Clinical effect of acupuncture exercise therapy on shoulder pain after stroke with phlegm stasis blocking collaterals type
Objective To analyze the clinical effect of acupuncture exercise therapy on shoulder pain after stroke with phlegm stasis blocking collaterals type.Methods A total of 84 patients with shoulder pain after stroke admitted to the Department of Rehabilitation,Changzhou Wujin Hospital of Traditional Chinese Medicine,Jiangsu Province from March 2020 to September 2022 were selected as the subjects,and they were divided into conventional group and experimental group by random number table method,with 42 cases in each group.The conventional group was treated with low frequency wave,and the experimental group was treated with acupuncture exercise therapy on the basis of the conventional group.The degree of shoulder pain between the two groups was compared before treatment,3,7 and 10 days after treatment.The modified Barthel index(MBI),Fugl-Meyer assessment scale-upper limb(FMA-U)score,and Pittsburgh sleep quality index(PSQI)score were compared between the two groups before treatment and two weeks after treatment.Results In the conventional group,one case fell off and 41 cases were finally completed,and in the experimental group,three cases fell off and 39 cases were finally completed.The degree of shoulder pain in two groups at 3,7,and 10 days of treatment was lower than before treatment(P＜0.05).The degree of shoulder pain of the experimental group was lower than that of the conventional group at 3,7,and 10 days after treatment(P＜0.05).After treatment,MBI score and FMA-U score of the two groups were higher than before treatment,PSQI score of the two groups was lower than before treatment,MBI score and FMA-U score of the experimental group were higher than those of the conventional group,and PSQI score of the experimental group was lower than that of the conventional group(P＜0.05).After treatment,the motion degree of shoulder flexion,extension,abduction,internal rotation,and external rotation in two groups was higher than before treatment,and that in the experimental group was higher than that in the conventional group(P＜0.05).Conclusion Acupuncture exercise therapy can improve the degree of shoulder pain and the range of motion of shoulder joint,promote the recovery of upper limb motor function and improve sleep quality.
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