Clinical Research On The Treatment Of Spastic Hemiplegia After A Stroke With Tone-balance Acupuncture

Objective To investigate the clinical effect of tone-balance acupuncture in treating post-stroke spasm, paralysis, limb disfunction and daily life disabilities.Methods 60 patients conformed to the diagnostic criteria consistent spastic hemiplegia and inclusion criteria, were randomly divided into two groups, the tone-balance acupuncture treatment group and the traditional acupuncture control group,30 cases each. In the aspects of the treatment group, the side of active muscles used to the weakening technique, then the flexor side of the upper limb stimulates Jiquan, Quze, Daling, and the extensor side of the lower limb stimulates Xuehai, Liangqiu, Zhaohai; the side of antagonistic muscles used to the enhanced techniques, then the extensor side of the upper limb stimulates Jianyu, Tianjing, Yangchi, and the flexor side of the lower limb stimulates biguan, ququan, Jiexi, Shenmai. In the aspects of the control group, the upper limb stimulates Jianyu, Hegu, Quchi, Shousanli, Waiguan, and the lower limb stimulates Biguan, Futu, Zusanli, Fenglong, Jiexi. All patients were treated one time per day,5 days for a course of treatment, A observed period of treatment was 4 weeks and 2 days interval between treatments. We evaluated the improvement of limb spasticity of every patient and the clinical efficacy according to the following items (1) Clinical Spasticity Index (CSI), (2) functional recovery of hemiplegia Index (Brunnstrom), (3) limb function Index (Fugl-Meyer), (4) activities of daily living Index (ADL), (5) we used "the modified Ashworth Spasticity Index" as a clinical indicator criteria to determined the clinical efficacy of spastic hemiplegia after a stroke.Results (1) In the score evaluation of clinical spasticity index (CSI), there is a statistically significant difference between after treatment and before treatment of the treatment group (P<0.01), and there is a statistically significant difference between after treatment and before treatment of the control group (P<0.01). The difference between after treatment of the treatment group and control group, is also statistically significant difference (P<0.01), and the individual results of tendon reflexes, tone or clonus are the same. (2) In the score evaluation of Brunnstrom index, there is a statistically significant difference between after treatment and before treatment of the treatment group (P<0.01), and there is a statistically significant difference between after treatment and before treatment of the control group (P<0.01). (3) In the score evaluation of Fugl-Meyer index, there is a statistically significant difference between after treatment and before treatment of the treatment group (P<0.01), and there is a statistically significant difference between after treatment and before treatment of the control group (P<0.01). (4) In the score evaluation of activities of daily living Index (ADL), there is a statistically significant difference between after treatment and before treatment of the treatment group (P<0.01), and there is a statistically significant difference between after treatment and before treatment of the control group (P<0.01). (5) In the evaluation of clinical efficacy, there is a statistically significant difference between the treatment group and the control group. However, the differences were not statistically significant in the number of cases of upper limb after treatment between the two groups (P>0.05), the differences were statistically significant in the number of cases of lower limb after treatment between the two groups (P<0.05).Conclusion (1) The treatment of tone-balance acupuncture can improve the spasm degree of spastic hemiplegia after a stroke, including tendon reflexes, tone or clonus, and it is more effective than the traditional acupuncture. (2) The treatment of tone-balance acupuncture can improve the hemiplegic degree of spastic hemiplegia after a stroke, and it is more effective than the traditional acupuncture. (3) The treatment of tone-balance acupuncture can improve the limb function of spastic hemiplegia after a stroke, and it is more effective than the traditional acupuncture. (4) The treatment of tone-balance acupuncture can improve the activities of daily living of spastic hemiplegia after a stroke, and it is more effective than the traditional acupuncture. (5) The clinical efficacy of tone-balance acupuncture is superior to the traditional acupuncture. In particular, the clinical efficacy of lower limb was better than the traditional acupuncture. Above, this study demonstrated that tone-balance acupuncture does have a therapeutic role, not only can improve the spasm degree and the hemiplegic degree in patients, but also can promote recovery of limb function and activities of daily living, and it's clinical efficacy is significantly superior to traditional acupuncture therapy. Therefore, this study shows that the treatment of tone-balance acupuncture is suitable for spastic hemiplegia after a stroke with qi-deficiency and blood-stasis, and is worthy of clinical application.