干针加运动疗法治疗脑卒中后痉挛和运动功能的效果：一例报告。
Effects of dry needling plus exercise therapy on post-stroke spasticity and motor function: A case report.
机构信息
Physical Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Physical Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran; Research Center for War-affected People, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Complement Ther Clin Pract. 2022 Feb;46:101520. doi: 10.1016/j.ctcp.2021.101520. Epub 2021 Dec 2.
BACKGROUND AND PURPOSE
The use of dry needling (DN) with other treatments may be more beneficial in managing post-stroke spasticity. We report the effects of DN plus exercise therapy (ET) on wrist flexor spasticity.
PATIENT PRESENTATION
The patient was a 45-year-old man with an 8-year history of stroke. The outcome measures included the Modified Modified Ashworth Scale (MMAS), H/M ratio, H-reflex latency, Action Research Arm Test (ARAT), Fugl-Meyer Assessment (FMA), and range of motion (ROM) which were assessed before (T1), after (T2), and after 3-week follow-up (T3).
CONCLUSION
The MMAS was improved at T2 from "3" to "2". The H/M decreased from 0.77 to 0.53 at T3. The H-reflex latency increased from 15.4 ms to 18.5 ms at T3. The wrist active and passive ROM increased ∼30° and ∼20° at T2, respectively. A 4-session DN plus ET may improve spasticity and ROM. No meaningful improvement was observed in function.
背景与目的
干针（DN）联合其他治疗方法可能更有益于管理卒中后痉挛。我们报告了 DN 联合运动疗法（ET）对腕屈肌痉挛的影响。
病例介绍
患者为 45 岁男性，卒中病史 8 年。评估的结局指标包括改良的改良 Ashworth 量表（MMAS）、H/M 比值、H 反射潜伏期、动作研究上肢测试（ARAT）、Fugl-Meyer 评估（FMA）和关节活动度（ROM），分别在治疗前（T1）、治疗后（T2）和治疗后 3 周随访（T3）进行评估。
结论
MMAS 在 T2 时从“3”改善至“2”。H/M 在 T3 时从 0.77 降至 0.53。H 反射潜伏期在 T3 时从 15.4ms 增加至 18.5ms。腕关节主动和被动 ROM 在 T2 时分别增加了约 30°和 20°。4 次 DN 联合 ET 可能改善痉挛和 ROM。在功能方面未观察到有意义的改善。
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