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针刺和体验/传统音乐疗法在中风后上肢功能障碍康复运动方案标准治疗中的初步发现。

Preliminary findings from an acupuncture and experiential/traditional music therapy during the standard care of rehabilitation exercise program for recovery on post-stroke upper limb dysfunction.

机构信息

Department of Physiatria Scientific Director of Rehabilitation Center, Arwgi Thessalias S.A., Agnadero, Karditsa, Greece.

Department of Anesthesiology, General Hospital of Karditsa, Karditsa, Greece.

出版信息

Int J Neurosci. 2022 Nov;132(11):1110-1117. doi: 10.1080/00207454.2020.1860972. Epub 2022 Feb 3.


DOI:10.1080/00207454.2020.1860972
PMID:34143714
Abstract

Upper limb dysfunction is common damage after stroke posing an important challenge for post-stroke rehabilitation but little is known about the effects of combined therapy with acupuncture and experiential/traditional music during the standard care of rehabilitation exercise program. The aim of this study, therefore, was to systematically assess the effects of exercise rehabilitation program accompanied by experiential music or/+ acupuncture for clinical recovery on post-stroke upper limb dysfunction. This was a randomized controlled study with a total of 116 eligible subjects randomly divided into three groups, namely (1) MG group-(daily listening to experiential/traditional music), (2) AP/MG group (combined treatment with daily listening to experiential/traditional music and AP), and (3) CG group (with no experiential/traditional music therapy or acupuncture (standard care only), in a 1.3:1:1 ratio. The primary outcomes in this study were the changes between baseline score during the admission and after 6 months Fugl-Meyer Assessment for Upper Extremity and the recovery. The secondary outcomes are the mean change in the scores between baseline value during the admission and after 6 months on the Visual Analogue Scale, mini-mental test, Barthel index and Computer tomography Perfusion findings- cerebral blood flow. The results of this study clarify the synergistic effects of acupuncture and daily listening to experiential/traditional music during the standard care rehabilitation program on upper limb dysfunction after stroke.

摘要

上肢功能障碍是中风后的常见损伤,对中风后的康复构成了重要挑战,但对于在标准康复运动方案的常规护理中结合针刺和体验/传统音乐治疗的效果知之甚少。因此,本研究旨在系统评估在康复运动方案中伴有体验音乐或/和针刺的情况下,对中风后上肢功能障碍的临床恢复的影响。这是一项随机对照研究,共有 116 名符合条件的受试者被随机分为三组,即(1)MG 组(每天听体验/传统音乐)、(2)AP/MG 组(结合每日体验/传统音乐和 AP 治疗)和(3)CG 组(无体验/传统音乐治疗或针刺(仅标准护理),比例为 1.3:1:1。本研究的主要结局是在入院期间和 6 个月后 Fugl-Meyer 上肢评估之间的基线评分变化和恢复情况。次要结局是在入院期间和 6 个月后视觉模拟量表、迷你精神测试、巴氏指数和计算机断层灌注结果-脑血流的评分之间的平均变化。这项研究的结果阐明了在中风后上肢功能障碍的标准康复方案中,针刺和日常体验/传统音乐的协同作用。

相似文献

[1]
Preliminary findings from an acupuncture and experiential/traditional music therapy during the standard care of rehabilitation exercise program for recovery on post-stroke upper limb dysfunction.

Int J Neurosci. 2022-11

[2]
The Value of Exercise Rehabilitation Program Accompanied by Experiential Music for Recovery of Cognitive and Motor Skills in Stroke Patients.

J Stroke Cerebrovasc Dis. 2018-11

[3]
Synergistic effect of acupuncture and mirror therapy on post-stroke upper limb dysfunction: a study protocol for a randomized controlled trial.

Trials. 2018-5-31

[4]
Efficacy of exercise rehabilitation program accompanied by experiential music for recovery of aphasia in single cerebrovascular accidents: a randomized controlled trial.

Ir J Med Sci. 2021-5

[5]
[Interactive dynamic scalp acupuncture combined with occupational therapy for upper limb motor impairment in stroke: a randomized controlled trial].

Zhongguo Zhen Jiu. 2015-10

[6]
Traditional manual acupuncture combined with rehabilitation therapy for shoulder hand syndrome after stroke within the Chinese healthcare system: a systematic review and meta-analysis.

Clin Rehabil. 2017-9-13

[7]
[Spasmodic hemiplegia after stroke treated with scalp acupuncture, music therapy and rehabilitation: a randomized controlled trial].

Zhongguo Zhen Jiu. 2017-12-12

[8]
Effects of acupuncture synchronized rehabilitation therapy on upper limb motor and sensory function after stroke: a study protocol for a single-center, 2 × 2 factorial design, randomized controlled trial.

Front Neurol. 2023-9-28

[9]
[- balance penetrating acupuncture combined with rehabilitation training on upper limb spasticity in stroke hemiplegia].

Zhongguo Zhen Jiu. 2020-7-12

[10]
Clinical observation of acupuncture combined with modern rehabilitation in the treatment of limb motor dysfunction after ischemic stroke: A randomized controlled trial.

Medicine (Baltimore). 2022-11-11

引用本文的文献

[1]
Clinical Effectiveness of Multimodal Exercise Combined With Supportive Music and Imagery in the Management of Poststroke Mood Disorders.

J Neurosci Nurs. 2025-4-1

[2]
The Outcome after Surgical Management of Ruptured Versus Unruptured Anterior Circulation Aneurysms.

Maedica (Bucur). 2024-6

[3]
Acupuncture for Post-Stroke Cognitive Impairment: An Overview of Systematic Reviews.

Int J Gen Med. 2022-9-13

[4]
Optimal Method of Electrical Stimulation for the Treatment of Upper Limb Dysfunction After Stroke: A Systematic Review and Bayesian Network Meta-Analysis of Randomized Controlled Trials.

Neuropsychiatr Dis Treat. 2021-9-15

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