Lu Jun-Yan, Tu Wen-Zhan, Zheng Dan-Ying, Xie Wen-Xia, Li Jin-Min, Jiang Song-He
The Second Affiliated Rehabilitation Center of Wenzhou Medical College, Wenzhou 325027, China.
Zhongguo Zhen Jiu. 2010 Jul;30(7):542-6.
To observe the clinical effect of hemiplegic muscle spasticity treated with acupuncture on different acupoints in combination with rehabilitation.
Ninety cases of post-stroke muscle spasticity were randomized into a corresponding and central axis acupuncture group (group A), a conventional acupuncture group (group B) and a rehabilitation group (group C), 30 cases in each one. In group A, the acupoints on the Governor Vessel were mainly selected, as well as those on Hand-Shaoyang meridian and Foot-Taiyang meridian. In group B, the conventional needling and rehabilitation training were applied in combination, of which, the acupoints were mainly from Hand and Foot-Yangming meridians, associated with the acupoints of Shaoyang meridian. In group C, only rehabilitation training was applied. The assessments according to modified Ashworth scale and CSS score were performed before treatment, after 2 weeks and 4 weeks treatment respectively.
The level of modified Ashworth scale of the flexor of elbow and wrist was reduced apparently after treatment in group A as compared with that before treatment (P < 0.01). The level of modified Ashworth scale of the flexor of elbow was reduced apparently after treatment in group C as compared with that before treatment (P < 0.05). There was significant difference on the level change in modified Ashworth scale for the flexor of elbow between group A and group C after 4 weeks treatment (P < 0.05). CSS score decreased significantly in group A as compared with that before treatment (P < 0.01), the improvement after treatment in group A was apparent as compared with the other two groups (P < 0.01).
The corresponding and central axis acupuncture can improve muscle tone of hemiplegic limb, which is superior to the effect achieved by the conventional acupuncture in combination with rehabilitation training and the simple rehabilitation training.
观察针刺不同穴位结合康复治疗偏瘫肌痉挛的临床疗效。
将90例脑卒中后肌痉挛患者随机分为对应中轴针刺组（A组）、传统针刺组（B组）和康复组（C组），每组30例。A组主要选取督脉及手少阳经、足太阳经穴位；B组采用传统针刺与康复训练相结合，穴位主要取自手足阳明经，并配合少阳经穴位；C组仅采用康复训练。分别于治疗前、治疗2周后、治疗4周后采用改良Ashworth量表及CSS评分进行评定。
与治疗前比较，A组治疗后肘、腕关节屈肌改良Ashworth量表评分明显降低（P<0.01）；C组治疗后肘关节屈肌改良Ashworth量表评分较治疗前明显降低（P<0.05）；治疗4周后，A组与C组肘关节屈肌改良Ashworth量表评分变化差异有统计学意义（P<0.05）。与治疗前比较，A组CSS评分明显降低（P<0.01），且A组治疗后改善情况明显优于其他两组（P<0.01）。
对应中轴针刺能改善偏瘫肢体肌张力，其疗效优于传统针刺结合康复训练及单纯康复训练。
