[Clinical observation on needling combined with rehabilitation training in patients with post-stroke spastic paralysis].

OBJECTIVE

To compare the clinical efficacy of needling combined with rehabilitation training and conventional acupuncture combined with rehabilitation training for post-stroke spastic paralysis.

METHODS

A total of 60 patients with post-stroke spastic paralysis were randomly divided into an observation group and a control group, 30 cases in each one. Both groups received conventional rehabilitation training. In the observation group, needling was applied at tendon blockage points of the shoulder, elbow, wrist, hip, knee, and ankle. In the control group, conventional acupuncture was applied at Jianyu (LI15), Quchi (LI11), Hegu (LI4), Biguan (ST31), Fengshi (GB31), Taichong (LR3), etc. on the affected side. Treatment was given once daily, 5 days a week for 4 weeks in both groups. The scores of clinical spasticity index (CSI), modified Ashworth scale, modified Barthel index (MBI), and Fugl-Meyer assessment scale (FMA) were evaluated before and after treatment, and the onset time was compared between the two groups.

RESULTS

After treatment, the scores of CSI and modified Ashworth scale were decreased compared with those before treatment (<0.001), while the scores of MBI and FMA were increased compared with those before treatment (<0.001) in the two groups. After treatment, the scores of CSI and modified Ashworth scale in the observation group were lower than those in the control group (<0.05), the MBI score in the observation group was higher than that in the control group (<0.05). There was no statistically significant difference in FMA scores between the two groups (>0.05). The onset time of the observation group was earlier than that in the control group (<0.05).

CONCLUSION

Both needling combined with rehabilitation training and conventional acupuncture combined with rehabilitation training can effectively treat post-stroke spastic paralysis, needling combined with rehabilitation training exhibits better therapeutic effect and rapider onset.