针刺研究2026，Vol.51Issue(6)：749-757,9.DOI:10.13702/j.1000-0607.20250680
透刺联合悬吊训练对卒中后偏瘫患者下肢运动功能和平衡功能的影响
The impact of penetrating needling combined with sling exercise therapy on lower limb motor and balance function in post-stroke hemiplegic patients
摘要
Abstract
Objective To observe the effects of penetrating needling combined with sling exercise therapy(SET)on lower limb motor function,balance,and spasticity in patients with post-stroke hemiplegia.Methods Patients with post-stroke hemiplegia were randomly divided into a control group(33 cases,1 dropout)and a penetrating needling group(33 cases,1 dropout).All participants received standard medical treatment,rehabilitation training,and routine acupuncture as baseline therapy.The control group received additional SET,while the penetrating needling group received additional SET combined with penetrating needling therapy.The penetrating needling technique was applied from Ququan(LR8)to Xiyangguan(GB33),from Yanglingquan(GB34)to Yinlingquan(SP9),from Fuyang(BL59)to Jiaoxin(KI8),and from Qiuxu(GB40)to Zhaohai(KI6).Outcome measures,including the Fugl-Meyer assessment of lower extremity motor function(FMA-L),Berg balance scale(BBS),modified Ashworth scale(MAS),and gait analysis data(assessed using a force plate system),were evaluated before and after treatment.Results After treatment,both groups showed significant improvements:increased FMA-L and BBS scores,decreased MAS scores,reduced postural sway parameters(eyes-open ball length,eyes-open ellipse area,eyes-closed ball length,and eyes-closed ellipse area),decreased load on the healthy side and medial-lateral load asymmetry,and increased step frequency,step speed,and load on the affected side(all P<0.05).The penetrating needling group demonstrated superior improvements in all measures compared to the control group(P<0.05).Conclusion The combination of penetrating needling and SET helps balance the medial-lateral plantar load distribution between the healthy and affected sides in post-stroke hemiplegic patients,shifts the center of gravity toward the midline,enhances standing stability,improves motor and balance functions,and alleviates spasticity.关键词
卒中后偏瘫/透刺/悬吊训练/平衡功能/步态分析Key words
Post-stroke hemiplegia/Penetrating needling/Sling exercise therapy/Balance function/Gait analysis引用本文复制引用
李冰枝,罗金发,陈董董,刘华胜,李梦醒,朱宗俊,肖洪波..透刺联合悬吊训练对卒中后偏瘫患者下肢运动功能和平衡功能的影响[J].针刺研究,2026,51(6):749-757,9.基金项目
国家中医康复中心建设项目(No.国中医药医政函[2023]255号) （No.国中医药医政函[2023]255号）
国家自然科学基金青年项目(No.82305361) （No.82305361）
安徽省卫健委科研项目(No.AHWJ2023A10070) （No.AHWJ2023A10070）
