Clinical Observation on Liu's Filiform-heated Needling Combined with Skeletal-muscle Shock Wave in the Treatment of Post-stroke Shoulder-hand Syndrome
Objective:To explore the clinical efficacy of Liu's filiform-heated needling combined with skeletal-muscle shock wave for the treatment of post-stroke shoulder-hand syndrome(SHS).Methods:Totally 90 patients with post-stroke SHS were randomly divided into 3 groups using a random number table method:the Liu's fili-form-heated needling group,the shock wave group and the combined treatment group.3 groups all received con-ventional treatment,among which the Liu's filiform-heated needling group received Liu's filiform-heated needling,the shock wave group received skeletal-muscle shock wave treatment,and the combined treatment group received a combination of Liu's filiform-heated needling and skeletal-muscle shock wave treatment,lasting for 1 month.The condition of 3 groups was evaluated using the Modified Rankin Scale(mRS),stroke quality of life scale(SS-QOL),numerical rating scale(NRS),and shoulder passive range of motion(PROM)before treatment and 1 months after treatment.Results:After 1 month of treatment,the total effective rate of the combined treatment group(96.67％)was significantly better than that of the Liu's filiform-heated needling group(80.00％)and the shock wave group(73.33％)(P＜0.05).The mRS,SS-QOL,NRS scores,and shoulder joint PROM of the combined treatment group were better than those of the shock wave group(P＜0.05),while the mRS,SS-QOL,NRS scores,and shoulder joint abduction PROM of the combined treatment group were better than those of the Liu's filiform-heated needling group(P＜0.05).There was no significant difference in shoulder joint flexion PROM between the combined treatment group and the Liu's filiform-heated needling group(P＞0.05).Conclusion:The therapy of Liu's filiform-heated needling combined with skeletal-muscle shock wave for post-stroke SHS can make good per-formance on alleviating pain,improving shoulder joint function and the quality of patients'daily life.
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