Application of electroacupuncture at Jiaji points and lower limb rehabilitation robot combined with kinesio taping in patients with ISCI
Objective To explore the application effect of electroacupuncture at Jiaji points and lower limb rehabilitation robot combined with kinesio taping in the rehabilitation of incomplete spinal cord injury(ISCI).Methods A total of 104 ISCI patients treated in the Department of Exercise Therapy,Shaanxi Provincial Rehabilitation Hospital from April 2022 to April 2023 were selected for a randomized controlled trial.The patients were divided into a control group(52 cases,receiving conventional gait rehabilitation combined with kinesio taping treatment)and a combined group(52 cases,receiving electroacupuncture at Jiaji points and lower limb rehabilitation robot combined with kinesio taping treatment)according to the random number table method.The treatment period was 12 weeks.In the control group,there were 30 males and 22 females,aged(41.29±9.19)years,and the American Spinal Cord Injury Association(ASIA)classification was grade C in 24 cases and grade D in 28 cases.In the combined group,there were 28 males and 24 females,aged(42.40±8.29)years,and the ASIA classification was grade C in 26 cases and grade D in 26 cases.The gait parameters(stride length,step frequency,and comfortable walking speed),walking function[Functional Ambulation Category Scale(FAC)],lower extremity muscle strength(quadriceps femoris,gluteus maximus,hamstrings,tibialis anterior,and gastrocnemius),spasticity of lower extremity[modified Ashworth Scale(MAS)],lower limb function[American Spinal Cord Injury Association-Lower Extremity Muscle Function Scale(ASIA-LEMS)score],balance function[Berg Balance Scale(BBS)score],and daily living activities[modified Barthel index(BI)]were compared between the two groups.t test and x2 test were used.Results After treatment,the stride length[(0.49±0.13)m vs.(0.43±0.11)m],step speed[(0.37±0.07)m/s vs.(0.29±0.06)m/s],step frequency[(1.04±0.34)steps/s vs.(0.86±0.22)steps/s],muscle strength score of quadriceps femoris[(3.05±0.75)points vs.(2.44±0.59)points],gluteus maximus[(3.09±0.81)points vs.(2.64±0.58)points],hamstrings[(1.79±0.48)points vs.(1.41±0.34)points],tibialis anterior[1.37±0.24)points vs.(1.26±0.22)points],and gastrocnemius[(0.42±0.07)points vs.(0.38±0.07)points],and scores of FAC[(3.78±0.48)points vs.(2.42±0.51)points],ASIA-LEMS[(37.95±9.22)points vs.(29.13±8.90)points],BBS[(35.22±5.46)points vs.(28.43±7.08)points],and BI[(88.20±2.65)points vs.(74.34±5.48)points]in the combined group were higher than those in the control group,and the MAS score[(1.49±0.52)points vs.(1.97±0.73)points]was lower than that in the control group(all P＜0.05).Conclusion Electroacupuncture at Jiaji points and lower limb rehabilitation robot combined with kinesio taping effectively improves the gait parameters,lower limb muscle strength,walking and balance functions,reduces the muscle spasms,and enhances the patients'ability to perform daily living activities independently.
万方数据
维普
