WANG Ju-yi's meridian diagnosis method combined with Bobath rehabilitation training for post-stroke shoulder-hand syndrome typeⅠ.
10.13703/j.0255-2930.20210202-k0011
- Author:
Sen GAO
1
;
Xiao-Nan MENG
2
;
Chun-Ying LI
2
;
Jie SUN
3
;
Hai-Kuo YU
4
Author Information
1. Department of Rehabilitation, Huguosi Hospital of TCM Affiliated to Beijing University of CM, Beijing 100035, China.
2. Department of Acupuncture and Moxibustion, Huguosi Hospital of TCM Affiliated to Beijing University of CM, Beijing 100035, China.
3. Department of Integrated Traditional Chinese and Western Medicine for Rehabilitation, Beijing Xiaotangshan Hospital.
4. Department of Rehabilitation, Xuanwu Hospital of Capital Medical University.
- Publication Type:Randomized Controlled Trial
- Keywords:
Bobath rehabilitation training;
WANG Ju-yi;
meridian diagnosis method;
shoulder hand-syndrome typeⅠ;
stroke
- MeSH:
Acupuncture Therapy;
Humans;
Meridians;
Quality of Life;
Reflex Sympathetic Dystrophy/therapy*;
Stroke/complications*;
Stroke Rehabilitation;
Treatment Outcome
- From:
Chinese Acupuncture & Moxibustion
2022;42(1):28-32
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the clinical efficacy differences between WANG Ju-yi 's meridian diagnosis method combined with Bobath rehabilitation training and Bobath rehabilitation training alone for post-stroke shoulder-hand syndrome (SHS) typeⅠ.
METHODS:A total of 106 patients with post-stroke SHS typeⅠwere randomly divided into an observation group (53 cases, 2 cases dropped off ) and a control group (53 cases, 3 cases dropped off ). The patients in the both groups were treated with medications for basic diseases and conventional acupuncture at Waiguan (TE 5), Shousanli (LI 10) and Jianyu (LI 15) on the affected side. In addition, the patients in the control group were treated with Bobath rehabilitation training, 20 minutes each time; on the basis of the control group, the patients in the observation group were treated with WANG Ju-yi's meridian diagnosis method to adjust the abnormal parts in meridians of the hand taiyin and hand yangming on the affected side, 20 minutes each time. Both groups were treated once a day, 5 times a week for 8 weeks. The scores of visual analogue scale (VAS), upper-limb Fugl-Meyer assessment (FMA) and Barthel index (BI) were recorded before and after treatment as well as 6 weeks after treatment (follow-up), and the clinical efficacy of the two groups was evaluated after treatment.
RESULTS:Compared before treatment, the VAS scores were reduced and the scores of upper-limb FMA and BI were increased in the two groups after treatment and in the follow-up (P<0.05). The VAS score in the observation group was lower than that in the control group (P<0.05), and the scores of upper-limb FMA and BI in the observation group were higher than those of the control group (P<0.05). The total effective rate in the observation group was 82.4% (42/51), which was higher than 62.0% (31/50) in the control group (P<0.05).
CONCLUSION:WANG Ju-yi 's meridian diagnosis method combined with Bobath rehabilitation training could effectively treat post-stroke SHS typeⅠ, reduce pain symptoms and improve joint motor dysfunction, and improve the quality of life. Its curative effect is better than Bobath rehabilitation training alone.
