Zhang Qiong-Shuai, Zhang Yu, Ji Guang-Cheng, Xu Xiao-Hong, Wang Yu-Feng, Song Bai-Lin
Department of Rehabilitation Medicine, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China.
College of Acupuncture-Moxibustion and Tuina, Changchun University of CM, Changchun 130000, Jilin Province.
Zhongguo Zhen Jiu. 2022 Apr 12;42(4):377-80. doi: 10.13703/j.0255-2930.20210506-k0001.
To observe the clinical effect of cluster acupuncture at scalp points in treating limb spasm after stroke on the basis of conventional exercise therapy.
A total of 72 patients with limb spasm after stroke were randomly divided into an observation group (36 cases, 5 cases dropped off) and a control group (36 cases, 6 cases dropped off). The control group was treated with exercise therapy. In the observation group, on the basis of the control group, penetrating technique of acupuncture was exerted at Qianding (GV 21) to Baihui (GV 20), Xinhui (GV 22) to Qianding (GV 21), etc. once a day, 5 days a week for 4 weeks. Before and after treatment, the changes of the modified Ashworth scale (MAS), simplified Fugl-Meyer motor assessment (FMA), and modified Barthel index (MBI) scores of the two groups were compared.
After treatment, the MAS scores of upper and lower limbs in the two groups were lower than before treatment (<0.05), and those in the observation group were lower than the control group (<0.05). After treatment, the scores of FMA and BMI in the two groups were higher than before treatment (<0.05), and the score of MBI in the observation group was higher than the control group (<0.05).
On the basis of conventional exercise therapy, cluster acupuncture at scalp points can reduce the spasm, improve motor function and activities of daily living in patients with limb spasm after stroke.
观察头穴丛刺结合传统运动疗法对脑卒中后肢体痉挛的临床疗效。
将72例脑卒中后肢体痉挛患者随机分为观察组（36例，脱落5例）和对照组（36例，脱落6例）。对照组采用运动疗法治疗。观察组在对照组基础上，采用针刺透穴法，从囟会（GV 21）透百会（GV 20）、囟会（GV 21）透前顶（GV 22）等，每日1次，每周5次，共治疗4周。比较两组治疗前后改良Ashworth量表（MAS）、简化Fugl-Meyer运动功能评定量表（FMA）及改良Barthel指数（MBI）评分的变化。
治疗后，两组患者上下肢MAS评分均低于治疗前（P<0.05），且观察组低于对照组（P<0.05）。治疗后，两组患者FMA及MBI评分均高于治疗前（P<0.05），且观察组MBI评分高于对照组（P<0.05）。
在传统运动疗法基础上，头穴丛刺可减轻脑卒中后肢体痉挛患者的痉挛程度，改善运动功能及日常生活活动能力。
