针刺联合镜像疗法治疗脑卒中患者上肢运动功能障碍临床疗效观察OACSTPCD

Objective To investigate the clinical effect of acupuncture combined with mirror therapy in the treatment of upper limb dyskinesia in patients with stroke.Methods A total of 90 stroke patients with upper limb dyskinesia were divided into control group 1(treated with acupuncture),control group 2(treated with mirror therapy),and observation group(treated with acupuncture and mirror therapy)using a random number table,with 30 patient in each group,and the course of treatment was 2 weeks for all groups.The three groups were compared in terms of Fugl-Meyer Assessment-Upper Extremity(FMA-UE)score,Wolf Motor Function Test(WMFT)score,modified Barthel Index(MBI),International Classification of Functioning,Dis-ability and Health(ICF)score,active range of motion(AROM)for wrist extension,and clinical outcome based on FMA-UE score.Results The observation group had a significantly better clinical outcome than control groups 1 and 2(P＜0.05).After treatment,all three groups had significant increases in FMA-UE score,WMFT score,and MBI(P＜0.05)and a significant reduction in ICF score(P＜0.05),and compared with control groups 1 and 2,the observation group had significantly greater increases in FMA-UE score,WMFT score,and MBI and a significantly greater reduction in ICF score(P＜0.05).After treatment,the observation group had a sig-nificantly greater AROM for wrist extension compared with the control groups 1 and 2(P＜0.05).Conclusion Acupuncture combined with mirror therapy can effectively improve the motor function of upper limbs in patients with stroke.