| Objective:To observe the effect on motor entry point acupuncture combined with electro-acupuncture for shoulder dysfunction after stroke and investigate the influence of Range of Motion (ROM) of shoulder and Activities of Daily Living (ADL).Method:In-patient participants with post-stroke shoulder dysfunction were evenly randomized to two groups. The control group received acupuncture treatment at LI15 (jian yu), LI14 (bi nao), LI11 (qu chi), LI10 (shou san li) and LI4 (he gu) (SA n=20); the treatment group were at the mid-third of deltoid, totally six needles (MEPA n=20). Each group received four weeks of acupuncture combined with electro-acupuncture treatment (each treatment lasted for 40 min,6 sessions per week) and each group received scalp acupuncture and routine rehabilitation training. Outcome measures were Range of motion (ROM), Fugl-Meyer (FMA) (upper limb), Activities of Daily Living (ADL) and manual muscle test (MMT). Statistic Package for Social Science (SPSS, ver.17.0, IBMInc., IL, USA) was used for the statistical analysis.Results:1. Forty in-patients (19 women,21 men; age range:35-75 years) were enrolled in this study; 2. The outcomes showed that there was significant improvement on shoulder dysfunction in both groups after treatment and the significant difference between the two groups (P<0.01); 3. There were improvements of FMA in both groups and the significant difference between the two groups (P<0.01); 4. There were improvements of ADL in both groups and the significant difference between the two groups (P<0.01); 5. There were improvements of ROM in both groups and the significant difference between the two groups (P<0 .01).Conclusion:1. Motor entry point acupuncture combined with electro-acupuncture could improve the strength and exercise ability of deltoid in post-stroke patients with shoulder dysfunction; 2. Motor entry point acupuncture combined with electro-acupuncture could improve activities of daily living in post-stroke patients with shoulder dysfunction. |
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