The Clinical Research Of Electroacupuncture At Hegu For The Recovery Of Wrist Dorsiflexion Due To Stroke

Objective: In patients with stroke wrist dorsiflexed dysfunction is difficult to restore the problem of acupuncture to improve the existing methods of objective evaluation of Surface Electromyography Activity Hegu puncture method of acupuncture wrist extension function of the affected side and verify the clinical efficacy .Methods: 40 patients with stroke were randomly divided into two groups on the basis of conventional rehabilitation combined with acupuncture treatment, the second day, for 20 days. Control group, three hand-selected, the external relations, given 2Hz electroacupuncture continuous wave, intensity of stimulation to patients resistant to the naked eye can see clearly for the degree of muscular contraction, 30 minutes for each treatment; treatment group selected on the cheap, foreign relations Caves stabbed by gu EA to 50Hz 1:1 continued intermittent wave breaking, stimulus intensity to lead to repeated wrist dorsiflexed for the degrees, 15 minutes for each treatment. Collected before treatment in patients with ipsilateral, post-treatment when the wrist dorsiflexed active muscle (long extensor carpi radialis) of the sEMG signal, extract the maximum value (MAX), integral EMG (IEMG), using MAX, IEMG, wrist range of motion ROM, Fugl-Meyer Scale (wrist hand), Barthel ADL index, and in accordance with neurological deficit score (upper) The calculation of efficiency as an index to evaluate efficacy, research Hegu barbed needle move on clinical efficacy.Results:1 after treatment patients were affected side wrist dorsiflexed active muscle (long extensor carpi radialis) MAX, IEMG were improved, and the treatment group than the control group;2Two groups after treatment in patients with wrist range of motion ROM, Fugl-Meyer Scale (wrist hand), Barthel ADL index scores improved, and the treatment group than the control group;3 patients were neurological deficit scores after treatment (upper limbs) were significantly different and the treatment group than the control group, total effectiveConclusion:1 A dynamic method Hegu barbed needles can increase the muscle ipsilateral wrist dorsiflexed active muscle contraction ability and the working capacity per unit time, thereby enhancing the ipsilateral extensor muscle strength.2 Hegu thorn EA fixed method can improve the affected side wrist activity and daily living skills, and wrist extension function after stroke is effective and recovery.