上海针灸杂志2017，Vol.36Issue(6)：647-651,5.DOI:10.13460/j.issn.1005-0957.2017.06.0647
天柱傍针刺配合平衡区电针对脑卒中患者下肢运动功能及步行能力的影响
Effect of Proximal Needling at Tianzhu (BL10)plus Electroacupuncture at the Balance Zone on Lower-limb Motor Function and Walking Function in Cerebral Stroke Patients
摘要
Abstract
Objective To observe the effect of proximal needling at Tianzhu (BL10) plus electroacupuncture at the Balance Zone on the lower-limb motor function and walking function in cerebral stroke patients.Method A hundred cerebral stroke patients were randomized into a rehabilitation group and a proximal needling group. The rehabilitation group was intervened by balance training and conventional rehabilitation exercises; the proximal needling group was intervened by proximal needling at Tianzhu plus electroacupuncture at the Balance Zone in addition to the treatment given to the rehabilitation group. The interventions weregiven once a day, 5 times a week, successively for 4 weeks. Prior to the intervention and after 4-week treatment, the lower-limb motor function and walking function were estimated by using lower-extremity Fugl-Meyer Assessment (FMA), time taken for 10-meter walk, and Holden's Functional Ambulation Classification (FAC).Result After 4-week treatment, the FMA, 10-meter walk time and FAC were significantly enhanced in both groups compared to the indexes prior to the treatment (P<0.01); the FMA, 10-meter walk time and FAC in the proximal needling group were significantly superior to those in the rehabilitation group (P<0.05).Conclusion In addition to conventional rehabilitation and acupuncture, proximal needling at Tianzhuplus electroacupuncture at the Balance Zone can increasethe lower-limb motor function score and promote the activities of daily life in cerebral stroke patients; it can also strengthen the security in walking and keep the patients from falling down.关键词
穴,天柱/头针平衡区/电针/卒中/Fugl-Meyer下肢运动评分/Holden步行功能分级Key words
Point,Tianzhu (BL10)/ScalpBalanceArea/Electroacupuncture/Stroke/Lower-extremity Fugl-Meyer Assessment/Holden's Functional Ambulation Classification分类
医药卫生引用本文复制引用
陈东林,邱周凌潇,刘婉,寇智君,楚佳梅,包烨华..天柱傍针刺配合平衡区电针对脑卒中患者下肢运动功能及步行能力的影响[J].上海针灸杂志,2017,36(6):647-651,5.基金项目
浙江省中医药管理局科研项目(2012ZA094) （2012ZA094）
