互动式头针治疗脑卒中恢复期患者步态的康复疗效评价

目的 :观察互动式头针对脑卒中恢复期患者偏瘫步态及移动能力的治疗作用。方法 :将连续纳入研究的90例符合病例选择标准的脑卒中恢复期伴偏瘫步态的患者随机分入互动式头针组(30例,头针治疗同时进行康复训练)、传统头针组(30例,头针治疗后进行康复训练)和对照组(30例,仅康复训练),连续治疗3个月。采用5 m折返行走试验评估治疗后的步态质量改善情况,采用改良Barthel指数评估移动能力改善对整体康复疗效的影响。结果 :治疗后,3组患者的5 m折返行走时间和改良Barthel指数均较治疗前显著改善(P值均0.01)。互动式头针组治疗前后5 m折返行走时间的差值显著大于传统头针组(P0.05)和对照组(P0.01);治疗前后改良Barthel指数的差值显著大于对照组(P0.05),亦高于传统头针组,但差异无统计学意义(P0.05)。结论 :互动式头针治疗有助于脑卒中恢复期患者偏瘫步态的改善,从而提高其移动能力。

Rehabilitation evaluation of interactive scalp acupuncture therapy for post-stroke gait in hemiplegia

Objective:To explore the effectiveness of interactive scalp acupuncture therapy for post-stroke gait in hemiplegia and mobility.
Methods:Ninety post-stroke patients with gait in hemiplegia who were sequentially recruited in this study and meeting the inclusion criteria were randomly divided into three groups: interactive scalp acupuncture group (n = 30, interactive scalp acupuncture therapy combined with rehabilitation training at the same time), traditional scalp acupuncture group (n = 30, rehabilitation training performed after scalp acupuncture therapy) and control group (n = 30, only rehabilitation training). All patients were continuously treated for 3 months. The 5-meter turn-back test was applied to evaluate the improvement in gait quality after treatment. The modified Barthel Index was used to evaluate the effect of improvement in mobile ability on comprehensive rehabilitation efficiency.
Results:After treatment, the walking time of 5-meter turn-back test and the modified Barthel Index of three groups were both improved as compared with those before treatment (allP < 0.01). The improvement degree in walking time of 5-meter turn-back test of interactive scalp acupuncture group was significantly greater than those of traditional scalp acupuncture group (P < 0.05) and the control group(P < 0.01). Meanwhile, the difference in modified Barthel Index before and after treatment of interactive scalp acupuncture group was significantly greater than that of the control group (P < 0.05), and also greater than that of the traditional scalp acupuncture group but with no statistical significance (P > 0.05).
Conclusion:Interactive scalp acupuncture therapy can improve the recovery of post-stroke patients with gait in hemiplegia, thus improve the patients’ mobile ability.