Treatment of finger spasm after stroke with wheat grain moxibustion at Shixuan (EX-UE 11) combined with rehabilitation training: a randomized controlled trial.
10.13703/j.0255-2930.20210611-0001
- Author:
Li NIU
1
;
Yan-Jie LI
2
;
He-Wei QIN
2
;
Ning GUO
1
;
Hao-Yuan LIU
1
;
Xiao-Qiong HUA
1
;
Shu-Qin ZHANG
1
;
Yu-Bin SUN
1
Author Information
1. Henan University of TCM, Zhengzhou 450046, China.
2. Henan Provincial Hospital of TCM, Second Affiliated Hospital of Henan University of TCM, Zhengzhou 450002.
- Publication Type:Randomized Controlled Trial
- Keywords:
Point EX-UE 11 (Shixuan);
finger spasm;
rehabilitation therapy;
spastic paralysis;
stroke;
wheat moxibustion
- MeSH:
Acupuncture Therapy;
Humans;
Moxibustion;
Spasm/therapy*;
Stroke/therapy*;
Stroke Rehabilitation;
Treatment Outcome;
Triticum
- From:
Chinese Acupuncture & Moxibustion
2022;42(6):613-617
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the clinical effect of wheat grain moxibustion combined with rehabilitation training and simple rehabilitation training on finger spasm after stroke.
METHODS:A total of 80 patients with finger spasm after stroke were randomly divided into an observation group and a control group, 40 cases in each group. The control group was given routine rehabilitation training, once a day, 30 min each time. The observation group was given wheat grain moxibustion at Shixuan (EX-UE 11) on the basis of the control group, 8~10 moxibustion cones at each point, once a day. Both groups were treated for 6 days as one course of treatment for 4 courses. The motor function of the affected hand (Fugl-Meyer assessment [FMA] score) and muscle tension (modified Ashworth scale [MAS] grading), surface EMG indexes (wrist dorsiflexor muscle and flexor carpal metacarpal muscle mean square [RMS] value), hand muscle strength (neurological deficit score [NDS]) and daily living ability (modified Barthel index [MBI] score) were compared between the two groups before and after treatment, and clinical efficacy was evaluated.
RESULTS:After treatment, FMA and MBI scores in the 2 groups were increased compared with before treatment (P<0.05), and those in the observation group were higher than the control group (P<0.05). The RMS value of wrist dorsiflexor muscle and flexor carpal metacarpal muscle in relaxation and passive function testsand and NDS in the 2 groups were lower than those before treatment (P<0.05), and those in the observation group were lower than the control group (P<0.05). MAS grading in the 2 groups was improved compared with before treatment (P<0.05), and that in the observation group was better than the control group (P<0.05). The total effective rate of the observation group was 92.5% (37/40), which was higher than that of the control group (80.0%, 32/40, P<0.05).
CONCLUSION:Wheat grain moxibustion at Shixuan (EX-UE 11) combined with rehabilitation training can improve the hand motor function and daily living ability of patients with finger spasm after stroke, improve the degree of spasm and the function of wrist dorsiflexor muscle and flexor carpal metacarpal muscle, the clinical effect is better than simple rehabilitation training.
