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[肌肉张力平衡针刺疗法对脑卒中后足下垂及足内翻患者运动功能和生活能力的影响]

[Effect of muscle-tension-balance acupuncture therapy on the motor function and living ability of patients with drop foot and strephenopodia after stroke].

作者信息

Liu Zhao-Ping, Zeng Man-Ping, Xie Hui, Lou Bi-Dan, Zhang Wei

机构信息

Department of Reahabilitation Medicine, Chenzhou First People's Hospital, Chenzhou 423000, Hunan Province, China.

出版信息

Zhongguo Zhen Jiu. 2012 Apr;32(4):293-6.

Abstract

OBJECTIVE

To compare the difference between muscle-tension-balance acupuncture and conventional acupuncture in the impacts on motor function and living ability of patients with drop foot and strephenopodia after stroke.

METHODS

Seventy cases were randomly divided into a muscle-tension-balance acupuncture group (group A) and a conventional acupuncture group (group B), 35 cases in each one. In group A, firstly the acupuncture of weakening technique was applied to Sanyinjiao (SP 6) and Taixi (KI 3) on the musculus extensor side; secondly, the strengthening technique was adopted at Jiexi (ST 41), Shenmai (BL 62) and Yanglingquan (GB 34) on musculus flexor side. In group B, the conventional needling technique was applied to Zusanli (ST 36), Sanyinjiao (SP 6), Xuanzhong (GB 39), etc. The treatment was given once every day in either group, 10 treatments made one session and 3 sessions of treatment were required. The score of Fugl-Meyer motor function of the lower limb on the affected side and Barthel index score were assessed before and after treatment in two groups.

RESULTS

After treated for 3 sessions, Fugle-Meyer motor function score and Barthel index score of the patients all increased in two groups (all P < 0.01). The results in group A were better than those in group B (both P < 0.05). The improvements were apparent in the 2nd session of treatment in group A (both P < 0.01), which were superior to those in group B (both P < 0.05).

CONCLUSION

Either acupuncture therapy can improve the motor function and living ability of patients with drop foot and strephenopodia after stroke. The muscle-tension-balance acupuncture achieves the efficacy quickly and its efficacy is much better.

摘要

目的

比较肌张力平衡针法与传统针刺法对中风后足下垂及足内翻患者运动功能和生活能力的影响差异。

方法

将70例患者随机分为肌张力平衡针刺组(A组)和传统针刺组(B组),每组35例。A组先在伸肌侧三阴交(SP 6)、太溪(KI 3)行弱刺激针刺;然后在屈肌侧解溪(ST 41)、申脉(BL 62)、阳陵泉(GB 34)行强刺激手法。B组采用传统针刺手法针刺足三里(ST 36)、三阴交(SP 6)、悬钟(GB 39)等穴位。两组均每日治疗1次,10次为1个疗程,共治疗3个疗程。分别于治疗前后对两组患侧下肢Fugl-Meyer运动功能评分及Barthel指数评分进行评定。

结果

两组患者治疗3个疗程后,Fugl-Meyer运动功能评分及Barthel指数评分均升高(均P < 0.01)。A组改善情况优于B组(均P < 0.05)。A组在第2个疗程时改善明显(均P < 0.01),优于B组(均P < 0.05)。

结论

两种针刺疗法均可改善中风后足下垂及足内翻患者的运动功能和生活能力。肌张力平衡针法起效快,疗效更佳。

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