Objective To observe the therapeutic effect of articular needling combined with transcranial mag-netic stimulation(TMS)on upper limb spasms after stroke.Methods Sixty stroke patients with upper limb spasticity admitted to the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine from July 2022 to August 2023 were randomly divided into a control group and an observation group,with 30 cases in each group,using a random number table method.Two groups were given routine medical therapy and conventional rehabilitation training.The control group was treated with TMS,and the observation group was combined with articular needling on the basis of the control group.The modified ashworth scale(MAS),Fugl-Meyer assessment upper extremity(FMA-UE),modified bathel index(MBI)were used to evaluate patients before treatment and after 3 weeks of treatment,and muscle thickness(MT)of the biceps brachii,brachialis muscle,and brachioradialis muscle of the hemiplegic side were evaluated by ultrasound.final-ly,clinical efficacy evaluation will be evaluated.Results There were no cases of detachment in both groups.The total effective rate of the observation group(83.33％)was higher than that of the control group(46.67％),and the differ-ence was statistically significant(x2=8.864,P=0.003).Compared with before treatment,both groups of patients showed a decrease in MAS score and MT value(biceps brachii,brachialis muscle,brachioradialis muscle)(P＜0.05),while FMA-UE score and MBI score increased(P＜0.05),and the observation group was superior to the control group(P＜0.05).Patients of both groups did not experience any adverse reactions during the treatment period.Conclusions Articular needling combined with TMS treatment can reduce the upper limb spasms after stroke,improve the upper limb motor function and activities of daily living ability,and facilitate the recovery of upper limb spasticity after stroke.
StrokeSpasmUpper extremityJoint needlingTranscranial magnetic stimulationActivities of dai-ly living
维普
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