| According to the information of World Health Organisation (WHO), yearly-death rate is around 50 million in which about 4.4 million (around 9%) is caused by stroke. In USA, over 0.7 million people per year suffer of stroke and around 0.5 million is the first-time stroke. Recently, death rate caused by stroke becomes lower because of advance facilities of first aid and drugs. It induces higher rate of disability. Around 75% who have survived a stroke with different kinds of disabilities especially spastic hemiplegia, in which it appears to be muscle weakness and joint stiffness. The stroke survivors are suffering from dysfunction of joints with muscle spasms, joint stiffness, local swelling, burning pain at the site of injury, that is, loss the ability of self-caring and motion. It becomes a great burden to their families and the community. Because of aging population, stroke incidence is getting higher. As a result, number of pro-stroke spastic hemiplegia increase also. Due to the complexity, stroke survivors may not effectively cured by means of western medication, physiotherapy, surgery intervention, occupation therapy, rehabilitation therapy. Botulinum toxin A was introduced for the treatment of spasticity since 1989s. It is effective to relax muscle spasm and thus to reduce the painful from spasticity. However, even it claims that the side-effect is less treatment by BTX A is still facing many problems. Very high injection costs with short soften period (around 4-6 months), it needs to be re-injected after the period. Further, BTX A cannot improve the range of motion since it is a muscle relaxant instead of treatment. Besides, it may have so many side effects such as dysonia because botulinum toxin is a protein of neurotoxin. As a result, effective treatment of spastic hemiplegia is one of the major researches.It is effective for Chinese Acupuncture to cure stroke sequela such as pro-stroke cognitive problems, anosognosia, spastic hemiplegia, and paralysis etc. Development of Muscle Region Accupunture method is in match with the mentioned routes, syndromes, treating methods in Twevle Muscle region Theory and different needling methods. It is also effective to relax muscle spasm and to recover from paralysis. Due to the development of Anatomy, many clinical researches have proved Muscle Region Acupunture Method can obviously shorten the treatment period so as to reduce the pain and burden of stroke survivors and their family members.ObjectivesTo observe the treatment effect to neurological function of upper limb, upper limb motor functions, and integrated functions from pro-stroke spastic hemiplegia by Muscle Region Acupuncture Method. To investigate and evaluate the therapeutic effects of the two groups, Muscle Region Acupuncture and Traditional Acupuncture group seperately in order to develop evidence base treatment for spastic hemiplegia.Methods80 enrolled cases selected from Kinok Specialty TCM Clinic met the requirement of diagnostic criteria and inclusion criteria of pro-stroke spastic hemiplegia. The 80 enrolled cases were distributed into Test group and reference group by random with 40 cases in each group.Each group was given treatment 6 days per week. The treatment period for all groups was 4 weeks with 24 times treatment.Curing result evaluation:All groups were evaluated before treatment,2 weeks pro-treatment, and 4 weeks pro-treatment by means of Acute Stroke Diagnosis and curative effect evaluation criteria of State Administration of Traditional Chinese Medicine (2nd Standard), ADL, CSI, MAS, SFMA and NDS assessments in order to observe and analyze the treatment effect.Conelusion:The above six assessments indicated that all two groups have certain improvement after 4 weeks treatment.Evaluation of Test Group and Reference Group in Acute Stroke Diagnosis and curative effect evaluation criteria of State Administration of Traditional Chinese Medicine (2nd Standard) indicated that P<0.01 for both groups in inner group comparison with Independent T-Test and T=-6.486, P<0.01 for inter groups comparison in Paired Samples T-Test. It showed that Test group was better than Reference group.Evaluation with ADL, it indicated T=27.289, P<0.01 for Test group and T=21.127, P<0.01 for reference group in inner group comparison with Independent T-Test. T=3.418, P<0.05 for inter groups comparison in Paired Samples T-Test and it indicated that Test Group was better than Reference Group.Evaluation with CSI, it indicated P<0.05 for both groups in inner group comparison with Independent T-Test. P<0.01 for inter groups comparison in Paired Samples T-Test and it indicated that Test Group was better than Reference Group.Evaluation with MAS, it indicated Test Group TUE=19.068, P<0.05 and TLE=34.794, P<0.05 Reference Group TUE=17.074, P<0.05 and TLE=21.243, P<0.05, in inner group comparison with Independent T-Test. T=-4.128, P<0.01 for inter groups comparison in Paired Samples T-Test and it indicated that Test Group was better than Reference Group.Evaluation with NDS, it indicated T=29.361, P<0.01 for Test group and T=32.850, P<0.01 for Reference group in inner group comparison with Independent T-Test. T=-7.363, P<0.01 for inter groups comparison in Paired Samples T-Test and it indicated that Test Group was better than Reference Group.Evaluation with SFMA, it indicated TUE=41.445 and P<0.01,TLE=30.104 and P<0.01, TTotal=41.192 and P<0.01 for Test Group TUE=22.764 and P<0.01, TLE=24.378 and P<0.01, TTotal=24.468 and P<0.01 for Reference Group in the inner group comparison with Independent T-Test. Also, it indicated TUE=7.037 and P<0.01, TLE=2.153 and P<0.05, TTotal=5.883 and P<0.01 for inter groups comparison in Paired Samples T-Test and it indicated that Test Group was better than the Reference Group.Research showed that all two groups could improve the status of spasticity hemiplegia. Furthermore, they also had certain improvement to palm’s muscle strength and fingers mobility especially the Test Group. |
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