ObjectiveTo investigate the effect of hyperbaric oxygen combined with dynamic scalp acupuncture on motor function for stroke patients with hemiplegia, and compare the effect of dynamic scalp acupuncture inside or outside hyperbaric oxygen chamber. MethodsFrom January, 2021 to June, 2022, 72 stroke inpatients with hemiplegia in Fuyang People's Hospital were randomly divided into control group (n = 24), combination group 1 (n = 24) and combination group 2 (n = 24). All the patients received routine treatment, while the control group received dynamic scalp acupuncture, the combination group 1 received hyperbaric oxygen and dynamic scalp acupuncture outside the hyperbaric oxygen chamber, and the combination group 2 received hyperbaric oxygen and dynamic scalp acupuncture inside the hyperbaric oxygen chamber, for four weeks. They were assessed with National Institutes of Health Stroke Scale (NIHSS), modified Barthel Index (MBI), Berg Balance Scale (BBS), and Fugl-Meyer Assessment (FMA) before and after treatment. The rest pulse oximetry saturation (SpO₂)，the lowest SpO₂ (SpO_2L) and the variation of SpO₂ (ΔSpO₂) were measured in the first and last treatment. ResultsThe scores of NHISS, MBI, BBS and FMA increased in all the groups after treatment (|t| > 7.681, P < 0.001), and they were more in both the combination group 1 and the combination group 2 than in the control group (P < 0.05). During the first and last treatment, the rest SpO₂ and SpO_2L increased in the combination group 2 compared with the control group and the combination group 1 (P < 0.05), while ΔSpO₂ decreased (P < 0.05); and SpO_2L increased in the combination group 1 compared with the control group during the last treatment. ConclusionThe combination of hyperbaric oxygen and dynamic scalp acupuncture can significantly improve motor function and oxygen-carrying capacity in stroke patients with hemiplegia.

Objective To investigate the clinical effects of mental practice (MP) combined with transcranial direct current stimulation (tDCS) on functional recovery of hemiplegic upper limbs in patients with stroke.Methods The study was conducted by using case-control method.Eighty hemiplegia patients with stroke hospitalized in the Department of Rehabilitation Medicine of Fuyang People's Hospital from August 2015 to December 2016 were recruited for the study.The patients were randomly divided into 2 groups:the observation group (n =41) and the control group (n =39).The patients of the 2 groups were all treated with tDCS,but the patients in the observation group were implemented with MP,once a day,5 days a week and for a succession of 4 weeks.Therapeutic efficacy was evaluated both before treatment and 4 weeks after treatment,by using Fugl-Meyer assessment (FMA) and the modified Barthel index (MBI).Results Before treatment,there were no significant differences in FMA scores and MBI scores,when comparisons were made between the 2 groups.Following treatment for 4 weeks,the FMA and MBI scores of the 2 groups were all significantly improved.However,statistical significance could be seen in the FMA scores of the observation group,as compared with the control group (P ＜0.05).Conclusion Mental practice combined with tDCS could produce good effects on the motor function of the upper limbs in hemiplegic patients with stroke.