Study On The Acupuncture For Improving Motor Function And Neurological Impairment After Ischemic Stroke:A Randomized Controlled Trial

Objectives:To observe and evaluate the clinical efficacy on acupuncture for post ischemic stroke patient and the improvement on the lower limb dyskinesia and neurological dysfunction,focus on the efficiency difference of acupuncture contrast to /combined with physical therapy(PT).Methods:There were 60 post ischemic stroke patients coming from the acupuncture department and inpatient department of the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine included in this study from Mar 2020 to Jan 2021,who randomly divided into experimental group,control group A and control group B.Every three groups were given western medical routine therapy.On the basis,the experimental group was given "Xinnao Kaiqiao" acupuncture,the control group A was given "Xinnao Kaiqiao" combined with PT,the control group B was given sham acupuncture therapy combined with PT.Each treatment was 3times/week,18 times in total.Clinical efficacy was assessed by lower extremity Part of simplified Fugl-Meyer Assessment Scale(sFMA-L),National Institute of Health Stroke Scale(NIHSS)and Modified Barthel Index(MBI)before the treatment and after 3,6 weeks,and calculate the efficient.Finally,acquired data was analyzed statistically by SPSS 26.0,statistical graph was drawn by Graph Pad 8.0,and evaluate results.Results:A total of 60 cases were included,0 case was shedding,and 60 cases were finally completed.1 Baseline dataComparing the gender,age,disease course,myodynamia,sFMA-L score,NIHSS score,MBI score,the difference between the groups was not statistically significant(P>0.05),ensuring the results comparable.2 Clinical efficacy2.1 EfficientEfficient of experimental group,control group A and control group B were 90%,95% and75% respectively.The difference between three groups in efficacy was statistically significant(P<0.01).The difference between experimental group and control group A was no statistically significant(P>0.05).The difference between experimental group and control group B was statistically significant(P<0.05).The difference between control group A and control group B was statistically significant(P<0.01).2.2 Scale scores(1)sFMA-L scores comparison:The interaction effect of “group*time” on scores had a obvious statistically significance(P <0.01).(1)time factor(comparison within groups): the overall difference of three groups at different time was statistically significant(all P <0.01).Between each two time within groups,all differences were statistically significant(all P <0.01).(2)group factor(comparison between groups): treatment for 3 weeks,the scores of experimental group was lower than control group A,but higher than control group B.Overall difference between three groups was statistically significant(P <0.01),and differences between each two groups was statistically significant(all P <0.01)besides difference between experimental group and control group B which was no statistically significant(P>0.05);treatment for 6 weeks,the scores of experimental group was lower than control group A,but higher than control group B.Overall difference between three groups was statistically significant(P <0.01),and differences between each two groups was statistically significant(all P <0.05).(2)NIHSS scores comparison:The interaction effect of “group*time” on scores had a obvious statistically significance(P<0.01).(1)time factor(comparison within groups): the overall difference of three groups at different time was statistically significant(all P <0.01).Between each two time within groups,all differences were statistically significant(all P <0.01).(2)group factor(comparison between groups): treatment for 3 weeks,the scores of experimental group was higher than control group A,but lower than control group B.Overall difference between three groups was statistically significant(P<0.01),and differences between each two groups was statistically significant(P<0.05,P<0.01)besides difference between experimental group and control group A which was no statistically significant(P>0.05);treatment for 6 weeks,the scores of experimental group was higher than control group A,but lower than control group B.Overall difference between three groups was statistically significant(P<0.01).Differences between each two groups was statistically significant(all P<0.01)besides difference between experimental group and control group A which was no statistically significant(P>0.05).(3)MBI scores comparison:The interaction effect of “group*time” on scores had a obvious statistically significance(P<0.01).(1)time factor(comparison within groups): the overall difference of three groups at different time was statistically significant(all P<0.01).Between each two time within groups,all differences were statistically significant(all P<0.01).(2)group factor(comparison between groups): treatment for 3 weeks,the scores of experimental group was lower than control group A,but higher than control group B.Overall difference between three groups was no statistically significant(P>0.05),and differences between each two groups was statistically significant(all P>0.05);treatment for 6 weeks,the scores of experimental group was lower than control group A,but higher than control group B.Overall difference between three groups was statistically significant(P<0.01).Differences between each two groups was statistically significant(P<0.05)besides difference between experimental group and control group A which was no statistically significant(P>0.05).Conclusion:1.Single acupuncture,acupuncture rehabilitation combination,single rehabilitation can effectively improve lower limb dyskinesia after ischemic stroke.Furthermore,acupuncture is superior to rehabilitation,but equal to combination therapy;2.Single acupuncture,acupuncture rehabilitation combination,single rehabilitation can promote neurological function rehabilitation and enhance activities of daily living abilities.Furthermore,acupuncture is superior to rehabilitation,and equal to combination therapy.