance phase, and step length, and surface electromyography parameters of root mean square(RMS), integrated electromyogram (iEMG) and co-contraction ratio(CR) of tibialis anterior muscle and gastrocnemius at the state of maximal isometric voluntary contraction(MIVC). Results(1) After treatment, the foot three-dimensional gait time-space parameters of the two groups were improved in various degrees (P<0.05 or P<0.01 compared with those before treatment) , and the improvement of EA group was superior to that of WNM group (P < 0.05). (2) After treatment, the RMS and iEMG of the gastrocnemius and tibialis anterior muscle as well as CR of dorsal extensor at MIVC state were improved in various degrees (P < 0.05 or P < 0.01 compared with those before treatment) , and the improvement of EA group was superior to that of WNM group(P < 0.05 or P < 0.01). Conclusion WNM exerts better effect on improving the parameters of three-dimensional gait time-space parameters and surface electromyography of post-stroke patients with flaccid paralysis than EA.