上海针灸杂志2016，Vol.35Issue(8)：930-934,5.DOI:10.13460/j.issn.1005-0957.2016.08.0930
《内经》恢刺和关刺法治疗中风后痉挛性偏瘫临床观察
Clinical Observation of Relaxing Needling plus Joint Needling from the Internal Medicine for Post-stroke Spastic Hemiplegia
摘要
Abstract
ObjectiveTo observe the clinical efficacy of relaxing needling plus joint needling from the Internal Medicine in treating post-stroke spastic hemiplegia.MethodTotally 121 eligible subjects were randomized intoan ordinary acupuncture group (61 cases) and a relaxing-joint needling group (60 cases). The two groups were treated for 2 weeks, 5 sessions each week. The spasm of the lower limb was evaluated by using Fugl-Meyer Assessment Scale (FMA), modified AshworthScale (MAS), Tardieu Scale, and Activities of Daily Living (ADL) before and after treatment. Besides, 4 patients from each group were randomly selected for the three-dimensional gait analysis, and the dorsi-extension, range of motion (ROM) of ankle, strephenopodia, and heel-raising height were observed.Result and ConclusionRelaxing-joint needling and ordinary acupuncture both can produce significant efficacies in treating post-stroke spastic hemiplegia. The relaxing-joint needling produced more significant efficacies in improving the body balance, ROM, muscular tension, and lower limb spasticity compared to ordinary acupuncture. It’s plausible that relaxing-joint needling improves the strephenopodia and hemiplagia gait through renovating body balance, ROM, muscular tension, and lower limb spasticity. Since the three-dimensional gait analysis can analyze the dorsi-extension, strephenopodia, and heel-raising height, thus it can be used to evaluate the change of the spastic gait of post-stroke hemiplegia in amore objective, elaborate, and correct way.关键词
中风后遗症/偏瘫/肌痉挛/刺法/三维步态分析Key words
Post-stroke sequelae/Hemiplegia/Spasm/Needling methods/Three-dimensional gait analysis分类
医药卫生引用本文复制引用
严睿峻,程波,陈麓圣,沈雪勇,宗蕾..《内经》恢刺和关刺法治疗中风后痉挛性偏瘫临床观察[J].上海针灸杂志,2016,35(8):930-934,5.基金项目
国家自然科学基金项目(81320108028) （81320108028）
国家重点基础研究发展计划(2015CB554505) （2015CB554505）
国家中医药管理局重点学科建设项目(ZYSNXD-CC-ZDXK-07) （ZYSNXD-CC-ZDXK-07）
上海高校工程研究中心建设项目(GCZX14013) （GCZX14013）
