Effect of electroacupuncture combined with rehabilitation robots on upper limb function and daily living activities of post-stroke hemiplegic patients
Objective To explore the rehabilitation effect of the combination of electroacupuncture and rehabilitation robots on upper limb function and daily living activities in patients with post-stroke hemiplegia.Methods Ninety patients with post-stroke hemiplegia who received treatment in Liaocheng Third People's Hospital from January to December 2023 were selected and were divided into a combined treatment group and an electroacupuncture group by the random number table method with 45 cases in each group.In the combined treatment group,there were 25 males and 20 females,the age was(58.13±9.90)years old,and the course of disease was(23.10±3.41)days.In the electroacupuncture group,there were 23 males and 22 females,the age was(59.47±7.29)years old,and the course of disease was(23.27±3.65)days.Both groups received clinical routine drug treatment and daily rehabilitation training.The combined treatment group received electroacupuncture and rehabilitation robot therapy,30 min/time,once a day,5 days every week.The electroacupuncture group received electroacupuncture treatment,30 min/d,5 days every week.After 4 weeks of treatment,the simplifiied Fugl-Meyer Upper Extremity Motor Function Scale(FMA-UE)was used to assess the functional recovery of the upper extremities,the modified Barthel index(MBI)was used to assess the ability to perform activities of daily living,and the surface electromyography was used to assess the muscle recovery,in order to evaluate the treatment effect.Statistical methods were x2 test and t test.Results Before treatment,there were no statistically significant differences in the iEMG values of deltoid,biceps,and triceps and FMA-UE and MBI scores between the two groups(all P＞0.05).After 4 weeks of treatment,the iEMG values of deltoid,biceps,and triceps and FMA-UE and MBI scores in both groups were higher than those before treatment,and those in the combined treatment group were all higher than those in the electroacupuncture group[(177.10±34.80)mV/s vs.(147.60±50.02)mV/s,(260.74±46.79)mV/s vs.(235.40±48.06)mV/s,(98.36±17.30)mV/s vs.(88.33±17.04)mV/s,(33.47±5.51)points vs.(27.23±5.64)points,(47.83±8.48)points vs.(39.00±10.70)points],with statistically significant differences(t=2.652,P=0.010;t=2.069,P=0.043;t=2.264,P=0.027;t=4.330,P＜0.001;t=3.544,P=0.001).Conclusion The comprehensive application of electroacupuncture and rehabilitation robots has significant therapeutic effects on improving upper limb function and daily living activities in post-stroke hemiplegic patients.
万方数据
维普
