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The Curative Effect Of Spastic Paralysis After Stroke Treated With Tuina Therapy And Bobath Therapy

Posted on:2015-10-11Degree:MasterType:Thesis
Country:ChinaCandidate:H K WangFull Text:PDF
GTID:2284330431980115Subject:Acupuncture and massage to learn
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Spastic paralysis after a stroke is a" stroke sequelae" category, which is still away from the dialectic of stroke overall dialectical, stroke sequelae after treatment is the legacy of Kouyanwaixie, language disadvantage, hemiplegia and other symptoms in general. In a stroke of a serious threat to human health has become a major disease, according to statistics, there are over200million newly issued cerebrovascular disease each year, of which about1.5million people die of the disease, most patients surviving legacy has dominated with hemiplegia dysfunction. Stroke patients often accompanied by spastic paralysis,1-3weeks after flaccid paralysis in many patients after a stroke. Is transferred to spasm of hemiplegia. Spastic paralysis direct impact on the rehabilitation of patients and affect the quality of life of patients. The first few days after the onset of rehabilitation should begin treatment to prevent the habit of abandoned limb to prevent the formation of disuse of the affected patients, to stimulate the patient’s desire to regain a normal life. Bobath therapy and massage therapy is an effective means of spastic paralysis, massage therapy comfortable and safe, non-toxic side effects, efficacy is clear that the treatment of the masses willing to adopt. One is the treatment of post-stroke spasticity is currently the most common treatment. However, limited mainly passive movement based massage, it can not mobilize the initiative of the patient in the treatment process. Bobath therapy is theoretically able to supplement traditional massage neglect of patients during treatment initiative, advocating the inherent characteristics of the movement was originally human, feeling the movement can be acquired through continuous learning to get. The clinical study is starting from the Bobath therapeutic massage and modern technology combined with an effective way to build a fusion of spastic paralysis stroke rehabilitation theoretical system of two postmodern massage rehabilitation methods, both Chinese massage development, but also for the clinical treatment up spastic paralysis after a stroke to provide evidence.ObjectiveBobath therapy clinical efficacy combined with spastic paralysis after stroke by observing Tuina therapy. Its rationality and feasibility studies, to provide clinical evidence for rapid clinical recovery after stroke in patients with spastic paralysis.MethodsAfter the study design will meet the requirements of60cases of spastic paralysis stroke patients were randomly divided into two groups and different treatment, which combines experimental group received Tuina treatment Bobath therapy, the control group Bobath therapy treatment. Patients were assessed using the modified Ashworth Credit Rating Scale and Fugl-Meyer score before and after treatment. The data is then processed and analyzed, the two methods spastic paralysis after stroke scientific efficacy evaluation, the system.ResultsTwo groups of patients’ gender, age, duration of treatment and the former Modified Ashworth Scale score and Fugl-Meyer scores were compared, there was no statistical significance (P>0.05), comparable.On the Modified Ashworth Scale score improved upper limb dystonia were analyzed after treatment experimental group and control group score significantly higher than before treatment, the difference was statistically significant (P<0.05), whereas no significant difference in the test group and the control group score, the difference was not statistically significant (P>0.05).On the Modified Ashworth Scale score improved lower extremity muscle tone analysis, the treatment group and the control group test score higher than those before treatment, the difference was statistically significant (P<0.05), while the experimental group score higher, the difference was statistically significance (P<0.05).Fugl-Meyer scale for upper limb motor function score improvement analysis, the treatment group and the control group test score higher than those before treatment, the difference was statistically significant (P<0.05), while the experimental group score higher, the difference was statistically significance (P<0.05).Fugl-Meyer scale for lower extremity motor function score improvement analysis, the treatment group and the control group test scores were significantly higher than before treatment, the difference was statistically significant (P<0.05), whereas no significant difference in the test group and the control group score, the difference was not statistically significant (P>0.05).Overall for the Fugl-Meyer scale analysis of motor function score improved after treatment experimental group and control group score higher than before treatment, the difference was statistically significant (P<0.05), while the experimental group score higher, the difference was statistically significance (P<0.05).ConclusionBobath therapy combined with Tuina therapy and spastic paralysis after a stroke has clinical efficacy. Bobath therapy using Tuina combined with spastic paralysis after a stroke has significant clinical efficacy, especially in the overall improvement in motor function in patients with lower extremity muscle tone better than Bobath therapy, and in-depth study should be widely applied.
Keywords/Search Tags:Tuina, Bobath therapy, stroke, spastic paralysis
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