Clinical effect of acupuncture on antagonistic muscles on the patient with spastic paralysis ;stroke
10.3760/cma.j.issn.1673-4246.2016.08.011
- VernacularTitle:针刺拮抗肌为主治疗脑卒中痉挛性瘫痪临床研究
- Author:
Xin WANG
- Publication Type:Journal Article
- Keywords:
Poststroke syndrome;
Spasm;
Acupuncture therapy;
Rehabilitation;
Combined modality therapy
- From:
International Journal of Traditional Chinese Medicine
2016;38(8):709-712
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of acupuncture on antagonistic muscles with spastic paralysis stroke. Methods A total of 84 patients with stroke spastic paralysis according to the inclusion criteria were randomly divided into treatment group (42 cases) and control group (42 cases). Both groups were given rehabilitation training. The treatment group combined the acupuncture on antagonistic muscles, while the control group combined the convertional acupuncture and acupoints. All patients were treated for 2 months. Modified Ashworth, clinic spasticity index(CSI), Fugl-Meyer motor function (FMA) and daily living ability (ADL-Barthel index ) were used for evaluation of the therapeutic effect. Results After the treatment, the CSI score of the ankle (10.70 ± 1.49 vs. 11.60 ± 1.17, t=-2.586) of the treatment group was significantly lower than the control group (P<0.05), while the Fugl-Meyer motor function score (67.40 ± 13.91 vs. 54.65 ± 8.41, t=4.200) and Barthel index score (69.15 ± 12.43 vs. 57.65 ± 8.35, t=4.475) of the treatment group were significantly higher than the control group (P<0.01). The ashworth scale of elbow, wrist, knee joint spasticity changed significantly in the treatment group when that index after treatment was compared with that before treatment (χ2 value 10.627, 10.261, 10. 200, respectively, P<0.05). Conclusion Acupuncture on antagonistic muscles could improve the spasticity, motor function and daily living ability of patients with spastic paralysis stroke.
