| Objective:To observe the clinical effect of percutaneous scraping of the upper limb spasticity after stroke.Methods:89 patients meeting diagnostic criteria and inclusion criteria of stroke (western medicine) received the whole treatment. These patients were divided into three groups:the treatment group 1 (29 patients), the treatment group 2 (30 patients) and the control group (30 patients). All groups were given rehabilitation training, ordinary acupuncture and basic treatment of medical diseases. On the basis of this, the control group was given oral administration of baclofen (baclofen maximum daily dose should not exceed 80mg) and the treatment group was given percutaneous scraping to control muscle tension, the treatment group 1 staged percutaneous scraping in upper limb’s Yang and Yin meridians while the treatment group 2 staged percutaneous scraping in upper limb’s Yang meridians. The treatment was given once a day, W1-6, lasting for four weeks. Observation of end-point:1. The tension score of upper limbs were evaluated with Modified Ashworth tension Rating one day before the treatment, at the end of two weeks and one day after the treatment.2. When treated for the 6th,12th,18th and 24th time, patients were examined before scrape and every 60min after scrape for 4 hours, the doctor recorded muscle tension of injured upper limb every 60 minutes from four hours before the scraping to four hours after the scraping, which was used to calculate the relaxation time of injured upper limb.3. With simplified Fugl-Meyer motor function assessment scale, the function score of injured upper limb was evaluated one day before and after the treatment. The statistical analysis was performed using the statistical software package SPSS20.0.Results:Modified Ashworth tension Rating:After 4 weeks of treatment, conditions of patients in all the 3 groups improve 2 weeks and 4 weeks after the treatment. Tension between the groups improved Ashworth scores prompted P<0.05, statistics among the three groups are different, the degree of tension to improved Ashworth score changes before and after treatment were compared three groups, P values were less than 0.05, with statistically significant difference.After scraping the treatment group after treatment 6,12,18,24 times scrape treatment of upper limb, recording the relaxation time to classify data. After 4 weeks of treatment, upper limb relaxation time in varying degrees extends, respectively records four times between the two groups, P values were less than 0.05, with statistically significant difference, the degree of variation of the relaxation time ipsilateral upper extremity treatment group, sixth and second 24 times when comparing the treatment, suggesting that P values were less than 0.05, statistically different.Simplified Fugl-Meyer motor function score:After the 4 weeks of treatment, three patients upper limb Fugl-Meyer motor function scores impoved compared with that before treatment, simplified Fugl-Meyer motor function after 4 weeks of treatment were statistically treated group comparison between the tips P>0.05, no significant difference between before treatment. After 4 weeks of each treatment group Fugl-Meyer motor function scores were compared within the group, P values were less than 0.05, with statistically significant difference.Conclusion:Percutaneous scraping in upper limb meridians and oral administration of baclofen can both improve upper limb spasticity after stroke. Percutaneous scraping in upper limb’s Yang and Yin meridians is superior in extending upper limb relaxation, which can provide time window of effective treatment of upper limb rehabilitation training for stroke patients so as to improve clinical efficacy. There are no significant differences in promoting the recovery of upper limb function in patients. It is not clear at present whether Percutaneous scraping is conducive to the recovery of injured upper limb function in patients. |
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