Department of Rehabilitation Medicine, Changchun University of Chinese Medicine, Changchun, China.
Department of Acupuncture and Tuina, Changchun University of Chinese Medicine, Northeast Asia Research Institute of Traditional Chinese Medicine, Changchun, China.
Medicine (Baltimore). 2023 Nov 24;102(47):e36079. doi: 10.1097/MD.0000000000036079.
Stroke is a neurological disease with many common complications that reduce the activities of daily living and the quality of life of patients. Traditional Chinese medicine (TCM) rehabilitation techniques, scalp acupuncture, and TCM can relieve spasticity symptoms and recovery from physical obstacles is significant.
Three hundred twenty-one patients with post-stroke limb spasticity were randomly divided into trial and control groups, with 159 and 162 patients in the trial and control groups, respectively. The control group received basic treatment combined with modern rehabilitation techniques, whereas the trial group received basic treatment combined with TCM, Tuina, and scalp acupuncture with kinesiotherapy. The treatment course in both groups was 4 weeks. The Modified Ashworth Scale, magnetic resonance imaging, and Stroke Specific Quality of Life Scale were used to evaluate limb spasticity, activities of daily living, and quality of life, respectively. PASW 18.0 was used for statistical analysis.
With a longer treatment period, the improvement in limb spasticity was greater in the trial group than in the control group (P < .05). Similarly, improvements in activities of daily living and quality of life were better in the trial group than in the control group (P < .05).
The TCM rehabilitation program using Tongjing Tiaoxing combined with scalp acupuncture and kinesiotherapy can effectively treat spasticity symptoms in stroke patients and improve their activities of daily living and quality of life.
中风是一种具有多种常见并发症的神经系统疾病，这些并发症降低了患者的日常生活活动能力和生活质量。中医康复技术、头皮针刺和中医可以缓解痉挛症状，对身体障碍的恢复有显著作用。
将 321 例中风后肢体痉挛患者随机分为试验组和对照组，每组 159 例和 162 例。对照组给予基础治疗联合现代康复技术，试验组给予基础治疗联合中医推拿、头皮针刺联合运动疗法。两组疗程均为 4 周。采用改良 Ashworth 量表、磁共振成像和中风专用生活质量量表分别评估肢体痉挛、日常生活活动和生活质量。采用 PASW 18.0 进行统计分析。
随着治疗时间的延长，试验组肢体痉挛的改善程度优于对照组（P<0.05）。同样，试验组日常生活活动和生活质量的改善也优于对照组（P<0.05）。
采用通经调神针法结合头皮针刺和运动疗法的中医康复方案能有效治疗中风患者的痉挛症状，提高其日常生活活动和生活质量。
