| Purposes1 To evaluate the clinical effect of acupuncture combined with rehabilitation for strephenopodia after stroke.2 To observe the improvement of ankle joint motion Angle,lower limb motor function,muscle spasm level and muscle strength by acupuncture combined with rehabilitation.3 To investigate the effect of acupuncture combined with rehabilitation on iEMG of strephenopodia after stroke.MethodsIn this study,randomized,controlled trial was designed.Sixty patients with strephenopodia after stroke who met the inclusion criteria were randomly divided into the experimental group and the control group,30 cases in each group.Patients in both groups receive basic treatment in the department of neurology of stroke.Acupuncture combined with rehabilitation therapy was added to the basic treatment in the experimental group,and acupuncture monotherapy in the control group.Both groups were treated once a day,5 times a week,total 4 weeks.Ankle active range of motion(Active rang of motion,AROM),modified Ashworth scale(Modified Ashworth Scale,MAS),simplified Fugl-Meyer assessment(simplified Fugl-Meyer assessment,sFMA)score and integral electromyography(Integrate electromyography,iEMG)of surface electromyography were measured before and after 4weeks treatment.SPSS22.0 was used for statistical analysis,and Graph Pad 8.0.2 was used for plotting.Results1.Comparison of baseline dataThis study recurited 60 cases,2 cases fall off,and 58 cases were finally completed,finally 30 in the experimental group and 28 in the control group.There were no significant differences in gender,age,disease course,AROM dorsiflexion,varus Angle,MAS scale score,sFMA scale score,iEMG value of tibialis anterior muscle &gastrocnemius muscle,and Co-contraction ratio(CCR)between the two groups(all P>0.05),It shows that the two groups were comparable.2.Efficacy analysis2.1 Comparison of clinical efficacyAfter 4 weeks,the total clinical effective rate of experimental group was 70.00%,which was higher than the control group(50.00%).The difference between groups has statistically significant(P<0.05).The results indicated that the experimental group had better clinical efficacy than the control group strephenopodia after stroke.2.2 Comparison of MAS scores scale(state of ankle spasm)After 4 weeks,there was a statistically difference between the experimental group and the control groups in the MAS scale rating(P<0.05).The experimental group was better than the control group in improving the ankle spasm in patients with strephenopodia after stroke.2.3 Comparison of AROM scale scoresAfter 4 weeks,there was significant statistically difference between the groups of dorsiflexion Angle in AROM scale(P<0.01),and the experimental group was significantly better than the control group in improving dorsiflexion Angle in patients with strephenopodia after stroke.After 4 weeks,there was a statistically difference in the varus Angle between groups(P<0.05).The experimental group was better than the control group in improving the varus Angle of patients with strephenopodia after stroke.2.4 Comparison of simplified Fugl-Meyer assessment motor function scale scores(lower extremity)After 4 weeks,there was statistically difference in sFMA scale between the groups(P<0.05).The experimental group was better than the control group in improving the lower limb motor function of patients with strephenopodia after stroke.2.5 Comparison of iEMG valuesAfter 4 weeks,there was statistically difference between the groups in the iEMG value of tibia anterior muscle(P<0.05).The experimental group was better than the control group in increasing the iEMG value of tibia anterior muscle of patients with strephenopodia after stroke.After 4 weeks,there was statistically difference between groups in the iEMG value of gastrocnemius muscle(P<0.05).The experimental group was better than the control group in increasing the iEMG value of gastrocnemius muscle.2.6 Co-contraction ratio(CCR)After 4 weeks,there was no statistically difference in the CCR between groups(P>0.05).The experimental group had the same effect as the control group in reducing the proportion of antagonist muscle in active muscle contraction in the strephenopodia after stroke.Conclusion1.XNKQ Acupuncture plus rehabilitationcan can effectively treat strephenopodia after stroke.2.XNKQ Acupuncture plus rehabilitationcan is better than XNKQ Acupuncture in improving dorsiflexion and varus Angle of foot,lower limb spasm and lower limb motor function in patients with strephenopodia after stroke.3.The treatment of strephenopodia after stroke by combined rehabilitation and XNKQ Acupuncture may be related to the improvement of the iEMG values of tibialis anterior muscle and gastrocnemius muscle of lower limbs. |
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