Leng Qingying, Zheng Xuena, Zhong Hui, Xie Yanrou, Lu Leyi, Guo Yongliang, Liu Churong
Department of Rehabilitation Therapy, Guangdong 999 Brain Hospital, Guangzhou 510510, China.
Zhongguo Zhen Jiu. 2025 Feb 12;45(2):146-50. doi: 10.13703/j.0255-2930.20240115-k0004.
To evaluate the clinical efficacy of ultrasound-guided acupuncture at myofascial trigger points (MTrPs) on treating post-stroke foot drop.
Sixty patients with post-stroke foot drop were randomly assigned to an observation group 1 (20 cases, 1 case dropped out), an observation group 2 (20 cases, 2 casses dropped out), and a control group (20 cases). The control group received conventional acupuncture at Yanglingquan (GB34), Jiexi (ST41), Taichong (LR3), Zusanli (ST36), Xuanzhong (GB39), and Qiuxu (GB40) on the affected side, once daily. In addition to the treatment of the control group , the observation group 1 received acupuncture at the tibialis anterior and gastrocnemius MTrPs, once every other day, while the observation group 2 received ultrasound-guided acupuncture at the tibialis anterior and gastrocnemius MTrPs, once every other day. All groups were treated for two weeks. Three-dimensional gait analysis was performed using an infrared motion capture system, and the Holden walking scale was used to evaluate walking ability before and after treatment in the three groups.
Compared before treatment, the patients in the observation groups 1 and 2 showed increased walking speed (<0.05, <0.01), and improved Holden walking scale grades (<0.05, <0.01) after treatment; the patients in the observation group 2 also showed increased ankle dorsiflexion angles (<0.05). The walking speeds of the observation groups 1 and 2 were faster than those of the control group after treatment (<0.05), the Holden walking scale grade in the observation group 2 was superior to that in the control group (<0.05).
The ultrasound-guided acupuncture at MTrPs could effectively improve gait function in post-stroke foot drop patients.
评估超声引导下针刺肌筋膜触发点（MTrPs）治疗脑卒中后足下垂的临床疗效。
将60例脑卒中后足下垂患者随机分为观察组1（20例，脱落1例）、观察组2（20例，脱落2例）和对照组（20例）。对照组针刺患侧阳陵泉（GB34）、解溪（ST41）、太冲（LR3）、足三里（ST36）、悬钟（GB39）和丘墟（GB40），每日1次。观察组1在对照组治疗基础上，每隔1日针刺胫前肌和腓肠肌MTrPs；观察组2在对照组治疗基础上，每隔1日超声引导下针刺胫前肌和腓肠肌MTrPs。所有组均治疗2周。采用红外运动捕捉系统进行三维步态分析，并用Holden步行量表评估三组治疗前后的步行能力。
与治疗前比较，观察组1和观察组2患者治疗后步行速度增加（<0.05，<0.01），Holden步行量表评分改善（<0.05，<0.01）；观察组2患者踝关节背屈角度也增加（<0.05）。治疗后，观察组1和观察组2的步行速度均快于对照组（<0.05），观察组2的Holden步行量表评分优于对照组（<0.05）。
超声引导下针刺MTrPs可有效改善脑卒中后足下垂患者的步态功能。
