Loose Joint Technology With Acupuncture Clinical Research For The Treatment Of Shoulder Hand Syndrome After Stroke

purposeThis topic through the adoption of loosening technique associated with acupuncture treatment,the treatment effect of patients with shoulder hand syndrome,physical exercise capacity,scope of activities,joint pain and edema,etc relatively comprehensive observation and to make a comprehensive analysis of the results achieved,aims to explore the effective treatment of shoulder hand syndrome after stroke treatment,providing a new method for clinical treatment.methodsAccording to chronological sequence of patients admitted to hospital with the method of randomized controlled trials,will conform to the standard of 60 patients with shoulder hand syndrome after stroke were randomly divided into treatment group(acupuncture plus loose joint technology group)30 cases and control group(routine rehabilitation group),30 cases.Foundation treatment: two groups all use cerebrovascular disease drugs commonly used to improve microcirculation maleic acid to guangxi pp qi injection 320 mg,adding 0.9% sodium chloride injection of 250 ml,once a day still point treatment,treatment for 14 days.Treatment group: the loose joint technology primarily recovery technology on one side of shoulder joint treatment,treatment for 30 minutes each time,once a day,six days rest for a day,seven days for a period of treatment,cooperate with acupuncture side shoulder Yu,li 11,hand three mile,valley,retaining needle,30 minutes daily treatment time,take a day off every six days,seven days for a course of treatment.After three course of rehabilitation function evaluation.Control group: the predominantly of motion and muscle strength training routine rehabilitation training for treatment of upper extremities,treatment for 30 minutes each time,once a day,a day off every six days,seven days for a period of treatment,the treatment of patients recovered after three course evaluation function.Two groups before and after treatment,respectively,using visual analogue scale(VAS),the simplified Fugl-Meyer motor function assessment assessment(FMA),joint mobility,in patients with edema criteria evaluation of lateral limb pain,limb motor function,shoulder joint activity scope changes,edema,etc,thus for curative effect analysis.resultsTwo groups of patients before treatment of gender,age,shoulder joint activity,edema scores,VAS score by the statistical test,there was no statistically significant difference(P > 0.05),comparable.Compare the efficient after treatment in both groups,the treatment group total effective rate was 93.3%,control group total effective rate was 70.0%,X2 = 6.289,P = 0.043,treatment group curative effect is better than that of control group,the difference statistically significant(P < 0.05).Results after treatment group,the treatment group and control group after treatment with various evaluation standards are better than the before treatment,the result of the differences statistically significant(P < 0.05).Results between groups after treatment,the treatment group,edema scores shoulder joint mobility,VAS score results are better than the control group,the difference is statistically significant(P < 0.05),the results of FMA,P = 0.490,there was no statistically significant difference(P > 0.05).conclusionCompared with the simple routine rehabilitation training,joint loose technology combined acupuncture treatment of shoulder hand syndrome after stroke,can significantly reduce risk of side body pain,swelling,increase the shoulder range,on one side limb function have certain improvement effect,can improve the body symptoms,reflected the stroke sequela the effect of comprehensive rehabilitation treatment.