Clinical Observation On The Post-Stroke Spasticity Of The Hand By Acupuncturing The Meridian Tendon Surround The Dorsal Carpal

Objective:To observe and discuss the clinical efficacy of the treatment to the post-stroke spasticity of the hand by accupucturing the meridian tendon surround the dorsal carpal with clinical assessment scales,looking for much more better therapeutic schedules to treat the post-stroke spasticity of the hand and improving the dysfunction of the hand after stroke and living ability.Methods:Collected 60 patients in the post-stroke spasm stage,with hand spasticity,and met the inclusion criteria. By random assignment,they were divided into treatment group and control group with 30 cases in each group. According to Jingjin theory,the treatment group used the treatment of accupucturing the meridian tendon surround the dorsal carpal. Took the upper and the lower dorsal carpal meridian tendon in pairs and connected the needles with electric acupuncture therapeutic instrument, used rarefaction wave with the positive electrode connecting the proximal one and the negative electrode connecting the distal one. The intensity of stimulation was based on the tolerance of the patients and the fingers’movements of extensor and abduction.Control group:accupuctured the WaiGuan and HeGu point of the diseased limb. Frequency:twice a day,Time:30 minutes, to treat 6 days a week for 4 weeks. Collected the modified Ashworth scale, Brunnstrom hand movement function evaluation table, Lindmark hand function evaluation, neural function defect score before and after the treatment of the treatment group and control group,and compared the statistical results.Results:1.Before the treatment, the Statistical tests of the two groups showed that P>0.05 in age, gender, disease duration and nature.There were no significant differences and statistically significant, comparable.2. In the treatment group by accupucturing the meridian tendon surround the dorsal carpal,The immediate effect of modified Ashworth scale had a significant difference from that before the treatment3.The results of the two groups in modified Ashworth scale,Brunnstrom and the scores of Lindmark after the treatment had a significant difference from that before the treatment,The difference was statistically significant(P<0.05). and the treatment group was better than the control group.4. The neural function defect score’s total efficiency is 80% by accupucturing the meridian tendon surround the dorsal carpal and 56.7% of the control group.There is a significant difference between the treatment group and control group, the curative effect of the treatment group is better than the control group.Conclusion:1. The modified Ashworth scale had an immediate effect of the treatment group by accupucturing the meridian tendon surround the dorsal carpal and better than the control group.After the treatment, accupucturing the meridian tendon surround the dorsal carpal and the WaiGuan and HeGu point both could reduce the muscle tone of the post-stroke hand and the former treatment had much more significant effect.2. The treatment method of acupucturing the meridian tendon surround the dorsal carpal and WaiGuan and HeGu point had advantage to the recovery of the post-stroke hand’s movement and the ability of the nerve.and the treatment of acupucturing the meridian tendon surround the dorsal carpal had a better effect.