康复学报2026，Vol.36Issue(5)：312-318,7.DOI:10.3724/SP.J.1329.2026.05003
通督益神针疗法联合机器人导向性训练对脑卒中后上肢功能障碍的影响
Effects of Tongdu Yishen Acupuncture Therapy Combined with Robot-Guided Training on Upper Limb Dysfunction after Stroke
摘要
Abstract
Objective To evaluate the effects of Tongdu Yishen acupuncture therapy combined with robot-guided training on upper limb dysfunction in post-stroke patients.Methods A total of 96 patients with upper limb motor dysfunction subsequent to stroke treated in the Rehabilitation Department of Binzhou Traditional Chinese Medicine Hospital from January 2023 to February 2024 were enrolled.All participants were randomly divided into acupuncture group,robot group and combined group,with 32 cases in each group.The acupuncture group received Tongdu Yishen acupuncture therapy with needle retention in addition to the basic drug treatment and conventional rehabilitation training,once a day,five times a week,for a total of four weeks.The robot group received robot-guided training in addition to the basic drug treatment and conventional rehabilitation training,once a day,20 minutes a time,five times a week,for a total of four weeks.The combined group received Tongdu Yishen acupuncture therapy combined with robot-guided training,with the same acupuncture intervention as the acupuncture group and the same robot training as the robot group,for a total of four weeks.Before and after treatment,the Fugl-Meyer Assessment for Upper Extremity(FMA-UE)and the Wolf Motor Function Test(WMFT)were used to assess the the upper limb motor function.The Box and Block Test(BBT)was used to assess the hand motor function.The Modified Barthel Index(MBI)was used to assess activities of daily living.Results(1)FMA-UE score:compared with those before treatment,the FMA-UE scores of all three groups increased significantly after treatment(P<0.05).Compared with the acupuncture group and the robot group,the FMA-UE scores of the combined group were significantly higher after treatment(P<0.05).(2)WMFT score:compared with those before treatment,the WMFT scores of all three groups increased significantly after treatment(P<0.05).Compared with the acupuncture group and the robot group,the WMFT scores of the combined group were significantly higher after treatment(P<0.05).(3)MBI and BBT scores:compared with those before treatment,the MBI and BBT scores of all three groups increased significantly after treatment(P<0.05).Compared with the acupuncture group and the robot group,the MBI and BBT scores of the combined group were significantly higher after treatment(P<0.05).Conclu-sion The Tongdu Yishen acupuncture therapy combined with robot-guided training can effectively enhance the upper limb motor function,hand function and activities of daily living of stroke patients.关键词
脑卒中/上肢运动功能障碍/通督益神针疗法/康复机器人/导向性训练Key words
stroke/upper limb motor dysfunction/Tongdu Yishen acupuncture therapy/rehabilitation robot/guided training引用本文复制引用
高建勇,黄亚宁,李丽,张志丹,孙连学,王慧凯,吕晓雅,矫闻经纬..通督益神针疗法联合机器人导向性训练对脑卒中后上肢功能障碍的影响[J].康复学报,2026,36(5):312-318,7.基金项目
山东省自然科学基金创新发展联合基金项目(ZR2023LZY026) （ZR2023LZY026）
山东省中医药科技项目(M-2022129) （M-2022129）
