Clinical study of fumigation with Shujin-Jieluan Decoction combined with Pingheng-Shujin Manipulation in the treatment of chirospasm after stroke
10.3760/cma.j.issn.1673-4246.2020.02.008
- VernacularTitle: 舒筋解挛汤熏洗联合平衡舒筋手法治疗脑卒中后手痉挛临床研究
- Author:
Runqing DAI
1
;
Jianmei SUN
2
;
Jinglei XU
1
;
Yanli LU
1
Author Information
1. Physical Rehabilitation Center, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China
2. Department of Orthopedics, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China
- Publication Type:Clinical Trail
- Keywords:
Stroke;
Spasm;
Rehabilitation of traditional Chinese medicine;
Shujin-Jieluan Decoction;
Muscle tendon relaxing reduction;
Steaming washing therapy
- From:
International Journal of Traditional Chinese Medicine
2020;42(2):133-137
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of fumigation with Shujin-Jieluan Decoction combined with Pingheng-Shujin Manipulation (manipulation of balance and muscle tendon relaxing) in the treatment of chirospasm after stroke.
Methods:A total of 104 patients with chirospasm after stroke who metthe inclusion criteria from July 2016 to June 2018 were selectedand divided into tow groups with the digital table methodwith 52 cases in each group. The control group was given routine rehabilitation training while the observation group was given fumigation with Shujin-Jieluan decoction combined with Pingheng-Shujin manipulation based oncontrol group, and the two groups both were treated for 8 weeks. The Modified Ashworth Scale (MAS) was used for chirospasm classification, and Key Point tabletop electromyography device was used to record the frequency, average amplitude and the shortest latency of F wave of median nerve. Fugl-Meyer motor function rating scale was used to evaluate hand motor function, and modified Barthel Index (BI) was used to evaluate life functionand clinical efficacy.
Results:The effective rate was 88.5% (46/52) in observation group and was 65.4% (34/52) in control group (χ2=7.800, P=0.005). After treatment, the frequency (15.11 ± 2.06 vs. 16.72 ± 1.95, t=4.093), average amplitude (0.52 ± 0.04 mV vs. 0.59 ± 0.05 mV, t=7.883) and the shortest latency (24.37 ± 2.85 ms vs. 25.88 ± 2.43 ms, t=2.907) of F wave in observation group were significantly lower than the control group (P<0.01). Fugl-Meyer hand function score (6.51 ± 1.45 vs. 5.09 ± 1.22, t=5.404) and BI index score (60.87 ± 5.16 vs. 56.54 ± 4.25, t=4.671) were significantly higher than the control group (P<0.01). The distribution of MAS classification in observation group was significantly lower than that of control group (Z=8.410, P=0.004).
Conclusions:Fumigation with Shujin-Jieluan Decoction combined with Pingheng-Shujin Manipulation can improve the neuromuscular transmission of patients with chirospasm after stroke, and facilitate the recovery of hand function and viability.
