Molchanova E E, Drobyshev V A
Amur State Medical Academy, Blagoveshchensk, Russia.
Novosibirsk State Medical University, Novosibirsk, Russia.
Vopr Kurortol Fizioter Lech Fiz Kult. 2021;98(2):5-9. doi: 10.17116/kurort2021980215.
The disability of post-stroke patients is one of the most important problems of the modern medical community requiring the improvement of existing rehabilitation technologies through the wider use of non-drug treatment methods among which the most accessible are various modifications of reflexotherapy.
To evaluate the effectiveness of the combined reflexology technique, including the combined use of classical acupuncture, su-jok and cranial acupuncture in the early rehabilitation of patients after ischemic stroke.
Examination and course of early neurorehabilitation were carried out in 80 patients aged 47-78 years. Effectiveness evaluation of the different methods of reflexotherapy was carried out in 4 groups (20 patients each) comparable by age, gender and severity of stroke. In the main group the basic rehabilitation complex was supplemented by the combined use of classical, cranial acupuncture (with symmetrical stimulation of 7 main zones) and su-jok. Patients of the 1st comparison group additionally underwent only su-jok-therapy, the 2nd group - corporal acupuncture procedures in combination with cranial acupuncture, the 3 group - the basic complex of rehabilitation without the inclusion of reflexotherapy.
After 2 weeks' treatment in patients of the main group the regression of neurological symptoms according to the NIHSS scale was 5.3 points on average (76%, <0.001) and the Bartel index increased by 29.8 points (44.9%, <0.001). An improvement in the psycho-emotional state appeared by decreased depression level on the Beck scale by 6.9 points on average (42%, <0.05) and reactive anxiety by 12 points (35.7%, <0.05). The indicators' improvement in the first two comparison groups was also significant across all scales but less pronounced than in the main group. The lowest values of the studied indicators were obtained in the 3rd comparison group.
Improvement of neurorehabilitation technologies using combined techniques of reflexotherapy in the acute period of ischemic stroke is characterized by high clinical effectiveness that contributing to the regression of neurological symptoms and improvement of the psycho-emotional status of post-stroke patients which has a beneficial effect on their adaptation to the daily life.
中风后患者的残疾是现代医学界最重要的问题之一，需要通过更广泛地使用非药物治疗方法来改进现有的康复技术，其中最容易获得的是各种形式的反射疗法。
评估包括经典针灸、耳针和头针联合使用的综合反射疗法技术在缺血性中风患者早期康复中的有效性。
对80名年龄在47 - 78岁的患者进行了早期神经康复检查和疗程。在4组（每组20名患者）中进行了反射疗法不同方法的有效性评估，这4组患者在年龄、性别和中风严重程度方面具有可比性。在主要组中，基本康复方案通过联合使用经典头针（对称刺激7个主要区域）和耳针进行补充。第一比较组的患者仅额外接受耳针治疗，第二组 - 体针疗法结合头针，第三组 - 不包括反射疗法的基本康复方案。
主要组患者经过2周治疗后，根据美国国立卫生研究院卒中量表（NIHSS），神经症状平均消退5.3分（76%，<0.001），Barthel指数增加29.8分（44.9%，<0.001）。心理情绪状态有所改善，贝克抑郁量表上的抑郁水平平均降低6.9分（42%，<0.05），反应性焦虑降低12分（35.7%，<0.05）。前两个比较组的指标在所有量表上也有显著改善，但不如主要组明显。在第三比较组中获得了所研究指标的最低值。
在缺血性中风急性期使用综合反射疗法技术改进神经康复技术具有很高的临床有效性，有助于神经症状的消退和中风后患者心理情绪状态的改善，对他们适应日常生活有有益影响。
