Efficacy Observation on Articular Needling Combined with Extracorporeal Shock Wave Therapy on Lower Limb Spasms after Stroke
Objective:To observe the therapeutic effect of articular needling combined with extracorporeal shock wave therapy(ESWT)on lower limb spasms after stroke.Methods:Totally 70 cases were randomly divided into a control group(35 cases,1 case dropped off)and an observation group(35 cases,2 cases dropped off).The two groups were given routine medical therapy and conventional rehabilitation training.The control group was treat-ed with ESWT,and the observation group was combined with articular needling on the basis of the control group.The Modified Ashworth Scale(MAS),Fugl-Meyer assessment lower extremity(FMA-LE),Modified Bathel Index(MBI)were used to evaluate patients before treatment and after 3 weeks of treatment.Ultrasound was used to eval-uate the muscle thickness(MT),fascicle length(FL),and pinnation angle(PA)of the gastrocnemius muscle on the hemiplegic side.Finally,the clinical efficacy was evaluated.Results:After treatment,the MAS score,FMA-LE score,MBI score,and gastrocnemius ultrasound indicators(MT,FL,PA)of both groups were significantly improved compared with before treatment(P＜0.05),and the observation group was better than those of the control group(P＜0.05).The total effective rate of the observation group was 81.82％,which was higher than 58.82％of the con-trol group(P＜0.05).Conclusion:Articular needling combined with ESWT can improve the lower limb spasms af-ter stroke,improve the lower limb motor function and daily living ability,and facilitate the recovery of lower limb spasms after stroke.
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