Interventional effect of twelve needles for hands and feet combined with massage on limb function in early-stage stroke patients
Objective To explore the interventional effect of twelve needles for hands and feet combined with massage on limb function in early-stage stroke patients.Methods 80 patients with early-stage stroke were selected and divided into combined intervention group (twelve needles for hand and foot combined with massage intervention) and conventional rehabilitation group (conventional rehabilitation intervention) based on intervention methods,with 40 cases in each group.Both groups were compared in terms of traditional Chinese medicine syndrome score,neurological function[National Institutes of Health Stroke Scale (NIHSS) score],daily living activity ability[modified Barthel Index (MBI) score],balance function[Berg Balance Scale (BBS) score],limb function[Fugl-Meyer Assessment (FMA) score],quality of life[36-Item Short-Form Health Survey (SF-36) score],walking ability,and clinical efficacy.Results After intervention,the scores of limb numbness,hemiplegia,mental confusion,speech impediment,tongue and mouth deviation in both groups were lower than those before intervention;the scores of limb numbness,hemiplegia,mental confusion,speech impediment,tongue and mouth deviation were (0.88±0.20),(1.07±0.28),(0.60±0.16),(0.66±0.14) and (0.61±0.17) points in the combined intervention group,which were lower than (1.52±0.26),(1.71±0.20),(1.08±0.21),(1.14±0.17) and (1.03±0.20) points in the conventional rehabilitation group (P<0.05).After intervention,the NIHSS score in both groups was lower than that before intervention,and the MBI score,BBS score,FMA score of upper extremity,FMA score of lower extremity,total FMA score and SF-36 score were higher than those before intervention;the NIHSS score of (7.40±1.58) points in the combined intervention group was lower than (9.96±2.03) points in the conventional rehabilitation group;the MBI score,BBS score,FMA score of upper extremity,FMA score of lower extremity,total FMA score and SF-36 score were (63.46±5.12),(44.14±4.28),(46.97±4.70),(29.35±4.04),(76.32±9.41) and (82.42±9.35) points,which were higher than (51.95±5.43),(39.86±4.01),(35.46±3.88),(22.27±3.77),(57.73±9.45) and (70.23±9.56) points in the conventional rehabilitation group (P<0.05).After intervention,the step speed,step length and stride length in both groups were higher than those before intervention,and the step width was smaller than that before intervention;the stride speed,stride length and stride length were (0.58±0.13) m/s,(39.13±5.78) cm and (76.83±9.03) cm in the combined intervention group,which were higher than (0.44±0.10) m/s,(34.57±5.97) cm and (67.20±8.45) cm in the conventional rehabilitation group;the step width of (10.41±1.96) cm in the combined intervention group was smaller than (11.35±2.00) cm in the conventional rehabilitation group (P<0.05).The total effective rate of 95.00％ (38/40) in combined intervention group was higher than 72.50％ (29/40) in conventional rehabilitation group (P<0.05).Conclusion The combination of twelve needles for hands and feet and massage has a better intervention effect on limb function in early-stage stroke patients compared to conventional rehabilitation.
Early-stage strokeTwelve needles for hands and feetTuinaLimb functionQuality of lifeWalking ability
万方数据
维普
