Clinical Observation On The Effect Of Sun’s Scalp Acupuncture On Motor Dysfunction After Ischemic Stroke

Objective:The clinical efficacy of the "Transcranial Repetitive Acupuncture Method"(hereinafter referred to as "Sun’s Acupuncture Method")of Sun Shentian,a national medical master,on motor dysfunction after ischaemic stroke was observed.The method was used to investigate the effect of Sun’s acupuncture on the energy of the motor areas of the cerebral cortex and related brain areas after stroke,and to provide clinical evidence for the promotion of Sun’s acupuncture.Methods:The 60 patients who met the inclusion criteria were randomly divided into three groups: Sun’s head acupuncture group,head electro-acupuncture group and control test group.20 patients in each group were randomly divided into three groups: Sun’s head acupuncture group,head electroacupuncture group and control test group.In the control group,the needles were left in place after obtaining Qi;in the head electro-acupuncture group,the needles were started after 30 minutes of continuous wave stimulation with an electro-acupuncture device at 2Hz;in the Sun’s head acupuncture group,the head motor area was stimulated with 200 strokes per minute using the transcranial repetitive acupuncture method,and the needles were left in place for 30 minutes,with a 5min break every 5min twist.The treatment was carried out 3 times.Patients in each group were treated for 5 consecutive days with a break of 2 days,for a total of 21 days.Evaluation methods: The Fugl-Meyer Motor Assessment(FMA)and Wolf Motor Function Test(WMFT)were used to assess the rehabilitation results before the first treatment and after the last treatment;resting EEG was collected before the first treatment,after the first treatment and after the last treatment.Resting EEG was collected before the first treatment,after the first treatment and after the last treatment,and the statistically significant distribution of EEG indicators in the alpha band,beta band,theta band and delta band was analysed to compare the first treatment with the last treatment.Statistical analysis: All statistical analyses of the data in this study were performed using SPSS26.0statistical software.The t-test or ANOVA was used for measurement data conforming to a normal distribution,the chi-square test was used for count data,and the rank sum test was used for data not conforming to a normal distribution.Results1.Comparison of baseline dataA total of 60 patients were included in this trial,5 cases were shed and3 cases were excluded,resulting in a final completion of 52 cases.There were 18 cases in the Sun’s head acupuncture group,17 cases in the head acupuncture electro-acupuncture group and 17 cases in the head acupuncture control group.The differences in gender,age,disease duration,FMA score and WMFT score among the three groups were not statistically significant(P>0.05)2.Evaluation of clinical efficacyAfter 3 weeks of treatment,the total effective rate of the Sun’s head acupuncture group,the head electroacupuncture group and the control test group were 94.4%,76.5% and 52.9% respectively,so it can be seen that the Sun’s head acupuncture group was better than the head electroacupuncture group than the control test group,and the difference was statistically significant.Among them,the total effective rate of Sun’s head acupuncture was significantly better than that of the head electroacupuncture group and the control test group,and the difference was statistically significant(P<0.05).The efficacy of the head electro-acupuncture group was better than that of the control test group,and the difference was statistically significant(P<0.05).3.Comparison of FMA and WMFT scoresThe FMA score,FMA-Upper score,FMA-Lower score and WMFT score of the Sun’s head acupuncture group,head electro-acupuncture group and control trial group were all significantly higher than those before treatment,especially the Sun’s head acupuncture group,the difference between the three groups before and after treatment was statistically significant(P<0.05),while the score of the Sun’s head acupuncture group was better than that of the head electro-acupuncture group,the difference was statistically significant(P< The difference was statistically significant(P<0.05).4.Comparison of standardized power values of each lead of EEGAfter the first intervention,the leads with statistically significant differences(P<0.05)between the Sun’s head acupuncture group and the pretreatment group were PO9 and Oz leads in the δ-band,CP1 and Fp2 leads in the α-band,and CP1 leads in the β-band and θ-band,respectively.The lead with statistically significant(P<0.05)difference between the head electroacupuncture group and before treatment was FT10 lead in the theta band.The immediate standardized power values for each lead in the delta,alpha and beta bands were not statistically significant(P>0.05)from before treatment.After the final intervention,the leads with statistically significant differences(P<0.05)between the Sun’s head acupuncture group and before treatment were PO9,T8 and Oz leads in the δ-band,T7,PO9,CP1,FC6 and Fp2 leads in the θ-band,Fp2 leads in the α-band,and PO9,CP1 and Fp2 leads in the β-band.The lead with a statistically significant difference(P<0.05)between the head electroacupuncture group and before treatment was the Fz lead in the β-band.Conclusions:1.The three acupuncture intervention methods in the Sun’s head acupuncture group,the head electroacupuncture group and the control trial group all improved the degree of neurological deficits and motor function after stroke to different degrees.In all three groups,the overall efficiency of Sun’s head acupuncture stimulation and head electroacupuncture stimulation was better than that of the control test group,with head acupuncture stimulation being better than electroacupuncture stimulation.2.The top and occipital regions of the dominant hemisphere,and the frontal and temporal regions of the non-dominant hemisphere produced significant energy redistribution after acupuncture of the scalp motor areas using Sun’s transcranial repetitive acupuncture method,demonstrating that Sun’s head acupuncture method was able to activate more brain regions than the other two groups of acupuncture methods.