Analysing The Effect Of Moving Cupping Therapy Of Bladder Meridian On Hemiplegic Gait After Stroke Based On Footscan

Research Objective: Observing the clinical efficacy of moving cupping therapy of bladder meridian on hemiplegic gait after stroke,and combined with footscan to analysis changes in gait before and after treatment.Research method:According to the principle of randomization,72 patients were divided into the moving cupping group and the control group,and 68 cases were finally completed(34 in each group).Patients who from the control group accept conventional acupuncture and rehabilitation training on the basis of medical treatment,while the patients from moving cupping group are applied with moving cupping on bladder meridianon the basis of the control group.The moving cupping therapy can be divided into two stages.The first stage is moving cupping from the Dazhu point to the Guanyuanshu point,then from Guanyuanshu point to the Dazhu point for 1 time,30 times in total.Then cotinue the second stage.The second stage is from the Chengfu point to the Chengshan point,and then from the Chengshan point to the Chengfu point for 1 time,30 times in total.The speed of moving cupping is about 5-15cm/s,and each treatment is about 10-15 min,once every other day,3 times a week for a total of 4 weeks.Both of the two groups accept a four-week course of treatment,and the following two groups were evaluated:lower limb motor function(FMA),Wisconsin gait scale(WGS assessment),10 m maximum walking speed(MWS)and plantar pressure analysis before treatment and after 1,2,and 4 weeks of treatment.Research Results:(1)Evaluation result of lower limb motor function FMA shows that in the analysis of repeated measurement for moving cupping group and control group,P value of group therapy is lower than 0.05,the P value of time is lower than 0.05,P value of time * group is lower than 0.05.In the comparison of each time point,there was no significant difference between the two groups after treatment at 1 week and after 2 weeks(P>0.05).There was a statistically significant difference between the two groups after treatment for 4 weeks(P<0.01),that is,the moving cupping group score is higher than the control group.(2)Evaluation result of Wisconsin gait scale(WGS assessment)shows that in the analysis of repeated measurement for moving cupping group and control group,P value of group therapy is lower than 0.05,the P value of time is lower than 0.05,P value of time * group is lower than 0.05.In the comparison of each time point,there was no significant difference between the two groups after treatment at 1 week and after 2 weeks(P>0.05).There was a statistically significant difference between the two groups after treatment for 4 weeks(P<0.01),that is,the moving cupping group score is lower than the control group.(3)Evaluation result of 10 m maximum walking speed(MWS)shows that in the analysis of repeated measurement for moving cupping group and control group,P value of group therapy is lower than 0.05,the P value of time is lower than 0.05,P value of time * group is lower than 0.05.In the comparison of each time point,there was no significant difference between the two groups after treatment at 1 week and after 2 weeks(P>0.05).There was a statistically significant difference between the two groups after treatment for 4 weeks(P<0.01),that is,the moving cupping group score is lower than the control group.(4)Evaluation result of recording time of the stance phase on the healthy side and affected side shows that in the analysis of repeated measurement for moving cupping group and control group,P value of group therapy(healthy side)is lower than 0.05,P value of group therapy(affected side)is higher than 0.05,the P value of time is lower than 0.05,P value of time * group is lower than 0.05.In the comparison of each time point,there was no significant difference between the two groups after treatment at 1 week and after 2 weeks(P>0.05).The recording time of the healthy side and affected side was compared between the groups after 4 weeks of treatment(P <0.01,P <0.05),with statistical difference.After 4 weeks of treatment,in moving cupping group the comparison of the stance phase on the healthy side and affected side(P>0.05),meaning that the evaluation doesn't have statistical different.In control group the comparison of the stance phase on the healthy side and affected side(P <0.05),meaning that the evaluation have statistical different.(5)Inspection result of heel impulse on the affected side shows that in the analysis of repeated measurement for moving cupping group and control group,P value of group therapy is lower than 0.05,the P value of time is lower than 0.05,P value of time * group is lower than 0.05.In the comparison of each time point,there was no significant difference between the two groups after treatment at 1 week and after 2 weeks(P>0.05).There was a statistically significant difference between the two groups after treatment for 4 weeks(P<0.01),that is,the moving cupping group score is lower than the control group.Conclusion:Moving Cupping Therapy of Bladder Meridian can significantly improve the hemiplegic gait,lower limb motor function and the walking speed of patients after stroke.