Clinical Observation On Myofascial-release Needling Therapy For Increased Muscle Tone After Stroke

ObjectiveThis study evaluated the muscle tension assessment,self-care ability in daily life and limb motor function of the two groups before and after treatment by observing m-yofascial-release needling therapy group and the traditional acupuncture group for the treatment of increased muscle tension after stroke,in order to evaluate the clinical effi cacy of myofascial-release needling therapy for the treatment of increased muscle tensi on after stroke.MethodsIn this study,a total of 45 subjects who met the criteria for stroke diagnosis and inclusion were selected from the Acupuncture and Rehabilitation Department of Wuqing Hospital of Traditional Chinese Medicine Affiliated to Tianjin University of Traditional Chinese Medicine from June 2020 to March 2022,and were randomly divided into treatment group and control group,with 23 patients in the treatment group and 22 patients in the control group.Both groups were given routine medical treatment and rehabilitation training according to the diagnosis and treatment guidelines.The treatment group was treated with myofascial-release needling therapy combined with routine acupuncture,and the control group was treated with traditional acupuncture combined with routine acupuncture.In the treatment group,subjects were treated with myofascial-release needling therapy twice a week,basic acupuncture six times a week,routine medical treatment and rehabilitation training for 4 consecutive weeks.Subjects in the control group received acupuncture 6 times a week,routine medical treatment and rehabilitation training for 4 weeks.Modified Ashworth scale,Barthel index assessment and Fugl-Meyer motor assessment were performed before treatment,2 weeks after treatment,4 weeks after treatment,1 month after treatment and 3 months after treatment,respectively.At the end of the trial,statistical data were analyzed to evaluate the clinical efficacy of the two acupuncture methods for patients with increased muscle tone after stroke.Results1.Modified Ashworth score assessment: after treatment,muscle tension was significantly reduced in both groups,and there was statistically significant difference in the improvement of muscle tension between the two groups(P<0.01).However,there was no statistically significant difference in muscle tension score between the treatment group and the control group at each period after treatment(P >0.05).2.Barthel index evaluation: After treatment,ADL ability was improved in both groups,and there was statistically significant difference between the treatment group and the control group before and after treatment(P<0.01).In comparison between groups,Barthel index of the treatment group was different from that of the control group 3 months after the end of treatment(P<0.05).3.Fugl-meyer Scale: FMA scores of both groups improved to some extent after treatment,and Fugl-meyer scale scores of the treatment group and the control group were significantly different before and after treatment(P<0.01).In comparison between groups,there was no statistically significant difference in the scores of Fugl-meyer scale at each period after treatment(P>0.05).4.Analysis of clinical efficacy: After the treatment,in the treatment group,10 cases were significantly effective,13 cases were effective and 0 cases were ineffective.In the control group,2 cases were effective,15 cases were effective and 5 cases were ineffective.The significant efficiency and effective rate of the treatment group and the control group were significantly different(P<0.05).The results show that myofascial-release needling therapy can relieve muscle tension more effectively and improve the ADL ability of patients.Conclusion1.The clinical symptoms of patients with increased muscle tone after stroke can be significantly improved by using the method of tendon pricking and traditional acupuncture therapy,and it can reduce the increased muscle tone after stroke,improve the ADL ability of patients and improve the limb motor function of patients,and the long-term effect is obvious.2.The significant efficiency and total effective rate of myofascial-release needling therapy in the treatment of increased muscle tone after stroke were better than that of traditional acupuncture.