Effects of transcutaneous electrical acupoint stimulation combined with paraffin therapy on hand function and limb rehabilitation in patients with hemiplegia afteRstroke
10.7619/jcmp.201709004
- VernacularTitle:经皮穴位电刺激联合石蜡疗法在脑卒中后偏瘫患者手功能及肢体康复中的作用
- Author:
Chaolun WU
1
;
Sai XU
;
Tu CHENG
;
Haoran YU
Author Information
1. 上海交通大学医学院附属第九人民医院
- Keywords:
transcutaneous electrical acupoint stimulation;
paraffin therapy;
stroke;
hand function;
rehabilitation
- From:
Journal of Clinical Medicine in Practice
2017;21(9):16-19,27
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe and analyze the effects of transcutaneous electrical acupoint stimulation (TEAS) combined withparaffin therapy on hand function and limb rehabilitation in patients with hemiplegia after stroke.Methods A total of 162 patients with hemiplegia complicated with hand dysfunction after stroke were selected as the research subjects and randomly divided into the observation group and the control group,81 cases in each group.The patients in the control group were treated with routine rehabilitation training and paraffin therapy for rehabilitation treatment,while the patients in the observation group were treated with TEAS treatment on the basis of the control group.The indexes of hand function such as Fugl-Meyer motor assessment upper extremity (FMA-UE) score,the wrist flexor modified Ashworth scale (MAS) score,the hand movement function score before and after the treatment were evaluated and compared.The Wolf motor function test (WMFT) score,the modified Barthel index (MBI) score,the national institutes of health stroke scale (NIHSS) score before and after the treatment were evaluated and compared.The therapeutic effects of the two groups were evaluated and compared.Results After the treatment,the FMA-UE score and the hand movement function score of the observation group were significantly higher than those of the control group,and the wrist flexor MAS score was significantly higher than that the control group(P<0.05). The WMFT score and the MBI score of the observation were significantly higher than those of the control group,and the NIHSS score was significantly lower than the control group (P<0.05).The clinical efficiencies of the observation group and the control group were 90.1% and 69.1% respectively,and there was significant differences between the two groups (P<0.05).Conclusion The application of TEAS combined with paraffin therapy in treatment and rehabilitation of patients with stroke can improve the hand function,promote the rehabilitation of limb movement function,and improve the quality of life and therapeutic effects.
