Effects Of Catgut Embedding At Acupoints On Plantar Pressure And Lower Limb Motor Function In Stroke Patients With Hemiplegia

Research Objective: To observe the effect of catgut embedding at acupoints on plantar pressure and lower limb motor function in stroke patients with hemiplegia.Research Method: According to the principle of random grouping,98 patients with stroke hemiplegia were randomly divided into routine treatment group and catgut embedding group,49 cases in each group,and 96 cases were finally completed,48 cases in each group.Routine treatment group: routine acupuncture and rehabilitation training were given in the routine treatment of basic diseases;catgut embedding group: catgut embedding at BL15,BL18,BL20,BL23(both sides above),RN6 and RN4 acupoints on the basis of routine treatment group.The above two groups were treated for 3 weeks.Clinic spasticity index(CSI),Berg Balance Scale(BBS),Fugl-Meyer Lower Limb Motor Function Assessment Scale(the lower limb FMA)were evaluated and tested in both groups before and after treatment for 3 weeks.The plantar pressure was measured in both groups before treatment and 1,2 and 3 weeks after treatment.In addition,the catgut embedding group was added immediately to test plantar pressure after catgut embedding.Research Results:(1)The results of CSI scoring showed that after 3 weeks of treatment,the CSI scores of the two groups were lower than those before treatment.There were significant differences between before and after treatment in catgut embedding group(P<0.05).There were no significant differences between before and after treatment in routine treatment group(P>0.05).There were no significant differences between the catgut embedding group and the routine treatment group after 3 weeks of treatment(P>0.05).(2)The results of the Berg Balance Scale(BBS)scoring study: BBS scores of the two groups were improved after 3 weeks of treatment.There were significant differences between before and after treatment in catgut embedding group(P<0.01).There were significant differences between before and after treatment in routine treatment group(P<0.05).There were significant differences between the catgut embedding group and the routine treatment group after 3 weeks of treatment(P<0.05).(3)Results of Fugl-Meyer Lower Limb Motor Function Assessment Scale(the lower limb FMA)Score Research: After 3 weeks of treatment,the lower limb FMA scores of the two groups were improved compared with those before treatment.There were significant differences between before and after treatment in catgut embedding group(P<0.01).There were significant differences between before and after treatment in routine treatment group(P<0.05).There were no significant differences between the catgut embedding group and the routine treatment group after 3 weeks of treatment(P>0.05).(4)The results of the study on the percentage of static plantar pressure of affected foot showed that the percentage of static plantar pressure of affected foot in the catgut embedding group was significantly different before and immediately after catgut embedding(P<0.01),indicating that the immediate effect of the percentage of static plantar pressure of affected foot after catgut embedding was significant.There were significant differences in the percentage of static plantar pressure both of the catgut embedding group and the routine treatment group before treatment and after 3 weeks of treatment(P<0.01,P<0.05).In the analysis of repeated measurements,P<0.05 of the intersubjective effect grouping(treatment method)indicated that there were differences in the percentage of static plantar pressure between two groups;P<0.05 of the time indicated that the percentage of static plantar pressure of the affected foot changed with time in both groups;P<0.05 of the time * group indicated that the effect of different treatment methods on the percentage of static plantar pressure of the affected foot changed with time.At each time point,there were significant differences in the percentage of static plantar pressure between two groups after 1 week of treatment(P<0.01),and there were no significant differences between two groups after 2 and 3 weeks of treatment(P>0.05).(5)The results of dynamic bipedal peak pressure study showed that there were significant differences in the peak pressure of both feet's first metatarsal,middle foot and medial heel in the catgut embedding group before and immediately after catgut embedding(P<0.01,P<0.05);there were no significant differences in the other parts(P>0.05).In the catgut embedding group,there were significant differences in the first toe of affected foot,the first metatarsal of affected foot,the third metatarsal of affected foot,the middle part of both feet and the medial heel of both feet before and after 3 weeks of treatment(P<0.05,P<0.01),but there were no significant differences in the other parts(P>0.05).In the routine treatment group,there were significant differences in the first metatarsal of affected foot,middle part of healthy foot and medial heel of both feet before and after 3 weeks of treatment(P<0.05),but there were no significant differences in other parts(P>0.05).In the analysis of repeated measurements,P<0.05 of the intersubjective effect grouping(treatment method)of the first toe of affected foot,the first metatarsal of affected foot and the middle part of both feet showed that there were significant differences in the peak pressure between the two groups;P<0.05 of the time of the first toe of affected foot,the first metatarsal of both feet,the third metatarsal of affected foot,the middle part of both feet,medial heel of both feet,and lateral heel of healthy foot for the peak pressure showed that the peak pressure of them changed with time in both groups;P<0.05 of the time * group of the first metatarsal of affected foot showed that the time and the treatment methods of each group have interaction,indicating that the effect of different treatment methods on the peak pressure of it changed with time.At each time point,there were significant differences in peak pressure of the first toe of affected foot between the two groups after 1 week of treatment(P<0.05);there were significant differences in peak pressure of the first metatarsal of affected foot between the two groups after 1 and 2 weeks of treatment(P<0.01);and there were significant differences in peak pressure of the middle part of affected foot between the two groups after 1 and 2 weeks of treatment(P<0.01,P<0.05).There were significant differences in the peak pressure of the middle part of healthy foot between the two groups after 1,2 and 3 weeks of treatment(P<0.01,P<0.01,P<0.05).Conclusion: Catgut embedding at BL15,BL18,BL20,BL23(both sides above),RN6 and RN4 acupoints can change the balance ability,lower limb motor function and plantar pressure of stroke patients with hemiplegia.