| ObjectiveBased on high morbidity, high disability, difficult cure rate of the limb spasticity after stroke, this study used fire needles scattered thorn the Yang meridians cutaneous of spasticity limb after stroke, in contrast with conventional needle and rehabilitation in Both groups were evaluated before and after treatment, observing muscle strength and motor function, and safety of the fire needle therapy, and investigating the satisfaction of patients or their families, aimed at a comprehensive evaluation of the fire on the efficacy of acupuncture needles scattered limb spasticity after stroke, intends to explore the advantages of fire needle therapy in limb spasticity after stroke, and provide the basis for clinical application.Methods60hospitalized patients of limb spasticity after stroke were randomly divided into fire needle with regular acupuncture-rehabilitation group and the regular acupuncture-rehabilitation group, two groups of30cases. Treatment:Both groups were given basic treatment, regular acupuncture-rehabilitation is applied by the control group,1times a day, rest one day a week for treatment12times; fire needle therapy group applied fire needle scattered the cutaneous region of Yang meridians and combing acupuncture-rehabilitation, the fire needle treatment every other day, a total of6treatments. Modified Ashworth Scale (MAS)was used to assess the degree of hemiplegia Spasm, simplified Fugl-Meyer Motor Scale (FMA) to evaluate the motor function of hemiplegia limb, manual muscle assessment form (MRC) to record the muscle strength of hemiplegia limb, In addition, safety of the fire needle, the satisfaction of patients or their families were record. Results1. Aspects of muscle tension effect:after2weeks treatment, the efficacy of upper limb spasticity, the total efficiency of86.7%in the treatment group,63.3%in the control group, the difference was significant (P<0.01); the efficacy of lower limb spasticity, the total efficiency of93.3%in the treatment group,66.7%in the control group, the difference had statistically significant (P<0.05).This indicated that two groups can improve the upper and lower limb spasticity after stroke, and The former is superior to the latter.2. Limb motor function:both groups were improved for the hemiplegic limb FMA action (treatment group P<0.01, the control group P<0.05), and the difference was significant (P<0.01), the treatment group is better than the control group. Among them, the treatment group had obvious effect to the FMA of upper and lower limb respectively (P<0.01), the control group had no significant effect on the improvement of upper limb FMA (P>0.05), had statistically significant of lower limb FMA (P<0.05), the differences of two groups were significant (P<0.01).3. Hemiplegic limb muscle strength:the upper limb:muscle strength of proximal upper limb, groups were improved (treatment group P<0.01, control group P<0.05), but the difference was not statistically significant(P>0.05), muscle strength of distal and terminal upper limb, two groups was no significant difference (P>0.05); the lower limb:the difference of treatment group on the improvement of the lower limbs distal proximal muscle function was significant (P<0.01) but the improvement of the lower limbs terminal muscle function was no statistically significant (P>0.05); in the control group, the improvement of the proximal lower limb muscle strength had statistically significant (P<0.05), lower limb distal and terminal muscle strength improvement was not statistically significant (P>0.05). After treatment of proximal lower limb muscle strength differences are significant (P<0.01), lower limb distal has difference (P>0.05), lower limb terminal was no difference (P>0.05).4. Comparison of treatment safety:during treatment, except one person appears rash at the local fire needle, the next day rash faded naturally and symptoms disappeared. Fire needle scattered was proofed with high security.5. Satisfaction Survey:the satisfaction survey showed that the two groups, P<0.01, the difference was significant, fire needle combing regular acupuncture-rehabilitation is more accessible to get the patients and their families to very satisfied.ConclusionFire needle combined with acupuncture-rehabilitation treatment is more efficient than acupuncture-rehabilitation treatment in curing hemiplegia spasm after stroke. It can significantly improve the high muscle tension, spasticity and the motor functions of hemiplegia limb especially in the muscle strength of the proximal and distal limbs. At the same time, with high security, fire needle gets higher satisfaction rate. |
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