Volume 20 Issue 10
Oct.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(10): 1760-1762
WANG Lin-xiang, CONG Wen-jie, FU Ying, ZHENG Yang-yang, WU Chun-xiu. Effect of acupuncture and massage combined with rehabilitation training on elderly patients with spastic hemiplegia after stroke[J]. Chinese Journal of General Practice, 2022, 20(10): 1760-1762. doi: 10.16766/j.cnki.issn.1674-4152.002697
Citation: WANG Lin-xiang, CONG Wen-jie, FU Ying, ZHENG Yang-yang, WU Chun-xiu. Effect of acupuncture and massage combined with rehabilitation training on elderly patients with spastic hemiplegia after stroke[J]. Chinese Journal of General Practice, 2022, 20(10): 1760-1762. doi: 10.16766/j.cnki.issn.1674-4152.002697
shu

Effect of acupuncture and massage combined with rehabilitation training on elderly patients with spastic hemiplegia after stroke

doi: 10.16766/j.cnki.issn.1674-4152.002697

  • Department of Acupuncture, Physiotherapy and Pain, the First Hospital Affiliated to Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 2019ZB048

  • Received Date: 2021-08-16
    Available Online: 2022-11-30
    Abstract
  •   Objective  To probe into the effect of acupuncture and massage combined with rehabilitation training on elderly patients with spastic hemiplegia after stroke and the influence of Ashworth, activities of daily living (ADL), and neurological deficit scale (NDS) scores.  Methods  From October 2018 to August 2020, 100 patients with spastic hemiplegia after stroke admitted to the First Hospital Affiliated to Wenzhou Medical University were analysed retrospectively. According to the different treatment methods, they were divided into 40 cases in the acupuncture group, 30 cases in the massage group, and 30 cases in the rehabilitation group. The rehabilitation group was given only rehabilitation training, the acupuncture group was given rehabilitation training combined with acupuncture, and the massage group was given rehabilitation training combined with massage. The clinical effect and the changes in Ashworth score of upper and lower limbs, as well as the ADL and NDS scores before and after treatment, were compared.  Results  The total effective rate in the acupuncture group was 92.50% (37/40), which was higher than 63.33% (19/30) in the rehabilitation group (χ2=10.513, P < 0.05), but no significant difference existed between the rehabilitation group and the massage group (86.67%, 26/30), and between the massage and acupuncture groups (all P>0.05). Before treatment, no significant difference existed in Ashworth scores of upper and lower limbs and ADL and NDS scores amongst the three groups (F=0.062, 0.118, 0.025, 0.002, all P>0.05). Compared with before treatment, the Ashworth score and NDS score of upper and lower limbs in the three groups significantly decreased, ADL score significantly increased (all P < 0.05), and the rehabilitation, massage, and acupuncture groups were better in turn (F=16.303, 21.294, 18.291, 36.720, all P < 0.05).  Conclusion  Acupuncture and massage combined with rehabilitation training exert a better effect on spastic hemiplegia after stroke in the elderly. Acupuncture combined with rehabilitation training have the best effect, effectively relieving limb spasm and improving the ability of daily life.

     

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    • References(20)
  • [1]
    XU A H, SUN Y X. Research hotspots and effectiveness of repetitive transcranial magnetic stimulation in stroke rehabilitation[J]. Neural Regen Res, 2020, 15(11): 2089-2097. doi: 10.4103/1673-5374.282269
    [2]
    CABANAS-VALDÉS R, CALVO-SANZ J, URRÙTIA G, et al. The effectiveness of extracorporeal shock wave therapy to reduce lower limb spasticity in stroke patients: A systematic review and meta-analysis[J]. Top Stroke Rehabil, 2020, 27(2): 137-157. doi: 10.1080/10749357.2019.1654242
    [3]
    梅盛瑞, 许晴, 袁鹏, 等. 经颅磁刺激在脑卒中后痉挛中的临床应用进展[J]. 中华全科医学, 2020, 18(12): 2078-2081, 2098. doi: 10.16766/j.cnki.issn.1674-4152.001693

    MEI S R, XU Q, YUAN P, et al. Clinical application progress of transcranial magnetic stimulation in spasticity after stroke[J]. Chinese Journal of General Practice, 2020, 18(12): 2078-2081, 2098. doi: 10.16766/j.cnki.issn.1674-4152.001693
    [4]
    孙俊慧, 齐艳英, 冯秀芳, 等. 前列地尔联合肌电生物反馈疗法对中风后痉挛性偏瘫患者肢体功能及脊髓运动神经元兴奋性的影响[J]. 河北医学, 2018, 24(12): 2016-2020. doi: 10.3969/j.issn.1006-6233.2018.12.020

    SUN J H, QI Y Y, FENG X F. Effects of alprostadil combined with electromyographic biofeedback therapy on limb function and excitability of spinal motor neurons in patients with spastic hemiplegia after stroke[J]. Hebei Medicine, 2018, 24(12): 2016-2020. doi: 10.3969/j.issn.1006-6233.2018.12.020
    [5]
    游建宇, 饶赟, 刘福水, 等. 火针治疗中风后痉挛性瘫痪疗效的系统评价和Meta分析[J]. 中国中医基础医学杂志, 2020, 26(2): 229-234. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJC202002027.htm

    YOU J Y, RAO Y, LIU F S, et al. Fire needle therapy for spastic paralysis after stroke: A systematic review and meta-analysis[J]. Journal Of Basic Chinese Medicine, 2020, 26(2): 229-234. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJC202002027.htm
    [6]
    兰长安, 杜捷, 江琪. 毫火针结合督脉推拿循经往返灸治疗脑卒中痉挛状态临床观察[J]. 中国临床医生杂志, 2019, 47(8): 1000-1002. doi: 10.3969/j.issn.2095-8552.2019.08.040

    LAN C A, DU J, JIANG Q. Clinical observation on the treatment of spasticity in cerebral apoplexy with the combination of fire needle and Du pulse massage and moxibustion[J]. Chinese Journal for Clinicians, 2019, 47(8): 1000-1002. doi: 10.3969/j.issn.2095-8552.2019.08.040
    [7]
    中国脑血管病防治指南编委会. 中国脑血管病防治指南[M]. 北京: 人民卫生出版社, 2007: 419-420.

    Editorial Board of China Guideline for Cerebrovascular Disease Prevention and Treatment. China Guideline for Cerebrovascular Disease Prevention and Treatment[M]. Beijing: People ' s Medical Publishing House, 2007: 419-420.
    [8]
    中国中西医结合学会神经科专业委员会. 中国脑梗死中西医结合诊治指南(2017)[J]. 中国中西医结合杂志, 2018, 38(2): 136-144. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ201802003.htm

    Neurology Committee of Chinese Association of Integrated Traditional Chinese and Western Medicine. Chinese Guidelines for Diagnosis and Treatment of Cerebral Infarction with integrated Traditional Chinese and Western Medicine (2017)[J]. Chinese Journal of Integrated Traditional and Western Medicine, 2018, 38(2): 136-144. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ201802003.htm
    [9]
    陈清棠. 脑卒中患者临床神经功能缺损程度评分标准(1995)[J]. 中华神经科杂志, 1995, 29(6): 381-383. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHSJ606.027.htm

    CHEN Q T. Scoring criteria for the Degree of clinical neurological Deficit in patients with stroke (1995)[J]. Chinese Journal Of Neurology, 1995, 29(6): 381-383. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHSJ606.027.htm
    [10]
    CHEN C L, CHEN C Y, CHEN H C, et al. Responsiveness and minimal clinically important difference of Modified Ashworth Scale in patients with stroke[J]. Eur J Phys Rehabil Med, 2019, 55(6): 754-760.
    [11]
    PUSSWALD G, WIESBAUER P, PIRKER W, et al. Depression, quality of life, activities of daily living and subjective memory after deep brain stimulation in Parkinson ' s disease: A reliable change index analysis[J]. Int J Geriatr Psych, 2019, 34(1): 1698-1705.
    [12]
    FURLANIS G, AJ EVI M, STRAGAPEDE L, et al. Ischemic volume and neurological deficit: Correlation of computed tomography perfusion with the national institutes of health stroke scale score in acute ischemic stroke[J]. J Stroke Cerebrovasc, 2018, 27(8): 2200-2207.
    [13]
    祁丽丽, 韩振翔, 周一心, 等. 互动式头针结合PNF技术对缺血性卒中痉挛性偏瘫上肢功能的影响[J]. 中国针灸, 2018, 38(3): 234-238. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE201803005.htm

    QI L L, HAN Z X, ZHOU Y X, et al. Dynamic scalp acupuncture combined with PNF therapy for upper limb motor impairment in ischemic stroke spastic hemiplegia[J]. Chinese Acupuncture & Moxibustion, 2018, 38(3): 234-238. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE201803005.htm
    [14]
    GJELLESVIK T I, BECKER F, TJØNNA A E, et al. Effects of high-intensity interval training after stroke (the HⅡT-Stroke Study): A multicenter randomized controlled trial[J]. Arch Phys Med Rehab, 2020, 101(6): 939-947.
    [15]
    HUO C C, XU G C, LI Z Y, et al. Limb linkage rehabilitation training-related changes in cortical activation and effective connectivity after stroke: A functional near-infrared spectroscopy study[J]. Sci Rep, 2019, 9(1): 6226. DOI: 10.1038/s41598-019-42674-0.
    [16]
    马健芸, 许军峰, 楚佳琪. 针刺结合经筋推拿治疗缺血性卒中后患者上肢痉挛性瘫痪的疗效观察[J]. 天津中医药, 2020, 37(4): 434-437. https://www.cnki.com.cn/Article/CJFDTOTAL-TJZY202004021.htm

    MA J Y, XU J F, CHU J Q. Clinical observation on spastic paralysis of upper limbs in ischemic stroke treated by acupuncture combined with meridian tendon massage[J]. Tianjin Journal of Traditional Chinese Medicine, 2020, 37(4): 434-437. https://www.cnki.com.cn/Article/CJFDTOTAL-TJZY202004021.htm
    [17]
    杨曼. 醒脑开窍针刺法联合康复训练加西药治疗中风后上肢痉挛性瘫痪42例[J]. 中医研究, 2018, 31(1): 31-33. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYJ201801014.htm

    YANG M. Xingnao Kaiqiao acupuncture combined with rehabilitation training and western medicine treated 42 cases of upper limb spastic paralysis after apoplexy[J]. Traditional Chinese Medicinal Research, 2018, 31(1): 31-33. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYJ201801014.htm
    [18]
    顾云龙, 施婕妤, 孙萍萍, 等. 推拿点穴疗法治疗脑梗死后上肢痉挛性偏瘫的临床疗效观察[J]. 上海中医药杂志, 2018, 52(6): 50-52. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZZ201806018.htm

    GU Y L, SHI J Y, SUN P P, et al. Clinical efficacy observation of massage and acupoint pressure in the treatment of spastic hemiplegia of upper limb after cerebral infarction[J]. Shanghai Journal of Traditional Chinese Medicine, 2018, 52(6): 50-52. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZZ201806018.htm
    [19]
    狄桦, 杜红根, 汪凡, 等. 推拿结合康复疗法对缺血性脑卒中后手功能障碍患者脑功能变化的研究[J]. 浙江医学, 2019, 41(24): 2611-2615. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYE201924016.htm

    DI H, DU H G, WANG F, et al. Changes of brain fM RI in patients with hand dysfunction after ischemic stroke receiving Chinese massage and rehabilitation therapy[J]. Zhejiang Medical Journal, 2019, 41(24): 2611-2615. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYE201924016.htm
    [20]
    杨倩, 屈云, 王凤英. 脊柱推拿联合康复治疗对缺血性脑卒中患者手功能的影响[J]. 陕西中医, 2020, 41(11): 1580-1583. https://www.cnki.com.cn/Article/CJFDTOTAL-SXZY202011017.htm

    YANG Q, QU Y, WANG F Y. Effect of spinal massage combined with routine rehabilitation therapy on recovery from hand dysfunction after ischemic stroke[J]. Shaanxi Journal of Traditional Chinese Medicine, 2020, 41(11): 1580-1583. https://www.cnki.com.cn/Article/CJFDTOTAL-SXZY202011017.htm
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