Effect of synchronous acupuncture and articulation training on spastic dysarthria after stroke
10.3969/j.issn.1006-9771.2025.09.003
- VernacularTitle:针刺同步构音训练对脑卒中后痉挛型构音障碍的效果
- Author:
Xiaojing WANG
1
;
Jingyi WEI
;
Chen WEI
;
Ran WANG
;
Sai MA
;
Xihua LIU
Author Information
1. 山东中医药大学康复医学院,山东 济南市 250355
- Publication Type:Journal Article
- Keywords:
stroke;
spastic dysarthria;
acupuncture;
articulation training;
speech function
- From:
Chinese Journal of Rehabilitation Theory and Practice
2025;31(9):1009-1016
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of synchronous acupuncture and articulation training on spastic dysarthria after stroke.Methods From January to August,2023,64 stroke patients in the Affiliated Hospital of Shandong University of Tradi-tional Chinese Medicine were selected,and randomly divided into control group(n=32)and synchronous group(n=32).Both groups received routine neurological treatment and basic articulation training.The control group added asynchronous acupuncture,while the synchronous group added synchronous acupuncture,for four weeks.Before and after treatment,the modified Frenchay Dysarthria Assessment(m-FDA),Speech Intelligibility Test(SIT),maximum phonation time(MPT)and maximum counting ability(MCA)were used to evaluate the curative effects.Results After treatment,the scores of m-FDA in all the dimensions decreased in both groups(t>2.882,P<0.01);ex-cept for the jaw dimension,the scores of m-FDA in reflexes,respiration,lips,soft palate,larynx,tongue and speech dimensions were significantly lower in the synchronous group than in the control group(t>2.050,P<0.05).After treatment,the results of SIT,and MPT and MCA significantly increased in both groups(t>21.061,P<0.001),and they were better in the synchronous group than in the control group(t>11.412,P<0.001).Conclusion Synchronous acupuncture and articulation training can effectively alleviate the severity of spastic dysarthria after stroke,which was superior to asynchronous acupuncture and articulation training.