Clinical Observation On Treatment Of Hand Motor Dysfunction In Convalescent Stroke By Opposing Needling Combined With Exercise Therapy

Objective:To observe the clinical effect of opposing needling combined with exercise therapy on hand motor dysfunction in convalescent stroke.Methods:1.Sixty patients with hand motor dysfunction the convalescent phase of apoplexy,inclusion criteria of this study,randomly classified into a treatment group and a control group,with 30 cases in each group.2.On the basis of symptomatic treatment and rehabilitation training,the treatment group was treated with opposing needling combined with exercise therapy,while the control group was treated with conventional acupuncture.And both the two groups were treated 30 minutes once a day.There were 4 courses of treatment in this experiment of which 1 course lasted for 7days.The 6th day was the acupuncture day,and the 1st day was no acupuncture.3.Clinical efficacy after treatment was evaluated by FMA,WMFT and MBI.4.SPSS24.0 was used to process and analyze the relevant data during the experiment.The general information of the subjects included age and disease duration using independent sample T test,while gender and disease diagnosis were using Chi-square test.The rank-sum test was used for rank data.For the data on the scales related to the efficacy evaluation of hand motor dysfunction during stroke recovery before and after treatment,the T-test was used for those that conformed to the normal distribution,and the non-parametric test was used for those that did not conform to the normal distribution.Results:1.There was no statistical difference in the analysis of general information and the scores of each scale between the two groups of patients before treatment,which was comparable(P>0.05).2.After treatment,intra-group comparisons were made between the scores of each scale in the two groups.In the treatment group,the FMA,WMFT and MBI scores improved significantly compared with those before treatment,and the difference was statistically significant(P<0.05);in the control group,the scores of each scale increased compared with those before treatment,and the difference was statistically significant(P<0.05);this indicates that both treatment methods in this study are effective in improving hand function during recovery from stroke.3.After treatment,the scores of each scale were compared between the two groups.The FMA score,WMFT score and MBI score of the treatment group were all better than those of the control group,and the difference was a highly statistically significant(P<0.01),which demonstrated that the treatment group was more effective than the control group in improving hand function and improving the ability to perform daily activities.4.After 4 courses of treatment,the total effective rate was 90.0%in the treatment group and 70.0%in the control group,and the difference was statistically significant(P<0.05).Conclusions:1.Opposing needling combined with exercise therapy and conventional acupuncture therapy can improve hand motor dysfunction and improve quality of life in convalescent stroke.2.The therapeutic effect of opposing needling combined with exercise therapy on hand motor dysfunction in convalescent stroke is better than that of conventional acupuncture therapy,which is worthy of clinical promotion.