Clinical efficacy observation of acupotomy combined with ideomotor therapy in treating spastic hemiplegia after stroke
Objective To explore the clinical efficacy of acupotomy combined with ideomotor therapy in the treatment of spastic hemiplegia after stroke.Methods Eighty patients with spastic hemiplegia after stroke who met the criteria were randomly assigned into a treatment group and a control group,with 40 patients in each group.The control group received routine rehabilitation training,while the treatment group received acupotomy combined with ideomotor therapy before routine rehabilitation training.Routine rehabilitation training was conducted once a day,with 5 consecutive days followed by 2 days of rest,for a total of 4 weeks;acupotomy combined with ideomotor therapy was taken every Monday and Thursday for a total of 4 weeks.The following results before and after treatment in two groups of patients with passive activity of hemiplegic limbs in a resting state were observed before treatment,2 and 4 weeks after treatment respectively:the modified Ashworth scale(MAS)grading,the Fugl-Meyer assessment(FMA)of motor function score,the Barthel Index(BI)score of daily living ability,and the mean Young's modulus of spastic muscles(Emean value).The clinical efficacy of both groups were then evaluated.Results(1)After 2 weeks and 4 weeks of treatment,the upper limb FMA scores in both groups were higher than those before treatment(P＜0.05),and the upper limb FMA scores were higher after 4 weeks of treatment than after 2 weeks of treatment(P＜0.05);the upper limb FMA scores of the treatment group were higher than those of the control group after 2 and 4 weeks of treatment(P＜0.01).After 4 weeks of treatment,the lower limb FMA scores in both groups were higher than those before treatment(P＜0.05);the lower limb FMA score of the treatment group was lower than that of the control group at 2 weeks of treatment(P＜0.05),and there was no statistically significant difference in lower limb FMA score between the treatment group and the control group at 4 weeks of treatment(P＞0.05).(2)After 4 weeks of treatment,the BI scores of both groups were higher than those before treatment(P＜0.05);There was no statistically significant difference in BI score between the treatment group and the control group after 2 weeks of treatment(P＞0.05),but the BI score was higher than that of the control group after 4 weeks of treatment(P＜0.01).(3)After treatment,the Emean scores of the upper limb biceps and lower limb triceps on both affected sides were lower than those before treatment(P＜0.01);and those of the treatment group was lower than the control group(P＜0.01).(4)After 2 and 4 weeks of treatment,the MAS grading of the limbs in both groups were lower than those before treatment(P＜0.05),and after 4 weeks of treatment,it was lower than after 2 weeks of treatment(P＜0.05);the MAS grading of the treatment group was lower than that of the control group after 4 weeks of treatment(P＜0.05).(5)After 2 weeks of treatment,there was no statistically significant difference in clinical efficacy between the two groups(P＞0.05);after 4 weeks of treatment,the clinical efficacy of the treatment group was better than that of the control group(P＜0.05).Conclusion The acupotomy combined with ideomotor therapy can effectively improve the spasticity level of stroke patients with hemiplegia,promote the recovery of their ability to move freely and coordinate movements,enhance their self-care ability,and increase their confidence in recovery.
万方数据
维普
