Xu Lei, Li Fei, Wang Min, Yan Xing-Zhou, Du Yuan-Hao
Department of Rehabilitation, First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, Anhui Province, China.
Department of Rehabilitation, Second Affiliated Hospital of Anhui University of CM.
Zhongguo Zhen Jiu. 2021 Dec 12;41(12):1308-12. doi: 10.13703/j.0255-2930.20201217-0002.
To explore the effect of scalp acupuncture combined with suspension training on balance ability and motor function in stroke patients with balance dysfunction.
A total of 105 stroke patients with balance dysfunction were randomly divided into a combined group (35 cases, 2 cases dropped off), a scalp acupuncture group (35 cases, 3 cases dropped off) and a suspension training group (35 cases, 2 cases dropped off). The scalp acupuncture group was treated with scalp acupuncture at bilateral suboccipital lateral line, parietal midline, upper 1/5 line of anterior oblique line of parietal and temporal and line 1 of the parietal lateral line on the opposite side of hemiplegia. The suspension training group was treated with suspension training. The combined group was treated with suspension training at the same time of scalp acupuncture. All the treatment was given once a day, 30 min each time, 5 days a week, for a total of 6 weeks. The Berg balance scale (BBS) score, balance tester and Fugl-Meyer assessment (FMA) score were used to evaluate the motor function and balance ability before treatment, 3 and 6 weeks into treatment. The clinical efficacy was evaluated in the 3 groups.
The scores of BBS and FMA in each group at 3 and 6 weeks into treatment were higher than those before treatment (<0.05); the scores of BBS and FMA in the combined group were higher than those in the scalp acupuncture group and the suspension training group (<0.05). At 3 and 6 weeks into treatment, the length and area of centroid locus of balance tester in each group were lower than those before treatment (<0.05); the length and area of centroid locus of balance tester in the combined group were lower than those in the scalp acupuncture group and the suspension training group (<0.05). The total effective rate of the combined group was 97.0% (32/33), which was higher than 87.5% (28/32) in the scalp acupuncture group and 90.9% (30/33) in the suspension training group (<0.05).
Scalp acupuncture combined with suspension training could improve the balance ability and motor function in stroke patients with balance dysfunction, and the curative effect is better than simple scalp acupuncture and simple suspension training.
探讨头针联合悬吊训练对存在平衡功能障碍的脑卒中患者平衡能力及运动功能的影响。
将105例存在平衡功能障碍的脑卒中患者随机分为联合组（35例，脱落2例）、头针组（35例，脱落3例）和悬吊训练组（35例，脱落2例）。头针组采用在双侧枕下旁线、顶中线、顶颞前斜线中上1/5段及偏瘫对侧顶旁1线行头针治疗。悬吊训练组采用悬吊训练治疗。联合组在头针治疗的同时进行悬吊训练。所有治疗均每日1次，每次30分钟，每周5天，共6周。采用Berg平衡量表（BBS）评分、平衡测试仪及Fugl-Meyer评估（FMA）评分在治疗前、治疗3周及6周时评估运动功能及平衡能力。对3组患者的临床疗效进行评价。
治疗3周及6周时，各组BBS及FMA评分均高于治疗前（P<0.05）；联合组BBS及FMA评分高于头针组和悬吊训练组（P<0.05）。治疗3周及6周时，各组平衡测试仪重心轨迹长度及面积均低于治疗前（P<0.05）；联合组平衡测试仪重心轨迹长度及面积低于头针组和悬吊训练组（P<0.05）。联合组总有效率为97.0%（32/33），高于头针组的87.5%（28/32）和悬吊训练组的90.9%（30/33）（P<0.05）。
头针联合悬吊训练可改善存在平衡功能障碍的脑卒中患者的平衡能力及运动功能，且疗效优于单纯头针及单纯悬吊训练。
