| ObjectiveThe purpose of this study was to investigate the clinical effect on treatment of chirismus post-stroke by electroacupuncture therapy on base of modern rehabilitation and penetration needling, to explore the mechanisms of electroacupuncture and provide the clinical basis for the use of electroacupuncture after penetration needling.MethodsThis study selected 60 cases of inpatients from Guangdong Second Traditional Chinese Medicine Hospital during May 2015 to March 2016. All the patients met the inclusion criteria and was divided into electroacupuncture group(EA group) and control group with a randomized controlled method. Each group included 31 cases. Both the EA group and the control group received oral treatment according to the patient’s basic condition. Meanwhile, corresponding modern rehabilitation training was given to both groups for their specific physical dysfunction after stroke. On this basis of these treatment, the EA group received penetration needling with the accupoint of LI4、SI3、TE9、TE5 LI5、LI6, and then received electroacupuncture, except LI4 and SI3, after the arrival of Qi.2/100Hz frequency density wave was used.The control group was given the same treatment, in addition to electroacupuncture, of the EA group. Acupuncture treatment of both groups was given 30 minus once a day, one-day rest on Sunday, and three weeks for a course of treatment. The Modified Ashworth Scale(MAS), the hand part of clinical Neurological Deficit Score (NDS) and simplify Fugl-Meyer Assessment Act(FMA) were adopted to evaluated the clinical effect before and after the whole study.Results1. The changes of Modified Ashworth Scale(MAS):Before the treatment, the difference of MAS between two groups was not statistically significant(P> 0.05), showing that the muscle tension between the two groups were comparable before the treatment. After treatment, the MAS was adopted to evaluate finger muscle tension between after and before treatment for the two groups. The differences were statistically significant(P<0.05). On the side of reliving figer muscle tension, EA group were cured 14 people,13 people improved, the total effective rate was 90.00%. In the control group were cured of 5 people, 18 people improved, the total effective rate was 76.67%, and the difference between the groups was statistically significant (P<0.05). It showed that modern rehabilitation training combined with simple-penetration needling therapy could effectively reduce the hand spasticity post-stroke, and the electroacupuncture therapy can significantly improve its efficacy.2. The changes of the hand part of clinical Neurological Deficit Score (NDS): Before the treatment, the difference of NDS between two groups was not statistically significant (P>0.05), showing that the muscle strength between the two groups were comparable before the treatment. After treatment, the NDS was adopted to evaluate finger muscle strength between after and before treatment for the two groups. Both groups had lower NDS score comparing with that before treatment, and these differences were statistically significant (P <0.05). Besides, when the two groups were compared the NDS score difference before and after treatment, the difference of the EA group was larger than the one of the control group, and it was statistically significant (P<0.05). It showed that modern rehabilitation training combined with simple-penetration needling therapy can effectively enhance the hand muscle strength after stroke, and the electroacupuncture therapy can significantly improve its efficacy.3. The changes of the hand part of simplify Fugl-Meyer Assessment Act(FMA): Before the treatment, the difference of FMA between two groups was not statistically significant(P>0.05). The motor function of hand between the EA groups and the control group were comparable too. After treatment, the FMA was adopted to evaluate finger motor function between after and before treatment for the two groups. Both groups had higher FMA score comparing with that before treatment, and these differences were statistically significant (P < 0.05). After treatment, the FMA’s differences of both groups were statistically significant (P<0.05) comparing with before treatment. Besides, when the two groups were compared FMA score difference before and after treatment, the difference of the EA group was larger than the one of the control group, and it was statistically significant (P<0.05). It showed that modern rehabilitation training combined with simple-penetration needling therapy can effectively improved the motor function of hand after stroke, and the electroacupuncture therapy can significantly improve its efficacy.Conclusions:In the treatment of chirismus post-stroke, modern rehabilitation training combined with penetration acupuncture therapy could reduce the hand spasticity, enhance the hand muscle strength and improved the motor function of hand, and electroacupuncture therapy could significantly strengthen its clinical efficacy. |
PDF Full Text Request