摘要
Abstract
Objective To explore the effects of acupuncture combined with myoelectric biofeedback on balance function,walking ability and activities of daily living in patients with stroke foot drop.Methods A total of 100patients with stroke foot drop admitted to the Department of Neurology and Rehabilitation of Hefei First People's Hospital from January 2022to July 2023were retrospectively enrolled as the research objects.According to different treatment methods,they were divided into myoelectric bio-feedback group(47cases)and combination group(53cases,acupuncture combined with myoelectric biofeedback).The spasm degree[clinical spasm index(CSI)],balance function[Berg Balance Scale(BBS)],ankle range of motion(ROM,inclu-ding active dorsiflexion,plantar flexion and varus),hemorheology indexes[plasma viscosity(PV),platelet aggregation rate(PAR),hematocrit(Hct)],walking ability[stride frequency,stride,swinging phase and support phase on affected side]and activities of daily living[Modified Barthel Index(MBI)]were compared between the two groups.Results After treatment,CSI score in combination group was lower than that in myoelectric biofeedback group,while BBS score was higher than that in myoe-lectric biofeedback group(P＜0.05).After treatment,active dorsiflexion in combination group was higher than that in myoelectric biofeedback group,while active plantar flexion and varus were lower than those in myoelectric biofeedback group(P＜0.05).Af-ter treatment,levels of PV,PAR and Hct in combination group were lower than those in myoelectric biofeedback group(P＜0.05).After treatment,stride frequency,stride,swinging phase and support phase on affected side in combination group were higher than those in myoelectric biofeedback group(P＜0.05).After treatment,MBI score in combination group was higher than that in myoelectric biofeedback group(P＜0.05).Conclusion Curative effect of acupuncture combined with myoelectric biofeed-back is significant in patients with stroke foot drop,which can effectively improve spasm,balance function,ankle ROM,blood circulation,walking ability and the ability to live daily.关键词
脑卒中足下垂/针灸/肌电生物反馈/身体平衡功能/步行能力Key words
Stroke foot drop/Acupuncture/Myoelectric biofeedback/Balance function/Walking ability分类
医药卫生
