Effect of functional acupuncture combined with continuous passive hand movement on rehabilitation quality of hand dysfunction after stroke

Objective To analyze the etiology and mechanism of hand dysfunction after stroke, summarize the effect of functional acupuncture and hand continuous passive movement in the treatment of hand dysfunction after stroke, and find the best way for clinical treatment of hand dysfunction. Methods Total 70 patients with hand dysfunction after stroke were selected to be treated in our hospital from January 2018 to February 2019. The patients were divided into control group and combined group with 35 cases in each group. The control group was given continuous passive hand training, and the combined group was given combined functional acupuncture on the basis of the control group. The scores of Fugl-Meyer's upper extremity, hand function and Barthel ADL were counted. Results At 8 and 12 weeks, the scores of Fugl Meyer(55.64±3.47 and 64.45±5.18) in the combined group were higher than those in the control group(40.25±2.32 and 46.42±3.37), t=21.811, 17.262, all P<0.001. The scores of hand function(67.86±6.06 and 85.14±7.46) were higher than those of control group(58.49±5.51 and 70.18±6.89), t=6.768, 8.715, all P<0.001. Barthel ADL(62.03±10.86 and 88.57±12.59) was higher than that of the control group(49.08±8.54 and 62.75±9.64), t=5.545, 9.633, all P<0.001. Conclusion Functional acupuncture combined with hand continuous passive movement can improve hand dysfunction after stroke, and promote the functional recovery of upper limbs and hands, which is worth popularizing.