Clinical Research On Effect Of Spasticity After Stroke Using Contralateral Puncture With Rehabilitation

Backgroud:After stroke,due to factors such as neurological disorders,primitive spinal reflexes,and lack of formal rehabilitation intervention in the early stage,some patients often left the tendon of the lateral limb,causing many harms to the patient.Severe patients even pose a threat to their lives.The biggest obstacle to the recovery of patient's motor function,but also increase the patient's care costs,family burdens,and greatly hindered the patient's return to the family and reintegration.So how to effectively control the occurrence of spasm,the improvement of spasticity is a difficult point of clinical treatment,but also a hot topic of rehabilitation scholars.Although there are many clinical treatment methods,these methods have their own characteristics and advantages,but also have deficiencies,such as the existence of large side effects,unsustainable role,expensive,high technical requirements.contralateral puncture is an ancient needling technique,is a kind of acupuncture technique of traditional Chinese medicine,after thousands of years of practice verification,its curative effect is exact,the side effect is few,the practicality is wide,the relative safety and so on characteristic,is accepted by the masses of people,but at present Bartholomew needling treatment hemiplegia limb spasm not to dig deeply and form uniform law,lack,has not formed a complete treatment system,each medical family becomes a faction,moreover the Chinese medicine to the apoplexy Cognition dialectical classification type is not clear,moreover the Chinese medicine lacks to the function obstacle evaluation method,causes it to have the relative limitation.This study used contralateral collateral needling to intervene in stroke patients with limb spasm,to observe whether Bartholomew needling combined rehabilitation technique can improve the degree of spasticity and improve the daily life ability of patients,seek a new method for the treatment of spasticity,and evaluate the efficacy and safety of contralateral collateral needling with scientific and reasonable scheme for the first time as well as provide the basis for clinical medicine.Methods:1)60 patients with spasticity after stroke were randomly allocated into two groups:the control group and the treatment group.Each group has 30 cases.2)the control group were given routine basic therapy(such as the positive control of blood pressure,regulating blood sugar,reducing cholesterin,resisting platelet aggregation),adding to rehabilitation therapy.Based on this,while the treatment group received contralateral puncture combined with rehabilitation therapy,Theaupoint prescription is jianyu,shouwuli,quchi,shousanli,waiguan,hegu for uppe limb,xuelingquan,yanglingquan,yinglingquan,zusanli,fenglong,sanyinjiao,taichong for lower limbs.Treatment once a day,five times weekly treatment,rest for two days,a course of treatment included 4weeks,lasted for 3 course.3)Evaluation of therapeutic effect:Before treatment and 3 courses after the treatment.Spasticity using the modified scale Ashworth(MAS)assessed spasticity,BI index to evaluate the activities of daily living subject.Results:1.baseline:There was no significant difference of age,course of disease,gender,diagnosis(western medicine),(p(27)0.05).2.Spasticity:The result of MAS(ModifiedAshworthScale)of the limbs were significantly improved at 3 course after the treatment(p(27)0.05)in both of group.The change of MAS is significant higher in treatment group than that of the control group.3.Activities of daily living(ADL):Both of group,there were significant differene inBMI after treatment(p(27)0.05).The change of BMI in treatment group was significant higher than that of control group.4.Side effects:No significantly side effect were found with in each group after treatment.Conclusions:1.Both two groups can relieve spasticity and inprove the activities of daily living.2.Compared with the single rehabilitation treatment,the contralateral puncture combined with rehabilitation treatment can help the spasticity recovery for patients after stroke and reconstruct the normal movement function.There is union effect of the contralateral puncture with rehabilitation treatment in the therapy of spastic hemiplegia patients after stroke.3.contralateral puncture is relatively safe method.