Stndy On The Effect Of Transcutaneous Electrical Acupoint Stimulation Baxie Point In Teating Hand Dysfunction For Stroke Patients With Spasticity

Objective:To observe the therapeutic effect and efficacy of transcutaneous electrical acupoint stimulation Baxie point in teating hand hypertonia after stroke by evaluating the degree of hand muscle tone, movment function and ADL. Thereby providing a new treatment method for the recovery of hand function disorder of stoke patients.Methods:60 stroke patients were randomly divided into test group(n=30) and control group(n=30). The test group and the control group were given conventional medical treatment and limb functional training, conventional limb functional training includes regular PT and OT. On the basis of conventional medical treatment and limb functional training, control group was treated by simulation transcutaneous electrical stimulation Baxie points, the test group was treated by real transcutaneous electrical stimulation Baxie points, while patients were guided to complete some exercise include patting desktop, gripping rubber ball and other training. PT and OT include 45 minutes training every time, electrical stimulation include 30 minutes training every time, one time a day, two weeks for a course of treatment, allpatients trained for two courses. Before training, after 2 weeks training and after 4 weeks training, all patients received assessment of Ashworth, simplified Fugl-Meyer, Barthel Index. And assessing the treatment efficacy of two groups after 4 weeks training to observe and compare two group in improving the hand function and activities of daily living of stroke patients.Results:1. Before treatment, two groups had no significantly difference(p>0.05) in Ashworth grading, Fugl-meyer score, ADL scores.2. After 2 weeks training, two groups had no significant difference(p>0.05) comparing with before training in Ashworth grading, but Fugl-meyer score and ADL scores was better than before training(p<0.05), and there was no difference(p>0.05) between the two groups(p>0.05) in Ashworth grading, Fugl-meyer score, ADL scores.3.after 4 weeks training, two groups had significant difference(p<0.05) comparing with before training in Ashworth grading, Fugl-meyer score, ADL scores, and the test group’s Ashworth grading, Fugl-meyer score was better than the control group(p<0.05), but there was no significant difference (p>0.05) in ADL scores between two groups(p>0.05).Conclusion:1. Transcutaneous electrical acupoint stimulation Baxie points combined with conventional limb function training and simple conventional limb function training can both reduce hand hemiplegia and improve hand function for stroke patients,and Transcutaneous electrical acupoint stimulation Baxie points combined with conventional limb function training is more significant.2. In reducing hand hemiplegia of stroke patients, short-term(2 weeks) of transcutaneous electrical acupoint stimulation Baxie points combined with conventional limb function training and simple limb function training showed no therapeutic effect, certain duration(4 weeks) treatment will have a therapeutic effect.3. transcutaneous electrical acupoint stimulation Baxie points combined with conventional limb function training and simple limb function training can both improved the activities of daily living of patients with stroke, and two treatment programs had no significant difference.