Effects of acupuncture and moxibustion combined with rehabilitation exercise on post-stroke hemiplegia in patients
10.3760/cma.j.cn341190-20240506-00515
- VernacularTitle:针灸联合康复运动训练治疗脑卒中后偏瘫的效果观察
- Author:
Zhouhong WANG
1
;
Hailing ZHANG
1
Author Information
1. 浙江省舟山医院康复医学科，舟山 316000
- Publication Type:Journal Article
- Keywords:
Stroke;
Hemiplegia;
Acupuncture points;
Moxibustion;
Stroke rehabilitation;
Exercise therapy;
Exercise test;
Quality of life
- From:
Chinese Journal of Primary Medicine and Pharmacy
2025;32(1):77-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of acupuncture and moxibustion combined with rehabilitation exercises on limb locomotor function, balance function, and quality of life in patients with post-stroke hemiplegia.Methods:A retrospective analysis of clinical data from 60 patients with post-stroke hemiplegia admitted to Zhoushan Hospital between January 2022 and September 2023 was conducted. The patients were divided into a control group ( n = 30) and a study group ( n = 30) based on different rehabilitation methods. The study group received acupuncture and moxibustion combined with rehabilitation exercise, while the control group underwent rehabilitation exercise alone. Both groups were treated for 8 weeks. After 8-week of treatment, clinical efficacy was compared between the two groups. The Fugl-Meyer Lower Limb Movement Scale, Berg Balance Scale, National Institutes of Health Stroke Scale, Activities of Daily Living scale, and Stroke-Specific Quality of Life Scale were used to assess changes in limb movement function, balance function, gait, neurological function, daily living abilities, and quality of life before and after the 8-week treatment. Results:The total response rate in the study group (93.33%, 28/30) was significantly higher than that in the control group (70.00%, 21/30, χ2 = 5.45, P < 0.05). After treatment, the Fugl-Meyer Lower Limb Movement Scale scores [(28.41 ± 5.06) points] and the Berg Balance Scale scores [(36.56 ± 3.81) points] in the study group were significantly higher than those in the control group [(23.76 ± 4.31) points, (27.39 ± 4.57) points, t = -3.83, -8.44, both P < 0.05]. After treatment, the study group demonstrated greater values in step frequency [(85.21 ± 5.26) N], step length [(87.94 ± 5.83) cm], and walking speed [(0.68 ± 0.13) m/s] compared with the control group [(74.52 ± 3.89) N, (78.85 ± 6.17) cm, (0.57 ± 0.10) m/s, t = -8.95, -5.87, -3.67, all P < 0.05]. The National Institutes of Health Stroke Scale scores in the study group [(7.17 ± 3.08) points] was significantly lower than that in the control group [(10.28 ± 2.45) points, t = 4.33, P < 0.05]. The Activities of Daily Living scale score in the study group [(64.31 ± 13.38) points] was significantly higher than that in the control group [(50.27 ± 15.46) points, t = -3.76, P < 0.05]. The Stroke-Specific Quality of Life Scale score in the study group [(168.48 ± 23.15) points] was significantly higher than that in the control group [(137.94 ± 20.01) points, t = 5.47, P < 0.05]. Conclusions:Acupuncture and moxibustion combined with rehabilitation exercise significantly benefits patients with post-stroke hemiplegia by improving their limb locomotor function, balance function, and overall quality of life.
