Post-stroke shoulder-hand syndrome of phlegm-stasis obstruction treated with the combined therapy of eye acupuncture, Tengliao and rehabilitation training: a multi-central randomized controlled trial.
10.13703/j.0255-2930.20210426-0003
- Author:
Mei WANG
1
;
Peng-Qin WANG
2
;
Li-Hua YU
3
;
Chen-Yang WANG
4
;
Yan SHAO
2
Author Information
1. College of Integrated Traditional Chinese and Western Medicine of Liaoning University of TCM, Shenyang 110847, China.
2. Affiliated Hospital of Liaoning University of TCM, Shenyang 110032.
3. Fuxin Municipal Center Hospital.
4. Graduate School of Liaoning University of TCM.
- Publication Type:Randomized Controlled Trial
- Keywords:
Tengliao;
eye acupuncture;
randomized controlled trial (RCT);
shoulder-hand syndrome;
stroke
- MeSH:
Acupuncture Points;
Acupuncture Therapy/methods*;
Humans;
Pain;
Reflex Sympathetic Dystrophy/therapy*;
Stroke/complications*;
Stroke Rehabilitation;
Treatment Outcome
- From:
Chinese Acupuncture & Moxibustion
2022;42(4):385-389
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To assess the efficacy on relieving pain and improving the range of motion of shoulder joint in post-stroke shoulder-hand syndrome of phlegm-stasis obstruction in treatment of the combined therapy of eye acupuncture, Tengliao (Chinese herbal warm dressing technique) and rehabilitation training (eye acupuncture + Tengliao + rehabilitation) as compared with the combined treatment of Tengliao and rehabilitation training (Tengliao + rehabilitation) and the simple rehabilitation training (rehabilitation).
METHODS:A total of 356 patients with post-stroke shoulder-hand syndrome of phlegm-stasis obstruction were randomized into an eye acupuncture + Tengliao + rehabilitation group (group A, 122 cases, 2 cases dropped off), a Tengliao + rehabilitation group (group B, 120 cases, 3 cases dropped off) and a rehabilitation group (group C, 114 cases, 1 case dropped off). In the group C, the basic treatment was combined with routine rehabilitation training. In the group B, on the base of the treatment as the group C, Tengliao was exerted. A medical bag composed of over 20 Chinese herbal materials was heated and dressed at the affected area, 30 min each time, 5 times weekly. In the group A, besides the treatment as the group B, eye acupuncture was applied to heart region, kidney region, upper jiao region and lower jiao region, 30 min each time, 5 times weekly. The treatment lasted 28 days in all of three groups. Separately, before treatment, in 7, 14, 21 and 28 days of treatment, as well as in 14 days after treatment of follow-up, the score of visual analogue scale (VAS) for pain, the score of guides to evaluation of permanent impairment (GEPI) and the score of National Institutes of Health stroke scale (NIHSS) were observed in each group.
RESULTS:The scores of VAS, GEPI and NIHSS were all improved with the treatment lasting in the three groups (P<0.000 1). In 7, 14, 21 and 28 days of treatment and in follow-up as well, VAS scores in the group A were all lower than the group C (P<0.05). After 14 days of treatment, GEPI score showed increasing trend, while NIHSS score showed decreasing trend in the group A compared with the group B. Before treatment, GEPI score was lower and NIHSS score was higher in the group A compared with the group C (P<0.05). It was suggested that the illness was slightly serious in the group A. After propensity score matching, in 14, 21 and 28 days as well as in follow-up, GEPI scores in the group A were higher than the group C respectively (P<0.05). Regarding NIHSS score at each time point, the difference had no statistical significance between the group A and the group C (P>0.05).
CONCLUSION:The combined therapy of eye acupuncture, Tengliao and rehabilitation training obtains a better efficacy on post-stroke shoulder-hand syndrome of phlegm-stasis obstruction as compared with rehabilitation training.
