Therapeutic effect observation of <i>Xingnao Kaiqiao</i> Acupuncture combined with occupational therapy on upper limb dysfunction after stroke

ZHANG Wei; LU Yan; LI Chao; XU Lei

doi:10.16766/j.cnki.issn.1674-4152.002204

Volume 19 Issue 11

Nov. 2021

Turn off MathJax

Article Contents

Article Navigation > Chinese Journal of General Practice > 2021 > 19(11): 1932-1934,1972

ZHANG Wei, LU Yan, LI Chao, XU Lei. Therapeutic effect observation of Xingnao Kaiqiao Acupuncture combined with occupational therapy on upper limb dysfunction after stroke[J]. Chinese Journal of General Practice, 2021, 19(11): 1932-1934,1972. doi: 10.16766/j.cnki.issn.1674-4152.002204

Citation:

ZHANG Wei, LU Yan, LI Chao, XU Lei. Therapeutic effect observation of Xingnao Kaiqiao Acupuncture combined with occupational therapy on upper limb dysfunction after stroke[J]. Chinese Journal of General Practice, 2021, 19(11): 1932-1934,1972. doi: 10.16766/j.cnki.issn.1674-4152.002204

Citation:

PDF( 1116 KB)

Therapeutic effect observation of Xingnao Kaiqiao Acupuncture combined with occupational therapy on upper limb dysfunction after stroke

doi: 10.16766/j.cnki.issn.1674-4152.002204

ZHANG Wei¹
, LU Yan¹
, LI Chao¹
, XU Lei^{2
,
,}

1.
Department of Rehabilitation Medicine, the Fifth People's Hospital of Fuyang City, Fuyang, Anhui 236000, China

Funds:

KJ2019A0397

Received Date: 2021-02-22
Available Online: 2022-02-15

Abstract

Abstract

Objective To observe the effect of Xingnao Kaiqiao Acupuncture combined with occupational therapy on upper limb dysfunction after stroke. Methods Sixty patients with upper limb dysfunction after stroke were selected to be treated in the Fifth People's Hospital of Fuyang City from May 2019 to October 2020. SPSS 21.0 was used to make random tables. Then, the patients were randomly divided into the treatment group and control group, each with 30 cases. The control group was treated by occupational therapy, whilst the treatment group was treated with Xingnao Kaiqiao Acupuncture combined with occupational therapy. Both groups were treated once a day, five times a week for a total of 4 weeks. The upper-extremity Fugl-Meyer scale (U-FMA), modified Barthel index (MBI) and clinical efficacy of both groups were compared. Results After treatment, the U-FMA in both groups [(45.37±5.12) points, (38.80±4.35) points] was improved significantly than before treatment [(31.37±4.33) points, (32.57±4.19) points, t=16.025, 14.297, both P < 0.05], with the treatment group showing more significant improvement than the control group (t=5.352, P < 0.05). After treatment, the MBI in both groups (57.83±6.65, 47.33±5.68) improved significantly than before treatment (41.17±5.97, 40.17±7.01, t=25.673, 15.577, both P < 0.05), with the treatment group showing more significant improvement than the control group (t=6.572, P < 0.05). The total effective rate of the treatment group was significantly higher than that of the control group (96.67% vs. 73.33%, χ²=4.706, P < 0.05). Conclusion Xingnao Kaiqiao Acupuncture combined with occupational therapy can improve the upper limb motion function of stroke patients and the activity of daily life.
- Xingnao Kaiqiao Acupuncture,
- Occupational therapy,
- Stroke,
- Upper limb dysfunction

FullText(HTML)

References(20)

References

[1]	MEHRHOLZ J, Pohl M, PLATZ T, et al. Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke[J]. Cochrane Database Syst Rev, 2018, 9(9): CD006876.
[2]	张英, 廖维靖, 郝赤子. 低频重复经颅磁刺激联合作业治疗对脑卒中患者上肢运动功能恢复的临床研究[J]. 中国康复, 2019, 34(3): 142-145. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF201903011.htm
[3]	孙定炯. 醒脑开窍针刺法结合Brunnstrom分期对脑卒中后手功能障碍的影响[J]. 时珍国医国药, 2018, 29(7): 1656-1657. https://www.cnki.com.cn/Article/CJFDTOTAL-SZGY201807039.htm
[4]	吴伟, 吴波, 焉传祝, 等. 第18次中国脑血管病大会2018会议纪要[J]. 中华神经科杂志, 2019, 52(3): 238-240.
[5]	国家中医药管理局. 中风的诊断依据、证候分类、疗效评定: 中华人民共和国中医药行业标准《中医内科病证诊断疗效标准》(ZY/T001.1-94)[J]. 辽宁中医药大学学报, 2016, 18(10): 16.
[6]	田然. 头体针配合作业治疗对脑卒中恢复期上肢功能的影响[J]. 上海针灸杂志, 2017, 36(2): 146-149. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZJ201702009.htm
[7]	郑苏, 胥婧, 彭力. 镜像治疗联合分期针刺对脑梗塞患者上肢运动功能的影响及SPECT研究[J]. 针灸临床杂志, 2018, 34(2): 24-28. doi: 10.3969/j.issn.1005-0779.2018.02.007
[8]	蔡超群, 刘晓瑜, 郑庆丹, 等. 电头针接力刺法联合低频重复经颅磁刺激对卒中后上肢运动功能障碍及运动诱发电位的影响[J]. 现代中西医结合杂志, 2020, 29(24): 2658-2662. doi: 10.3969/j.issn.1008-8849.2020.24.008
[9]	李莹莹, 符俏, 吴薇薇, 等. 头针互动MOTOmed智能运动训练对脑卒中偏瘫患者肢体运动功能及血清NGF、BDNF水平的影响[J]. 河北医学, 2020, 26(2): 222-226. doi: 10.3969/j.issn.1006-6233.2020.02.012
[10]	潘俊晓, 陈艳萍, 位娜娜. 平衡针结合运动再学习疗法对脑卒中患者上肢功能恢复的影响[J]. 针刺研究, 2018, 43(2): 123-126. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ201802014.htm
[11]	李静, 张凌志, 曾哲淳. 三七通舒胶囊伴针灸治疗脑梗死引起半身不遂患者的效果及血液流变学变化的研究[J]. 中国医药, 2019, 14(10): 1502-1505. doi: 10.3760/j.issn.1673-4777.2019.10.015
[12]	刘志友, 李晓斌, 陈倩. 醒脑开窍、疏通经络针刺法对脑梗死急性期患者血液循环、运动功能及日常生活能力的影响[J]. 现代中西医结合杂志, 2018, 27(36): 4037-4039. doi: 10.3969/j.issn.1008-8849.2018.36.012
[13]	PLLA O, DURET C, GRACIES J M, et al. Evolution of upper limb kinematics four years after subacute robot-assisted rehabilitation in stroke patients[J]. Int J Neurosci, 2018, 128(11): 1030-1039. doi: 10.1080/00207454.2018.1461626
[14]	URUSHIDANI N, OKAMOTO T, KINOSHITA S, et al. Combination treatment of low-frequency repetitive transcranial magnetic stimulation and intensive occupational therapy for ataxic hemiparesis due to thalamic hemorrhage[J]. Case Rep Neurol, 2017, 9(2): 179-187. doi: 10.1159/000478975
[15]	袁海新, 陈文华. ICF指导下的作业治疗对脑卒中偏瘫患者日常生活活动能力的效果[J]. 中国康复理论与实践, 2017, 23(2): 151-154. doi: 10.3969/j.issn.1006-9771.2017.02.007
[16]	张璐, 毛芝芳. 功能针刺联合手持续被动运动对脑卒中后手功能障碍康复质量的影响[J]. 中华全科医学, 2020, 18(8): 1365-1368. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202008033.htm
[17]	曹畅. 针刺联合作业治疗对于脑卒中后上肢功能障碍的疗效[J]. 锦州医科大学学报, 2017, 38(2): 65-68. https://www.cnki.com.cn/Article/CJFDTOTAL-JZYX201702023.htm
[18]	周剑英, 陈奇刚, 顾力华, 等. 手功能支具结合作业治疗对脑卒中后上肢及手功能障碍的影响[J]. 昆明医科大学学报, 2017, 38(8): 110-112. doi: 10.3969/j.issn.1003-4706.2017.08.024
[19]	顾力华, 陈奇刚, 刘朵, 等. 作业治疗对脑卒中后偏瘫患者日常生活活动能力的影响[J]. 中国实用神经疾病杂志, 2020, 23(17): 1539-1543. https://www.cnki.com.cn/Article/CJFDTOTAL-HNSJ202017013.htm
[20]	孙萍萍, 齐瑞, 施婕妤, 等. 针灸联合运动疗法治疗脑卒中后运动功能障碍的疗效及对神经功能的影响[J]. 吉林中医药, 2019, 39(1): 129-132. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJL201901036.htm

Relative Articles

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Tables(5)

Get Citation

PDF

XML

Article Metrics

Article views (164) PDF downloads(5)

Therapeutic effect observation of Xingnao Kaiqiao Acupuncture combined with occupational therapy on upper limb dysfunction after stroke

doi: 10.16766/j.cnki.issn.1674-4152.002204

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Therapeutic effect observation of Xingnao Kaiqiao Acupuncture combined with occupational therapy on upper limb dysfunction after stroke

doi: 10.16766/j.cnki.issn.1674-4152.002204

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content