Clinical observation on acupuncture treatment for post-stroke spastic hemiplegia

Objective： To observe the clinical effect of contralateral needling plus rehabilitation for post-stroke spastic hemiplegia. Methods： Thirty-six patients with post-stroke spastic hemiplegia were randomly divided into a treatment group and a control group, 18 cases in each group. The two groups were all given rehabilitation training. The contralateral needling was adopted in the treatment group on the acupoints group of brain-refreshing and orifice-opening needling method. The routine acupuncture was applied in the control group on the same acupoints. Respectively before and after the treatment, the modified Ashworth scale （MAS） and clinical spasticity index （CSi） were used to assess the therapeutic effects. Results： The total effective rate was 94.4% in the treatment group and 67.7% in the control group, with a statistical difference in comparison of the two groups （P〈0.05）. In comparison of MAS and CSI scores after the treatment between the treatment group and control group, the differences were statistically significant （P〈0.05）. Conclusion： The contralateral needling plus rehabilitation training is an effective method for the treatment of post-stroke spastic hemiplegia.     

Clinical observation on acupuncture plus motor therapy for postapoplectic spastic hemiplegia

Objective

To observe the clinical efficacy of acupuncture plus motor therapy for postapoplectic spastic hemiplegia and provide reference for rehabilitation care of patients with spastic hemiplegia after stroke.

Methods

A total of 87 cases with postapoplectic spastic hemiplegia were randomly allocated into a treatment group and a control group. Patients in both groups received basic treatments to control blood pressure, blood sugar, blood fat and improve circulation. The 43 cases in the treatment group received acupuncture combined with motor therapy, whereas the 44 cases in the control group received motor therapy alone (same as the treatment group). The treatment was conducted once a day, for a total of 3 sessions. One session consisted of 10 times and there was a 1-day interval between two sessions. Then the changes in modified Ashworth scale (MAS) score and Fugl-Meyer assessment scale (FMA) score and clinical efficacy were observed.

Results

After treatment, the MAS scores were significantly decreased in both groups, showing intra-group statistical differences (P<0.01). The MAS score in the treatment group was significantly lower than that in the control group, showing a between-group statistical difference (P<0.01). The total effective rate was 69.8% in the treatment group, versus 45.5% in the control group, showing a between-group statistical difference (P<0.05). After treatment, the FMA scores were significantly increased in both groups, showing intra-group statistical differences (P<0.01); and the FMA score in the treatment group was significantly higher than that in the control group, showing a between-group statistical difference (P<0.05).

Conclusion

Acupuncture combined with motor therapy is better than motor therapy alone in alleviating postapoplectic limb spasticity, improving the limb motor function and increasing the activities of daily living (ADL).

     

Effect of acupuncture plus Tai Ji Quan on the recovery of neurological function and depression state in post-stroke depression patients

Objective

To observe the therapeutic efficacy of acupuncture plus Tai Ji Quan (Tai Chi) in recovering the neurological function and treating depression state in post-stroke depression patients, together with a 12-month follow-up.

Methods

A total of 105 eligible post-stroke depression patients were randomized into an acupuncture plus Tai Ji group (53 cases) and a control group (52 cases) based on their visiting sequence. The patients all received routine treatment and rehabilitation training for stroke. In addition, the control group was given oral administration of citalopram hydrobromide tablets, 1 month as a course of treatment, for 3 courses in total. Meanwhile, the acupuncture plus Tai Ji group received acupuncture and practiced Tai Ji Quan, for 1 month and 12 months respectively. Before the intervention, after 1-month intervention and 12 months later, the National Institute of Health stroke scale (NIHSS), Barthel index (BI) and Hamilton depression rating scale (HAMD) were adopted for efficacy evaluation.

Results

Prior to the intervention, there were no significant differences in HAMD, NIHSS and BI scores between the two groups (all P>0.05); after 1-month intervention, there were significant between-group differences in NIHSS, BI and HAMD scores (P<0.05 or P<0.01); the 12-month follow-up revealed significant between-group differences in NIHSS, BI and HAMD scores (all P<0.01). In the treatment of stroke, the total effective rate was 84.4% in the acupuncture plus Tai Ji group, significantly higher than 68.9% in the control group (P<0.05); in the treatment of depression, the total effective rate was 86.7% in the acupuncture plus Tai Ji group, significantly higher than 77.8% in the control group (P<0.05).

Conclusion

Acupuncture plus Tai Ji Quan can produce a significant efficacy in improving the limb motor function and depression in post-stroke depression patients.

     

Clinical observation on scalp acupuncture combined with rehabilitation training for hemiplegia after stroke

Objective： To observe the clinical efficacy of the scalp acupuncture combined with rehabilitation training for hemiplegia. Methods： One hundred and thirty-six cases with hemiplegia after stroke who met the inclusion criteria were randomly divided into three groups according to visiting sequence. Forty-eight cases in the observation group were treated by scalp acupuncture combined with rehabilitation training, 35 cases in the medicine group were treated by Chinese and Western medicines, and 53 cases in the medicine plus rehabilitation group were treated by Western medicine and rehabilitation training. Patients＇ consciousness, speech and limb functions were scored before and after treatment, and the results were compared. Results： After treatment, the scores of consciousness, speech and limb functions after treatment were lower than those before treatment. And their decrease in the observation group were more statically significant than that in the medicine group and the medicine plus rehabilitation group （P〈0.01 or P〈0.05）. The total effective rates of the three groups were significantly different （P〈0.01 or P〈0.05）. The total effective rate of the observation group was better than that of the other two groups （both P〈0.01）. Conclusion： Scalp acupuncture combined with rehabilitation therapy has better effect for stroke hemiplegia.     

Effect of warm joint needling plus rehabilitation on the balance function and quality of life of patients with spastic hemiplegia after ischemic cerebral stroke

Objective

To observe the effect of warm joint needling plus rehabilitation techniques on the balance function and quality of life (QOL) of patients with spastic hemiplegia after ischemic cerebral stroke.

Methods

Ninety patients with spastic hemiplegia after ischemic cerebral stroke were randomized into a rehabilitation group, a warm joint needling group and an observation group, with 30 cases in each group. The rehabilitation group was intervened by Bobath therapy, the warm joint needling group was treated with joint needling on the affected side plus warm needling, and the observation group was given the same rehabilitation treatment as the rehabilitation group together with the same warm joint needling as the warm joint needling group. The three groups were treated once another day, 1 month as a treatment course for 6 months. Before the treatment, and respectively after 2-week, 1-month, 3-month, and 6-month treatment, the modified Ashworth scale (MAS) was used to measure the anti-spasm ability of the lower limb, the Berg balance scale (BBS) was adopted to evaluate the balance function, and the stroke-specific quality of life scale (SS-QOL) was employed to estimate the QOL.

Results

After 3-month and 6-month treatment, the lower-limb MAS scores in the observation group were significantly better than those in the rehabilitation group and the warm joint needling group (all P<0.05). After 1-month, 3-month and 6-month treatment, the BBS scores in the observation group were significantly better than those in the rehabilitation group and the warm joint needling group (all P<0.05). After 2-week, 1-month, 3-month and 6-month treatment, the SS-QOL scores in the observation group were markedly better than those in the rehabilitation group and the warm joint needling group (all P<0.05).

Conclusion

Warm joint needling plus rehabilitation can effectively improve the lower‐limb spasticity state, balance function and QOL in patients with spastic hemiplegia after ischemic cerebral stroke.

     

Acupuncture plus Chinese medicinal fumigation and washing for edema of the stroke-affected limb

Objective： To evaluate the therapeutic efficacy of acupuncture plus Chinese medicinal fumigation and washing in treating edema of the affected limb in post-stroke hemiplegia. Methods： Two hundred patients with edema of the stroke-affected limb from our hospital were randomized into two groups according to their visiting sequence. In the observation group, 100 subjects were intervened by acupuncture plus Chinese medicinal fumigation and washing in addition to oral administration of diuretics, while the other 100 subjects in the control group were only given diuretics. The therapeutic efficacy was evaluated after successive 2-week treatments. Results： The total effective rate was 90.0% in the observation group, significantly higher than 66.0% in the control group, indicating that there was a significant difference in comparing the overall therapeutic effect（P〈0.01）. Conclusion： Acupuncture plus Chinese medicinal fumigation and washing in addition to oral administration of diuretics is effective in treating edema of the affected limb in post-stroke hemiplegia.     

Effect of combining acupuncture and functional training on post-stroke functional impairment of hand

Objective： To observe the clinical effect of combining acupuncture and functional training on post-stroke functional impairment of hand. Methods： A total of 165 cases who met the inclusion criteria were randomized into a treatment group （85 cases） and a control group （80 cases）. Cases in the treatment group were treated with routine acupuncture points plus Shixuan （EX-UE 11） and Xiaohai （SI 8）, whereas cases in the control group were treated with routine acupuncture points alone. After acupuncture, cases in both groups conducted functional training in upper limbs. The finger grip strength and hand function were assessed before and after 3-course treatment. Results： Cases in the treatment group obtained better finger grip strength and hand function than those in the control group （both P〈0.05）. Conclusion： In addition to functional training, adding Shixuan （EX-UE 11） and Xiaohai （SI 8） to traditional acupuncture formulae works better for post-stroke functional impairment of hand.     

Clinical observation on electroacupuncture for post-stroke flaccid paralysis

Objective:To observe the clinical efficacy of electroacupuncture (EA) in treating post-stroke flaccid paralysis. Methods:Forty patients with post-stroke flaccid paralysis were randomized by the random number table into a treatment group and a control group, 20 cases in each. The treatment group was intervened by acupuncture at Jiquan (HT 1), Tianquan (PC 2), Ququan (LR 8), Yinlingquan (SP 9), and Yongquan (KI 1), and the control group was treated by acupuncture with conventional acupoint selection. Barthel index (BI) was adopted for evaluating the activities of daily living (ADL), and therapeutic efficacy was analyzed. Results:The two groups both had marked increases of BI score after treatment. Compared to the control group after 1 treatment course and 2 treatment courses respectively, the treatment group had significant differences in BI score (P<0.01). The total effective rate was 100.0% in the treatment group versus 90.0% in the control group, and the difference was statistically significant (P<0.01). Conclusion:EA at Jiquan (HT 1), Tianquan (PC 2), Ququan (LR 8), Yinlingquan (SP 9), Yongquan (KI 1) is an effective approach in treating post-stroke flaccid paralysis.     

Aligned acupuncture at muscle regions plus cutaneous needle for upper limb spasticity after stroke: A multicenter randomized controlled trial

Objective： To evaluate the clinical efficacy of aligned acupuncture at the muscle regions plus cutaneous needle for post-stroke upper limb spasticity. Methods： By adopting a design of multicenter randomized controlled clinical trial, 488 patients with post-stroke upper limb spasticity were randomized into a treatment group and a control group, 244 in each group. In addition to rehabilitation training, the treatment group received aligned acupuncture at the muscle regions plus cutaneous needle therapy and the control group received conventional Western medicine. After successive 3-week treatments, the clinical efficacy, spasticity degree of the upper limb, joint function, and neurological defect degree were evaluated in the two groups. Results： The total effective rate was 93.4% in the treatment group versus 61.5% in the control group, and the difference was statistically significant （P 〈 0.05）. The upper-limb spasticity degree, joint function, and neurological defect degree were improved significantly in both groups after intervention （P〈0.05）, and the improvements in the treatment group were more significant than those in the control group （P〈0.05 or P〈0.01）. Conclusion： Aligned acupuncture at the muscle regions plus cutaneous needle therapy is effective in treating post-stroke upper limb spasticity.     

Effect of individualized needling on gross motor function in cerebral palsy infants

Objective: To observe the effect of individualized needling protocol (on the basis of functional brain mapping and standardized syndrome differentiation in Chinese medicine) on gross motor functions of infants with cerebral palsy (CP) and thus study the innovative means of combining acupuncture with rehabilitation management technique. Methods: A total of 74 CP infants were randomized into a treatment group and a control group, 37 in each group. Combined individualized needling and rehabilitation training were used in the treatment group, versus combined Jin’s needling (16 brain-benefiting points) and rehabilitation training in the control group. For both groups, acupuncture treatment was conducted once every other day and rehabilitation training every day. The dynamic changes of gross motor functions before treatment and after every 1-month treatment were measured and assessed using the Gross Motor Function Measure (GMFM)-66. Results: After treatment, the GMFM scores were significantly increased in both groups (P<0.01); there were no between-group statistical differences in increase range of the GMFM scores (P>0.05); the treatment protocol was not interacted with the treatment time; and the GMFM scores for spastic CP infants were better in the treatment group than that in the control group (P<0.05). Conclusion: Combined scalp acupuncture and rehabilitation training can produce positive effects on gross motor functions of CP infants. Individualized needling can obtain better effects than 16 brain-benefiting points in improving the gross motor functions of spastic CP infants.     

Effect of combined Jin’s three-needle and rehabilitation care on post-stroke hemiplegia

Objective： To observe and compare the efficacy differences between combined Jin＇s three-needle and rehabilitation training and rehabilitation training alone for hemiplegia following an ischemic stroke. Methods： A total of 94 cases who met the inclusion criteria were randomized into an observation group using combined Jin＇s three-needle and rehabilitation training and a control group using rehabilitation training alone. The therapeutic efficacies were then assessed respectively before treatment, 14 d and 28 d after treatment using neurological deficient scale （NDS） and short-form Fugl-Meyer assessment （SFFMA） scale. Results： After treatment, the NDS and SFFMA scores in both groups were significantly improved （P〈0.05）; after 28-day treatment, the inter-group comparison showed a statistical significance （P〈0.05）. Conclusion： Combined Jin＇s three-needle and rehabilitation training and rehabilitation training alone can both enhance the nerve function recovery of patients with post-stroke hemiplegia and improve their motor function; however, the former could obtain better effects than the latter.     

腹针结合体针治疗轻中度抑郁症的疗效观察

目的:观察薄氏腹针结合体针对轻中度抑郁症临床症状的影响.方法:将62例轻中度抑郁症患者随机分为治疗组和对照组.治疗组采用薄氏腹针结合体针治疗,对照组仅采用常规体针治疗,两组患者分别在治疗前后用汉密尔顿抑郁量表(Hamilton Depression Rating Scale,HAMD-17)和抑郁自评量表(Self-Rating Depression Scale,SDS)进行测评.结果:两组患者HAMD-17和SDS量表评分与自身治疗前比较,均明显减低(P＜0.01);治疗后两组间HAMD-17项和SDS量表评分相比较,治疗组评分降低更明显(P＜0.01).结论:薄氏腹针结合体针能明显减低抑郁症患者HAMD-17项和SDS量表评分,能够更为明显地改善抑郁症状.     

Effect of needle-retaining time on therapeutic efficacy for post-stroke hemiplegia

Objective： To observe the effect of needle-retaining time in scalp acupuncture on therapeutic efficacy for post-stroke hemiplegia. Methods： A total of 82 cases who met the inclusion criteria were randomly allocated into a control group （22 cases）, a short-time needle- retaining group （30 cases） and a long-time needle-retaining group （30 cases）. Conventional Bobath therapy was employed in the control group while the scalp acupuncture was combined in the short-time （0.5 h） needle-retaining group and long-time （24 h） needle-retaining group. Then functional assessments were made 1 month and 3 months after treatment using FugI-Meyer motor scale {FMMS）, FugI-Meyer assessment of balance （FMA-B） and modified Barthel index （MBI） score. Results： Cases in the long-time needle-retaining group obtained better effects in motor function of the limbs and activities of daily living （ADL） than the other two groups （P〈0.05）. In addition, there was no statistical significance between the short-time needle-retaining group and the control group （P〉0.05）. Conclusion： The needle-retaining time in scalp acupuncture is substantially associated with the effect for post-stroke hemiplegia and long-time needle-retaining is more advisable.     

早期康复联合针刺拮抗肌对痉挛性偏瘫患者肌张力的影响

目的:探讨早期康复联合针刺拮抗肌对痉挛性偏瘫患者肌张力和预后效果的影响。方法:以简单随机法,将100例中风后痉挛性偏瘫患者随机分成分2组,每组50例。对照组患者在治疗期间给予传统针刺联合常规早期康复锻炼,观察组则康复期联合拮抗肌针刺进行干预。4周为1疗程,治疗1个疗程后,评估患侧痉挛状态(用改良Ashworth的量表评分,MAS)、肢体运动功能(用Fugl-Meyer运动功能评分法,FMA)、日常活动能力(采用改良Barthel指数,MBI)。结果:治疗后,观察组肢体痉挛程度MAS评分和肌力结果分别为(1.58±0.6)分和(372.7±21.6)N,均优于治疗前和治疗后对照组测定结果(P0.05);观察组治疗后FMA评分和MBI评分分别为(82.8±10.6)分和(83.7±5.6)分,优于对照组评分结果(P0.05)。结论:针刺拮抗肌对患侧痉挛肢体进行针对性治疗,可通过神经反复刺激,改善患肢肌张,提高运动的协调性。     

眼针联合带针康复训练治疗中风后偏瘫肢体功能障碍的疗效观察

目的 探讨眼针联合带针康复训练治疗中风后偏瘫肢体功能障碍的疗效.方法 选取中风后偏瘫患者的112例,随机分为2组.对照组给予常规康复训练治疗,治疗组应用眼针联合带针康复训练.比较2组临床总有效率、神经功能缺损评分(NIHSS)、肢体功能评分(FMA),日常生活活动能力评分(BI).结果 治疗组总有效率为92.86％,对...     

针灸并用结合康复训练治疗中风后肩手综合征临床疗效观察

ObjectiveTo compare the clinical effects of body acupuncture, moxibustion, and body acupuncture plus moxibustion in the treatment of post-stroke shoulder hand syndrome (SHS).MethodsA total of 90 SHS patients after stroke were randomly divided into the body acupuncture group, the moxibustion group, and the body acupuncture plus moxibustion group, with 30 cases in each. On the basis of rehabilitation and routine treatment, the patients in different groups were treated with body acupuncture, moxibustion, and body acupuncture plus moxibustion respectively. Treatment was given once a day, 5 times a week, and 4 weeks in all. The visual analogue scale (VAS) scores, edema grading scores, and simplified Fugl-Meyer assessment (FMA) scores were evaluated before and after treatment, and the therapeutic effects of patients were evaluated as well.ResultsAfter treatment, the VAS and edema grading scores of the three groups were all lower and the FMA scores were all higher than those before treatment, with statistically significant differences (all P<0.05). The VAS and edema grading scores of the acupuncture plus moxibustion group were lower and the FMA score was higher than those of the body acupuncture group and the moxibustion group, with statistically significant differences (all P<0.05). The total effective rate of the acupuncture plus moxibustion group was 96.7%, higher than 80.0% of the body acupuncture group and 83.3% of the moxibustion group, with statistically significant differences (both P<0.05).ConclusionBody acupuncture, moxibustion, and body acupuncture plus moxibustion are all effective for post-stroke SHS, while the effect of acupuncture plus moxibustion is the best in relieving the pain and swelling, and improving effectively the joint movement of post-stroke SHS patients, which should be popularized in clinical practice.     

巨刺配合康复训练治疗脑卒中后痉挛性偏瘫疗效观察

目的观察巨刺配合康复训练治疗脑卒中后痉挛性偏瘫的临床疗效。方法将36例脑卒中后痉挛性偏瘫的患者随机分为治疗组和对照组,每组18例。两组均进行康复训练治疗,治疗组在醒脑开窍组穴基础上采用巨刺治疗,对照组在醒脑开窍组穴基础上采用常规针刺治疗,治疗前后分别对两组用修改的Ashworth量表(MAS)、痉挛评定量表(CSI)评价疗效。结果治疗组总有效率为94.4%,对照组为67.7%,两组比较差异具有统计学意义(P<0.05)。治疗组治疗后MAS、CSI量表评分与对照组比较,差异均具有统计学意义(P<0.05)。结论巨刺配合康复训练是一种治疗脑卒中后痉挛性偏瘫的有效方法。     

Clinical observation of acupuncture plus patent Chinese medicine for post-stroke constipation

Objective： To observe the clinical efficacy of acupuncture plus patent Chinese medicine in treating post-stroke constipation. Methods： Sixty eligible patients with post-stroke constipation were randomized into a treatment group and a control group, 30 in each group. The treatment group was intervened by acupuncture plus Ma Zi Ren pill, while the control group was by Ma Zi Ren pill alone. The symptoms of constipation were observed before and after intervention. Results： After 2-week treatment, the constipation condition was improved in both groups, and the improvement in the treatment group was statistically more significant than that in the control group（P〈0.05）; respectively two weeks and a month after the intervention, the treatment group was superior to the control group in comparing the constipation score（P〈0.05）. However, acupuncture didn＇t show marked effect in improving defecation speed, initial defecation time, and spontaneous discharge frequency. The treatment group had a significantly higher short-term markedly-effective rate compared with the control group（P〈0.05）; the long-term therapeutic efficacy of the treatment group was significantly higher than that of the control group（P〈0.05）. The adverse events happened in the treatment group were significantly less than those in the control group（P〈0.05）. Conclusion： Acupuncture at specific acupoints plus patent Chinese medicine can produce a content therapeutic efficacy.     

Clinical Study on Puncturing Weizhong （BL 40） for Post-stroke Dysfunction of the Lower Limbs

Objective： To observe the clinical effects in the treatment of post-stroke dysfunction of lower limb by puncturing Weizhong （BL 40）. Methods： One hundred and twenty patients were randomly divided into two groups, 60 cases in each group. Both groups were treated by puncturing Weizhong （BL 40） plus functional rehabilitation training, once every day. Those in the observation group were treated by Shi Xue-min＇s needling technique, while others in the control group were treated with routine needling technique. The therapeutic effects were assessed by the scores of lower limb functions of Lovett scale of grading muscle strength （LSGMS） and short-form FugI-Meyer assessment （SFFMA）. Results： The instant and post-treatment effective rates in the observation group were 83.3% and 93.3%, versus 6.7% and 53.3% in the control group, indicating that the therapeutic effect was better in the observation group （P〈0.01）. The instant and post-treatment scores of Lovett muscle strength grading scale were better in the observation group than that in the control group （P〈0.05）. SFFMA score of lower limbs function was better in the observation group than that in the control group （P〈0.0s）. Conclusion： Different needling methods at Weizhong （BL 40） can produce different therapeutic effects in treating post-stroke dysfunction of lower limb, and Shi＇s needling technique has obvious instant effect and therapeutic function.     

穴位注射治疗中风后吞咽障碍疗效观察(英文)

目的:观察穴位注射治疗脑卒中后吞咽障碍的临床疗效。方法:将80例脑卒中后吞咽障碍患者随机分入治疗组和对照组,每组40例,治疗组在西医常规治疗基础上进行穴位注射治疗,对照组接受西医常规治疗,并对两组的治疗结果比较分析。结果:两组患者治疗后症状与体征积分均有好转。洼田氏饮水试验疗效比较,治疗组优于对照组(P<0.01)。结论:穴位注射治疗脑卒中后吞咽障碍有很好的疗效。