Clinical observation on acupuncture combined with rehabilitation training in treatment of hemiplegia of upper limbs after stroke
Objective To observe the efficacy of acupuncture combined with rehabilitation training in treatment of post-stroke hemiplegia(ULHAS).Methods Eighty patients with ULHAS were randomly divided into treatment group and control group,40 cases each.Control group was given rehabilitation training,while treatment group was given acupuncture and rehabilitation training.The efficacy of modified Barthel index(MBI),root mean square(RMS)of biceps brachii and triceps brachii electromyography signal values,Fugl-Meyer exercise scale(FMA),simple upper limb function test(STEF),hemiplegic function(Brunnstrom)score,blood clot formation rate(K value),blood clot formation rate(α Angle),maximum amplitude of thrombus(MA),active range of motion(ARM),Finger Maximum Extension Angle(AMFE),Finger Maximum Flexion Angle(AMFF).Results After treatment,the MBI efficacy and total effective rate in treatment group were superior to those in control group(P＜0.05);the RMS of biceps and triceps in both groups was higher than before treatment,which was higher in treatment group than control group(P＜0.05);the FMA,STEF,and Brunnstrom scores of both groups were higher than before treatment,which were higher in treatment group than control group(P＜0.05);the K values in both groups were higher than before treatment,which was higher in treatment group than control group;α Angle and MA were lower than before treatment,which were lower in treatment group than control group(P＜0.05);both groups had higher levels of ARM,AMFE,and AMFF than before treatment,which were higher in treatment group than control group(P＜0.05).Conclusion Acupuncture combined with rehabilitation training promotes the synergistic movement of active and antagonistic muscles in ULHAS patients with hemi-plegia,enhances upper limb motor ability,promotes upper limb function recovery,regulates coagulation function,improving therapeutic effect.
StrokeHemiplegia of the upper limbsAcupunctureRehabilitationEfficacy
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