Jianfei Song, Zhengyuan Qin, Xinlu G U, Yan Zhang, Xingrui L I
Center for Rehabilitation Assessment and Therapy, Zhejiang Rehabilitation Medical Center (Rehabilitation Hospital Affiliated to Zhejiang Chinese Medical University), Hangzhou 310052, China.
J Tradit Chin Med. 2025 Aug;45(4):860-866. doi: 10.19852/j.cnki.jtcm.2025.04.015.
To investigate the effects of acupuncture combined with upper limb rehabilitation robot on neural remodeling and functional recovery in post-stroke patients.
There were 50 stroke patients were randomly divided into an experimental group (acupuncture combined with upper limb rehabilitation robot assisted training) and a control group (upper limb rehabilitation robot assisted training). Various assessments were conducted to compare the effects of the two treatments on neural remodeling and functional recovery. Functional near-infrared spectroscopy technology was used to assess the effects of different treatments on neural plasticity and their impact on upper limb function and activities of daily living.
The experimental group showed significantly higher concentrations of oxygenated hemoglobin and total hemoglobin in specific brain regions compared to the control group ( 0.05). Additionally, the experimental group had significantly lower concentrations of deoxygenated hemoglobin ( 0.05). After treatment, both groups showed improvements in various measures, but the experimental group had significantly greater improvements ( 0.05).
Acupuncture combined with upper limb rehabilitation robot can effectively improve upper limb function and neural remodeling in stroke patients. This study supports the integration of Traditional Chinese and Western Medicine in improving limb dysfunction post-stroke.
探讨针刺联合上肢康复机器人对脑卒中患者神经重塑及功能恢复的影响。
将50例脑卒中患者随机分为实验组(针刺联合上肢康复机器人辅助训练)和对照组(上肢康复机器人辅助训练)。进行各项评估以比较两种治疗方法对神经重塑和功能恢复的效果。采用功能近红外光谱技术评估不同治疗方法对神经可塑性的影响及其对上肢功能和日常生活活动的影响。
与对照组相比,实验组特定脑区的氧合血红蛋白和总血红蛋白浓度显著更高(P<0.05)。此外,实验组的脱氧血红蛋白浓度显著更低(P<0.05)。治疗后,两组各项指标均有改善,但实验组的改善更为显著(P<0.05)。
针刺联合上肢康复机器人可有效改善脑卒中患者的上肢功能和神经重塑。本研究支持中西医结合改善脑卒中后肢体功能障碍。