Antagonistic Muscle Movement Point Electroacpuncture Combined With Rehabilitation Training In The Treatment Of Post Stroke Clinical Study Of Spasticity

Objectives: Observation of antagonistic muscle movement point electroacupuncture combined with rehabilitation training in the treatment of spasticity after stroke(The spasticity of cerebral apoplexy, SCA) for clinical treatment effect, use of the therapy and provide the basis for the treatment of SCA. Methods:Stroke patients 60 cases met the conditions of this study, a randomized controlled trial study program, were randomly divided into routine acupuncture combined with rehabilitation training group(control group) and antagonist muscle movement point electroacupuncture combined with rehabilitation training group(treatment group), 30 cases in each group, were treated with neural Department of internal medicine general conventional symptomatic treatment. 1.The control group with routine acupuncture therapy combined with rehabilitation training. 1.1 point selection: According to the national ordinary institutions of higher education of Chinese medicine kind of textbook "acupuncture"(chief editor Sun Guojie, Shanghai science and Technology Press) Patients with upper limb acupoint selection: Jianyu, Quchi, Hand in three, Waiguan, Hegu, Quze, Algol; Patients with lower limb acupoint selection: loop jump, Yanglingquan, Zusanli, Jiexi, Kunlun, Ququan, Taixi, too. Daily acupuncture treatment 1 times, 6 times a week, continuous treatment for 4 weeks for 1 courses. 1.2 needle: Selection of Hua Tuo brand disposable acupuncture needle produced by Jiangsu province Suzhou City medical supplies Co. Ltd., specifications are 0.03 cm * 25 MM, 0.03 cm * 40 MM, 0.03 cm * 50 mm, 0.03 cm * 75 mm. 1.3 rehabilitation training: Patients with position control, anti spasm induced separation techniques and sports training mainly. Training content mainly includes: whole body each joint as passive or active activities throughout the range of motion; with slow continuous stretch of each part of the limb spasm muscle superiority side; various postures torso limb control training; standing and sitting balance, stand lower limb walking training, weight training, activities of daily living(Activities of daily living ADL training, etc. Rehabilitation training to take "a relatively fixed rehabilitation division patients" manner, performed by a professional therapist whole operation. Every time 30 min, continuously for 4 weeks for 1 courses. 2.the treatment group uses the antagonistic muscle movement point electroacupuncture combined with rehabilitation training for treatment.2.1 antagonistic muscle movement point selection: Use of Bacillus thuringiensismedical Audio Supplies Company Limited produced in Jiangsu province SY-708 A peripheral nerve electrical stimulation, accurate positioning of the moving point on the limb of the patient in spasticity muscle. The method of operation: First select the surface pattern detection antagonistic muscle movement, and then replaced with plexus stimulating needle be accurate positioning, clearly marked and recorded depth value, according to the recorded depth values were treated with electro acupuncture. 2.2 electric acupuncture therapeutic instrument: Electro acupuncture selects the Jiangsu province Changzhou City Xiaochun medical instrument limited company production of inti KWD- 808- I type electric acupuncture therapeutic instrument. Antagonistic muscle movement point routine acupuncture has precise positioning, connected to the electrode, turn on the power, from weak to strong adjustment, the current control in the 0.5 0.10 m A range, the output frequency at 2- 5Hz range, with a needle and stimulated by the antagonistic muscle slight quiver is appropriate. With the electric intensity of treatment of upper limb movement of the antagonist muscle stimulation in patients with wrist point can be led out, finger stretches as appropriate, Electrical stimulation motor antagonistic muscles of the lower extremity can lead knee, ankle dorsiflexion movement as appropriate, and to the patients can be tolerated and painless for the degree. Treatment of 1 times a day, each about 20 min, treatment 6 times a week, continuous treatment for 4 weeks for 1 courses. 2.3 Course of rehabilitation training content, method, were similar to those in control group. 60 patients before and after treatment were treated with motor function assessment scale MAS、MBI、CSS. The score result assess clinical efficiency, Observation of the treatment group and the control group on the improvement in reducing spasticity after stroke and the ability of daily life, the clinical curative effect and the control of two treatment methods. Results: 1. Comparison of the two groups before and after treatment in the group: Patients with spasticity and daily life ability than before treatment significantly improved, there was a significant difference(P<0.01). 2. After treatment between the two groups were modified Ashworth spasticity Rating Scale score, composite spasticity scale(CSS) score and modified Barthel index(MBI) scores were compared: the treatment group’s scores were higher than the control group, there was significant difference(P<0.05). 3. The two groups after treatment the clinical effects were compared between groups: The treatment group was superior to control group, There was a significant difference(P <0.05). Conclusions: 1.Antagonistic muscle movement point electroacupuncture combined with rehabilitation training and routine acupuncture therapy combined with rehabilitation training therapy can alleviate spasticity after stroke, improve activities of daily living in patients. 2.Antagonistic muscle movement point electroacupuncture combined with rehabilitation training therapy in relieving spasm after stroke, improve activities of daily living ability of patients is superior to routine acupuncture therapy combined with rehabilitation training.