| Objective:This thesis compared the therapeutic effect of electro-acupuncture with different frequencies on the limb motor function disorder of hemiplegic patients affected by acute cerebral apoplexy, and provided suggestions on the clinical selection of frequencies for electro-acupuncture, based on the observations on the therapeutic effect of electro-acupuncture with different frequencies. Meanwhile, the thesis utilized various scales to evaluate the recovery of motor function of patients, and discussed the clinical application of related scales. Method:68 patients, whose first attack of cerebral apoplexy was within one month and whose affected side was at stage I or II of Brunnstrom staging, were chosen and randomly assigned into 2 groups for simultaneous treatment of electro-acupuncture and rehabilitative training, along with the same conventional medicine treatment for the two groups. During electro-acupuncture treatment, the frequencies for Group 1 and Group 2 were 60 Hz and 10 Hz respectively, with no difference in other treatments. The patients’ muscle strength, muscle tension, Rivermead index, simplified Fugl-Meyer motion examination, Barthel index, function of upper limbs, and Brunnstrom stages were evaluated before and after a complete treatment cycle. SPSS13.0 was utilized to conduct statistics analysis, and to check whether there was difference in the rehabilitative effect of electro-acupuncture on the limb motor function disorder of hemiplegic patients after acute cerebral apoplexy. Results:Before treatment, the scores of various scales for the two groups indicated no statistical difference(P > 0.05), while the scores of both groups showed statistical difference after treatment. Compared with Group 1, Group 2 showed greater improvement in muscle strength and muscle tension, with statistical significance(P<0.05). Meanwhile, the increase of muscle strength and muscle tension showed correlation. The comparison of Rivermead index and Barthel index indicated better effect of Group 2 with statistical difference(P<0.05). For the comparisons on Fugl-Meyer motion function, Barthel index, functions of affected upper limb, etc., the therapeutic effect on two groups showed no statistical difference(P>0.05). Conclusions:1. Electro-acupuncture with different frequencies provided improvements for hemiplegic patients’ muscle strength, muscle tension, living ability and motor function, wherein electro-acupuncture of 10 Hz showed better performance than that of 60 Hz in the improvement of muscle strength. In independent movement, the patients treated with electro-acupuncture of 10 Hz also showed better performance, which indicated that the improvement of muscle strength benefited patients’ movement. 2. In the acute stage after cerebral apoplexy attack, the improvement of muscle strength and muscle tension of hemiplegic patients’ in early stage showed positive correlation. 3. During the rehabilitative process of patients attacked by cerebral apoplexy, the selection of evaluation scales was of significant importance. As different scales offered different emphasis and results, proper scales should be chosen in relation to their characteristics, the conditions of patients, and their stages of illness, for the proper evaluation of patients’ real situation. Furthermore, the application of multi-scales could benefit the analysis of patients’ condition from various aspects. Significance:1. This research showed that electro-acupuncture with different frequencies provided therapeutic effect for the treatment of limb motor function disorder of hemiplegic patients after acute cerebral apoplexy, wherein different frequencies showed different effects; 2. This research provided scientific evidence and suggestions for the clinical treatment of limb motor function disorder of hemiplegic patients after acute cerebral apoplexy; 3. Inspirations may be provided for the evaluation with various scales of the limb motor function of patients attacked by cerebral apoplexy. |
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