Heat-sensitive moxibustion combined with action observation therapy can rehabilitate a spastic wrist and hand post-stroke
10.3760/cma.j.cn421666-20240829-00701
- VernacularTitle:热敏灸联合动作观察疗法对痉挛期脑卒中患者腕手部运动功能恢复的影响
- Author:
Huiling WANG
1
;
Mengxia CAO
;
Jing GAO
;
Ruiqing LI
;
Yujin SONG
;
Xiaodong FENG
Author Information
1. 河南中医药大学第一附属医院康复科，郑州 450000
- Publication Type:Journal Article
- Keywords:
Stroke;
Wrist dysfunction;
Hand dysfunction;
Moxibustion;
Action observation therapy
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(5):408-412
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of combining heat-sensitive moxibustion with action observation therapy in the treatment of spastic wrist and hand dysfunction post-stroke.Methods:Ninety stroke survivors with spasmodic wrist and hand dysfunction were randomly assigned to a heat-sensitive moxibustion group, an action observation group, or a combination group, each of 30. In addition to routine rehabilitation treatment, the groups received heat-sensitive moxibustion, action observation therapy or moxibustion followed by action observation therapy in 6 sessions a week over 6 weeks. Surface electromyography signals (iEMG and RMS) were recorded from the affected wrist and hand muscles before and after the treatment. All of the participants were also assessed using the Fugl-Meyer motor assessment for the upper extremities (FMA-UE).Results:After treatment, a significant improvement was observed in the average FMA-UE values, with that of the combination group (17.2±2.1) significantly higher than those of the other two groups. The average iEMG of the wrist flexors and extensors, the extensors of the fingers, and abductor pollicis brevis had increased significantly, with the combination group′s averages significantly higher than those of the other two groups. The average RMS values of those muscles had decreased significantly after the treatment, with those of the combination group significantly lower than the others.Conclusions:Combining heat-sensitive moxibustion and action observation therapy can significantly reduce muscle tension, and promote strength and better functioning of spastic wrist and hand muscles after a stroke. The combination is worthy of clinical application and promotion.
