Observation On The Therapeutic Effect Of Acupuncture Therapy Combined With Rehabilitation Training On Shoulder - Hand Syndrome After Stroke

Purpose：To compare the effectiveness of eye-acupuncture combined withrehabilitation training group to the rehabilitation training alone group intreating post-stroke shoulder-hand syndrome.Material and method：Sixty patients with post-stroke shoulder-hand syndrome(phase I) were randomized into the eye-acupuncture combined with rehabilitationtraining group (eye needle rehabilitation group) and rehabilitation trainingalone group (rehabilitation group). Each group had30ppatients. Patients ofthe rehabilitation group were provided with the application of slings, good limbposition, oppressive finger centripetal winding, active and passive exercisetraining. Patients of the eye needle rehabilitation group were treated by theeye-acupuncture therapy based on the same rehabilitation. The outcomes for thechange of the pain in the upper limbs and mobility of shoulder joint were VisualAnalogue Scale/Score (VAS) and Periarthritis of shoulder score. The outcome forthe dynamic change of movement function of upper limbs was simplified Fugl-Meyerrating. The outcome for assessing the clinical efficacy was therapeutic effectevaluation standard.Results：1. In the outcome of Upper limb pain VAS scores, both groups showed significantimprovement at the end of the treatment (P<0.01); and the eye needlerehabilitation group showed significant better than the rehabilitation group(P<0.01);2. In the outcome of Upper shoulder joint activity score, both groups showedsignificant improvement at the end of the treatment (P<0.01); and the eye needlerehabilitation group showed significant better than the rehabilitation group(P<0.01); 3. In the outcome of Upper limb Fugl-Meyer movement function score, both groupsshowed significant improvement at the end of the treatment (P<0.01); and theeye needle rehabilitation group showed significant better than therehabilitation group (P<0.01);4. In the outcome of the effective rate and significant effect rate, theeye-acupuncture combined with rehabilitation training group was80.00%and36.7%;but the rehabilitation group was72.41%and13.8%. No significant differencewere found in the total effective rates of the two groups (P>0.05), but eye needlerehabilitation group showed significant better than simple rehabilitationgroup in the significant effect rate(P<0.05).Conclusion：1. Eye-acupuncture combined with rehabilitation training can help patients withpost-stroke shoulder-hand syndrome (phase I) by alleviating upper limb pain;2. Eye-acupuncture combined with rehabilitation training can help patients withpost-stroke shoulder-hand syndrome (phase I) by expanding range of movementof shoulder joint;3. Eye-acupuncture combined with rehabilitation training can help patients withpost-stroke shoulder-hand syndrome (phase I) by promoting the recovery ofupper limb movement function;4. Eye-acupuncture combined with rehabilitation training can contribute to theclinical efficacy of post-stroke shoulder-hand syndrome.