Superiority of motor imagery acupuncture in improving muscle tension for patients with upper limb hemiplegia of stroke in early stage.
10.13703/j.0255-2930.20200915-0002
- Author:
Hai-Qiao WANG
1
;
He LI
1
;
Liang MIN
1
;
Gui-Rong DONG
2
Author Information
1. Department of TCM, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 201112, China.
2. Department of Acupuncture and Moxibustion, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of TCM.
- Publication Type:Randomized Controlled Trial
- Keywords:
motor imagery acupuncture;
muscle tension;
stroke;
upper limb hemiplegia
- MeSH:
Acupuncture Therapy;
Hemiplegia/therapy*;
Humans;
Muscle Tonus;
Stroke/therapy*;
Treatment Outcome;
Upper Extremity
- From:
Chinese Acupuncture & Moxibustion
2021;41(10):1069-1073
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To verify the superiority of motor imagery acupuncture in improving muscle tension for patients with upper limb hemiplegia in early stroke.
METHODS:A total of 64 patients of stroke hemiplegia with upper limb flaccid paralysis were randomly divided into an observation group (32 cases, 1 case dropped off ) and a control group (32 cases, 4 cases dropped off ). The observation group was treated with motor imagery acupuncture (both acupuncture and motor imagery therapy at affected upper limb were performed).The control group was treated with acupuncture plus motor imagery therapy at affected lower limb, 2 h later after acupuncture, motor imagery therapy was applied to upper limb. Baihui (GV 20) to Taiyang (EX-HN 5) of healthy side, Fengchi (GB 20) and Jianyu (LI 15), Jianjing (GB 21), Quchi (LI 11), Waiguan (TE 5) on the affected side, ect. were selected in both groups, once a day, 5 times a week for 4 weeks. Before and after treatment, 4, 8 weeks after treatment, the modified Ashworth scale (MAS) grade and Brunnstrom stage were compared in the two groups.
RESULTS:Compared before treatment, the muscle tension of shoulder, elbow and wrist each time point after treatment was increased in the two groups (
CONCLUSION:Motor imagery acupuncture could promote hemiplegia upper limb muscle tension recovery in patients of stroke hemiplegia with upper limb flaccid paralysis, make the patients gradually shift to the separate fine movement mode, inhibit and relieve the appearance and development of spasm.
