分期针刺联合步行训练对脑梗死后下肢运动功能的影响OACSTPCD

Objective To observe the effect of staged acupuncture combined with walking training on lower limb motor function and serum irisin and small dense low density lipoprotein(sdLDL)content after cerebral infarction.Method Ninety patients with cerebral infarction were randomly divided into group A,group B and group C,with 30 cases in each group.Group A was treated with acupuncture by stages,group B was treated with walking training,and group C was treated with staged acupuncture combined with walking training.The Fugl-Meyer assessment(FMA),Berg balance scale(BBS),modified Bothel index(MBI)were used before and after treatment to assess the motor function of lower limbs,balance and coordination ability and activities of daily living.The spatio-temporal parameters,kinematic parameters and symmetry parameters were collected by walker view gait analysis system,and the changes before and after treatment were compared between the two groups.The serum levels of irisin and sdLDL were detected and compared between the two groups before and after treatment.Result After treatment,the spatio-temporal parameters,kinematic parameters,symmetry parameters,FMA scores,MBI scores,BBS scores,and serum irisin and sdLDL contents were significantly improved in the three groups(P＜0.05),and the above indexes in group C were significantly better than those in groups A and B(P＜0.05).Conclusion Staged acupuncture combined with walking training can improve the lower limb motor ability and activities of daily living ability of patients with cerebral infarction,improve balance and coordination ability,improve gait,reduce sdLDL content,and promote irisin production.The efficacy of combination therapy is better than monotherapy.