Clinical study on treatment of upper limb soft paralysis after stroke by acupuncture on healthy lower limb
Objective To explore the clinical effect of acupuncture on upper limb paralysis after stroke.Methods Total-ly 200 patients with upper limb soft paralysis after stroke who received traditional Chinese medicine rehabilitation treatment in Nanyang Central Hospital from August 2021 to February 2023 were randomly divided into the healthy group and the af-fected group with 100 cases each.The healthy group combined rehabilitation training with acupuncture on the lower ex-tremity points on the healthy side,and the affected group combined rehabilitation training with acupuncture on the upper extremity points on the affected side.lovett grading score,simple Fugl-Meyer Rating Scale and modified Barthel index were used to evaluate muscle strength,motor function and daily living ability before and after 6 weeks of treatment,respec-tively.Results lovett scores in the healthy group and the affected group were(3.28±0.74)and(3.07±0.79),respec-tively,higher than those before treatment(1.02±0.67)and(1.21±0.78)(P＜0.05).There was no significant differ-ence between groups(P＞0.05).The scores of proximal limb,wrist,hand and overall coordination in the healthy side group were(29.58±4.22),(7.45±1.24),(11.47±2.34)and(5.13±0.88),respectively.They were higher than those before treatment(15.28±2.42),(5.38±1.12),(7.38±1.22),(3.24±0.63).After treatment,the scores of proximal limb,wrist,hand and overall coordination in the affected group were(27.74±3.94),(6.88±1.39),(10.35±2.45)and(4.81±0.64),respectively.They were higher than those before treatment(15.53±2.35),(5.63±1.25),(7.73±1.42),(3.44±0.87).After treatment,the FMA-Meyer scale score of healthy side group was better than that of sick side group(P＜0.05).After treatment,the Barthel index of the healthy side group and the affected side group were(78.74±8.73)and(76.16±10.31),which were higher than those before treatment(68.74±8.32)and(67.46±9.63),respectively(P＜0.05).There was no significant difference between the two groups(P＞0.05).Conclusion Acupuncture on the healthy lower limb and acupuncture on the affected upper limb combined with rehabilita-tion training can improve the muscle strength and motor function of the upper limb after stroke.Acupuncture on the healthy lower limb is superior to acupuncture on the affected upper limb in improving the motor function of the affected limb.
AcupunctureStrokeParalyzedDyskinesiaMotor function
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NSTL
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