Comparative The Study Use Low Frequency Electrica L Acupoint Stimulation And Electroacupuncture Fo R Upper Limb Dysfunction Of Spasticity In Post-Stroke Patients

Objectives:For the post-stroke patients who have upper limb spasticity are given routine acupuncture treatment, for the post-stroke patients who have muscle tension level by giving individual muscle flexion are given alternating low-frequency pulse acupuncture treatment. Compare both treatment results for spasticity in order to optimize treatment regimens for clinical treatment provided new ideas.Methods1. Select the stroke patients who meet criteria60patients are randomly divided into control and treatment groups.2. Two groups of patients are based on conventional rehabilitation therapy, the control group is given limbs in good position electric body acupuncture, acupuncture Points are Jian yu、Bi nao、Qu chi、Shou san li、 Wai guan、He gu, Electro-acupuncture select2Hz continuous wave, total28days each day for30minutes.Divided into4level of treatment groups according to the level of muscle tone, giving individual muscle flexion alternating low-frequency pulse electric acupuncture, selection of points Qing leng yuan、Bi nao、Shou san li、Wai guan、Nei guan、Xi me、Yu ji、Da ling,use the three generations of flexion and extension muscle power alternating low-frequency pulse therapy device, choose50Hz intermittent waves, the intensity of stimulation to patients with lift wrist and wrist flexion movement for the degree. Total28days each day for30minutes. Evaluation again on the7day,14day and21day of the treatment, giving new treatment options based on the new classification.3. Before the treatment and after the treatment use surface EMG, Modified Ashworth Scale for spasticity, ROM measure, Fugl-Meyer Assessment Act, Barthel ADL index evaluation, neurological deficit score CSS assessed, Respectively.4. Statistical analysis use SPSS13.0statistical software, use Ridit level data analysis for measurement, T and so on.Results1. After treatment both groups sEMG eigenvalues for MAX and IEMG are increase, there is a significant difference (P<0.05) compared with before treatment. The MAX data difference and IEMG data difference from treatment group (after treatment higher than before treatment) higher than control group, so the treatment group better than the control group.2. Ashworth spasticity scale by Ridit analysis, the Mean of treatment group R is0.599166,, confidence intervals do not overlap, ROM measure, Fugl-Meyer scale, Barthel ADL Index score showed that the treatment group difference (after treatment higher than before treatment) is higher than control group. Neurological deficits rating scale show that the treatment group difference (after treatment less than before treatment) is always higher than control group. The efficiency of the treatment group is higher than control group, there are significant differences (P<0.05).Conclusions1. Flexor-extensor alternating low-frequency pulse therapy acupuncture can relieve upper limb spasticity also improve post-stroke patients upper limb motor function and activities of daily living, the Treatment group clinical efficacy better than the Control group2. Grading the level according to post-stroke patients upper limb muscle tension level, are given different flexor-extensor alternating low-frequency pulse acupuncture treatment for individualized treatment let the treatment are more targeted, so it improved clinical efficacy.