Clinical Observation Of Giorgio’s Head Acupuncture Combined With Body Acupuncture In The Treatment Of Spastic Diplegia Dysfunction

Objective:To evaluate the effectiveness and feasibility of Jiao’s head acupuncture with lower limb Yang meridian acupuncture on this disease by observing the clinical treatment effect of Jiao’s head acupuncture with lower limb Yang meridian acupuncture on motor dysfunction of spastic diplegia.To provide high-quality clinical evidence for Jiao’s head acupuncture with lower limb Yang meridian acupuncture,provide a safe and effective intervention for the treatment of spastic diplegia and provide a reference for clinical decision-making.Methods:The study was conducted using a single-center,randomized,single-blind,controlled method.The randomization method used was numerical table randomization.Sixty patients who met the inclusion and exclusion criteria were screened and were randomly allocated to the treatment and control groups of 30 patients each.The intervention operator and subjects could not be blinded during the trial.Still,the outcome assessor and statistician were blinded so that only the intervention operator was aware of the grouping.The control group was treated with exercise rehabilitation alone for 30 minutes each time,once a day,five times a week,with two days of rest per week,20 sessions for a total of 3 sessions.In the treatment group,Jiao’s head acupuncture was combined with Yangjing acupuncture of the lower limbs to complement the exercise rehabilitation treatment.The needles were retained for 30 minutes after De Qi in Jiao’s head acupuncture and 30 minutes after De Qi in Yangjing acupuncture of the lower limbs.In both groups,the Gross Motor Function Measure(GMFM)and the Modified Ashworth Scale(MAS)were used to assess the adductor and gastrocnemius muscles’ tone before treatment and after three months of treatment.The efficacy of the treatment was evaluated according to the muscle strength assessment criteria and the Gross Motor Assessment Scale for Paediatric Cerebral Palsy.The data from the two groups were collected and processed statistically using SPSS 20.0 statistical analysis software.Results:At the end of the study,29 cases were completed in the treatment group,and 28 patients were conducted in the control group.1.Comparison of MAS scale scores: The pre-treatment and post-treatment MAS scale scores were compared within the group,and the MAS scores of both groups after treatment were significantly lower than those before treatment,with statistical significance(P < 0.05);comparison between groups showed that there was no significant difference between the two groups before treatment(P > 0.05),and the MAS scale scores of the treatment group after treatment were lower than those of the control group,and more significant(P <0.05).2.Comparison of GMFM evaluation scale scores: The GMFM evaluation scale scores before and after treatment were compared within the group,and the GMFM evaluation scale scores in six dimensions,including supine and prone energy zone,sitting energy zone,climbing and kneeling energy zone,standing energy zone,walking and running energy zone and total score,were significantly higher in the two groups after treatment than before treatment,which was statistically significant(P < 0.05);between groups The comparison between the two groups showed that there was no significant difference between the GMFM evaluation scale scores before treatment(P>0.05),after treatment,the treatment group had higher scores than the control group in five dimensions,including supine and prone energy zone,sitting energy zone,climbing and kneeling energy zone,standing energy zone and total score,all of which were more significant(P<0.05);there was no difference in the walking and running and jumping energy zone scores(P> 0.05).3.The total effective rate of the treatment group was 89.66%,and that of the control group was 71.43%,which was better than that of the control group(P<0.05).Conclusion:Based on conventional motor rehabilitation,Jiao’s head acupuncture with lower limb Yangjing acupuncture for spastic diplegia can improve the muscle tone of the adductor and gastrocnemius muscles,effectively enhance the supine and prone energy zones,sitting energy zone,climbing and kneeling energy zone,standing energy zone and overall gross motor function of the child,and improve the quality of life of the child,which is worthy of clinical promotion.