中国康复2024，Vol.39Issue(1)：17-21,5.DOI:10.3870/zgkf.2024.01.004
跷脉针刺联合对称负重式训练对脑卒中偏瘫患者肌张力、足内翻角及坐站转移能力的影响
Impacts of Qiao channel acupuncture combined with symmetrical weight-bearing training on muscle tension,foot varus angle,and sitting-standing transfer ability in patients with hemiplegia after stroke
摘要
Abstract
Objective:To explore the impacts of Qiao channel acupuncture combined with symmetrical weight bear-ing training on muscle tension,foot varus angle,and sitting-standing transfer ability in patients with hemiplegia af-ter stroke.Methods:A total of 130 patients with spastic paralysis after stroke(SPAS)admitted to our hospital from March 2021 to April 2022 were selected and randomly grouped into training group(n=65)and research group(n=65)using a digital table method.The training group was given symmetrical weight bearing training,and the re-search group was subjected to Qiao channel acupuncture intervention on the basis of the training group.The lower limb muscle tone[modified Ashworth scale(MAS)],spasticity status[comprehensive spasticity scale(CSS)],gait parameters,foot varus angle,sitting and standing transfer ability[Five-Times-Sit-to-Stand Test(FTSST)],and lower limb function[Fugl-Meyer Assessment(FMA)]were compared between the two groups before and after 6 weeks of intervention.Results:After 6 weeks of intervention,the lower limb MAS grading in both groups was bet-ter than before intervention(P＜0.05),and the lower limb MAS in the study group was better than that in the training group(P＜0.05).The CSS scores and FTSST value in both groups were lower than those before interven-tion(P＜0.05),and those in the research group were lower than those in the training group(P＜0.05).The walk-ing speed in both groups was faster than before intervention(P＜0.05),and that in the research group was faster than in the training group(P＜0.05).The stride width,gait cycle,support phase time,stride deviation,and foot varus angle in the two groups were significantly decreased as compared with those before intervention(P＜0.05),and those in the research group were significantly reduced as compared with those in the training group(P＜0.05).The lower limb FMA score in both groups was higher than before intervention(P＜0.05),and that in the research group was higher than in the training group(P＜0.05).Conclusion:Applying Qiao channel acupuncture combined with symmetrical weight bearing training to patients with SPAS can effectively improve the muscle tension and spasticity of the lower limbs,greatly im-prove the sitting-standing transfer ability and lowerlimb function.关键词
跷脉针刺/对称负重式训练/脑卒中/偏瘫/肌张力/坐站转移能力Key words
Qiao channel acupuncture/symmetrical weight bearing training/stroke/hemiplegia/muscle tension/station transfer capability分类
医药卫生引用本文复制引用
巴焕,李宁,吴仪..跷脉针刺联合对称负重式训练对脑卒中偏瘫患者肌张力、足内翻角及坐站转移能力的影响[J].中国康复,2024,39(1):17-21,5.基金项目
河南省中医药科学研究专项课题(2019ZY2105) （2019ZY2105）
