Clinical Efficacy Of Joint Needling On The Junction Of Meridians And Tendons Combined With Rehabilitation Training In The Treatment Of Hand Dysfunction After Stroke

Obj ective:The aim of this project is to objectively evaluate the clinical efficacy observation of the combination of joint needling on the junction of meridians and tendons combined with rehabilitation training in the treatment of post-stroke hand dysfunction through a randomized controlled clinical study,so as to explore a safer and more effective treatment method,provide some scientific basis for the clinical treatment of post-stroke hand dysfunction,and enrich the content of acupuncture therapeutics.Methods:Seventy-two patients with hand dysfunction after stroke who met the inclusion criteria were selected from the Acupuncture V ward of the First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine,and were divided into 36 patients each in the experimental group(joint needling on the junction of meridians and tendons combined with rehabilitation training group)and the control group(conventional acupuncture combined with rehabilitation training group)by using a randomized controlled trial method.All patients received conventional drug-based treatment and care for stroke,conventional acupuncture for stroke disease,scalp acupuncture and rehabilitation training treatment,of which the rehabilitation training treatment included good limb placement,activities of daily living ability training and task-oriented training.Patients in both groups were treated once a day for 6 days with 1 day off for a total of 4 weeks.Patients in both groups underwent the Fugl-Mey er Motor Function Scale(FMA)for hand function,the Modified Barthel Inventory(MBI),and the Modified Ashworth Scale for Hand Muscle Tone(MAS)before the first treatment and after the last treatment,and the results of the scales were recorded for analysis.Results:1.Among the 72 patients included,3 cases were dislodged,including 1 case in the test group and 2 cases in the control group.The general conditions(age,gender,and duration of disease,etc.),FMA scores,MBI scores and MAS scores of the two groups before treatment were not statistically significant(P>0.05)and were comparable.2.Clinical efficacy:After 4 weeks of treatment,the total effective rate of the test group was 94.29%,and the total effective rate of the control group was 82.35%,with statistical differences in the overall efficacy of the two groups(P<0.01).3.FMA scores:After treatment,the FM A scores in both groups were significantly higher than those before treatment,and the difference was statistically significant(P<0.01);the difference was statistically significant(P<0.01)when comparing the FM A scores between the two groups.4.MBI score:After treatment,the difference between the two groups was statistically significant(P<0.01);the MBI score between the two groups was significantly higher,and the difference was statistically significant(P<0.01).5.MAS score:After treatment,the difference between the two groups was statistically significant(P<0.01);the MAS score level decreased between the two groups,and the test group was better than the control group.Conclusion:1.Both joint needling on the junction of meridians and tendons combined with rehabilitation training and conventional acupuncture combined with rehabilitation training can effectively treat hand dysfunction after stroke.2.Joint needling on the junction of meridians and tendons combined with rehabilitation training was better than conventional acupuncture combined with rehabilitation training in improving hand muscle tone,improving hand motor function and improving patients’ability to perform activities of daily living.