Clinical observation on cluster acupuncture at scalp points combined with exercise therapy in treatment of limb spasm after stroke.
10.13703/j.0255-2930.20210506-k0001
- Author:
Qiong-Shuai ZHANG
1
;
Yu ZHANG
2
;
Guang-Cheng JI
2
;
Xiao-Hong XU
2
;
Yu-Feng WANG
2
;
Bai-Lin SONG
2
Author Information
1. Department of Rehabilitation Medicine, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China.
2. College of Acupuncture-Moxibustion and Tuina, Changchun University of CM, Changchun 130000, Jilin Province.
- Publication Type:Randomized Controlled Trial
- Keywords:
cluster acupuncture at scalp points;
limb spasm after stroke;
modified Ashworth scale (MAS);
modified Barthel index (MBI);
simplified Fugl-Meyer motor assessment (FMA)
- MeSH:
Activities of Daily Living;
Acupuncture Points;
Acupuncture Therapy/methods*;
Exercise Therapy;
Humans;
Lower Extremity;
Scalp;
Spasm;
Stroke/therapy*;
Stroke Rehabilitation;
Treatment Outcome
- From:
Chinese Acupuncture & Moxibustion
2022;42(4):377-380
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To observe the clinical effect of cluster acupuncture at scalp points in treating limb spasm after stroke on the basis of conventional exercise therapy.
METHODS:A total of 72 patients with limb spasm after stroke were randomly divided into an observation group (36 cases, 5 cases dropped off) and a control group (36 cases, 6 cases dropped off). The control group was treated with exercise therapy. In the observation group, on the basis of the control group, penetrating technique of acupuncture was exerted at Qianding (GV 21) to Baihui (GV 20), Xinhui (GV 22) to Qianding (GV 21), etc. once a day, 5 days a week for 4 weeks. Before and after treatment, the changes of the modified Ashworth scale (MAS), simplified Fugl-Meyer motor assessment (FMA), and modified Barthel index (MBI) scores of the two groups were compared.
RESULTS:After treatment, the MAS scores of upper and lower limbs in the two groups were lower than before treatment (P<0.05), and those in the observation group were lower than the control group (P<0.05). After treatment, the scores of FMA and BMI in the two groups were higher than before treatment (P<0.05), and the score of MBI in the observation group was higher than the control group (P<0.05).
CONCLUSION:On the basis of conventional exercise therapy, cluster acupuncture at scalp points can reduce the spasm, improve motor function and activities of daily living in patients with limb spasm after stroke.
