Observation On The Clinical Effect Of Low Frequency Acupoint Electrical Stimulation To Improve The Grasping Function After Stroke

Objective:To observe the effect of low-frequency acupoint electrical stimulation and electroacupuncture on the improvement of grasping function after stroke,based on the evaluation of the movement function in the wrist and hand and daily life ability after treatment,explore the influence of low-frequency acupoint electrical stimulation on grasping function and activities of hand and wrist,then optimize hand function rehabilitation program..Method:The 60 patients who met the standard criteria were randomly divided into the treatment group and the control group,with 30 patients in each group.Both the two groups were given acupuncture department conventional therapy.The control group was treated with electroacupuncture.And the waveform was continuous wave with the frequency of 2Hz.The treatment group was treated with low-frequency acupoint electrical stimulation.And the waveform was intermittent wave with the frequency of 50Hz.The treatment time was 30 minutes each time,1 time per day,6 times a week,one day off,and 4 weeks of the total treatment.Choose Lindmark movement function of hand and wrist score,Barthel index(upper limbs)score,clinical neural function defect scale(CSS)to assess curative effect.Statistical analysis was performed by using SPSS22.0 software.Results:1.After treatment,the Lindmark total wrist function scores and wrist activity,finger activity,grasping action all parts of the scores in the treatment group and the control group were significantly improved,before and after treatment the difference in the group was statistically significant(P<0.01),and the differences between two groups of patients with the Lindmark scores in activities of hand and wrist and grasping function after treatment were statistically significant(P<0.05),the treatment group was better than the control group.The improvement of hand and wrist mobility and grasping function was more significant.2.After treatment,the Barthel index scores of the treament group and the control group were significantly improved,before and after treatment the difference in the group was statistically significant(P<0.01),the difference between the two groups after treatment was statistically significant(P<0.05),the treatment group was superor than the control group.The daily life ability of the upper limbs improved more significantly.3.After treatment compared with before treatment,the CSS score of the treatment group and the control group were significantly lower,before and after treatment the difference in the group was statistically significant(P<0.01),the difference between the two groups after treatment was statistically significant(P<0.05),the treatment group was superor than the control group.Muscle strength of upper limbs and hands recovered better.4.The total effective rate of the treatment group was 86.67%,the total effective rate of the control group was 70.00%,and the difference between the two groups was statistically significant(P<0.05),and the treatment group was significantly better than the control group.Conclusions:1.Low-frequency acupoint electric stimulation therapy and electroacupuncture therapy can improve the hand and wrist movement and different forms of grasping function,which can help the reconstruction of hand function.2.Low-frequency acupoint electric stimulation therapy and electroacupuncture therapy can improve movement function and exquisite activities of the hand and daily life after stroke.3.Both low-frequency acupoint electrical stimulation therapy and electroacupuncture therapy are effective.Low-frequency acupoint electrical stimulation therapy is better than electroacupuncture therapy.