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手指穴位按压联合下肢康复训练机对脑卒中恢复的影响。

Effects of finger acupressure combined with lower limb rehabilitation training machine on stroke recovery.

作者信息

Liu Xiaoxue, Zhang Feng, Li Yanhong, Zhao Jieqiong, Du Yatao, Zhang Qian, Li Weifang

机构信息

Rehabilitation Department of Hebei Province Traditional Chinese Medicine Hospital, Shijiazhuang, China.

Rehabilitation Department of the Third Hospital of Hebei Medical University, Shijiazhuang, China.

出版信息

Front Neurol. 2025 Aug 22;16:1609815. doi: 10.3389/fneur.2025.1609815. eCollection 2025.

DOI:10.3389/fneur.2025.1609815
PMID:40917657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12411164/
Abstract

BACKGROUND

Stroke is a common acute cerebrovascular disease, and rehabilitation therapy plays a crucial role in the recovery of stroke patients.

METHODS

In this retrospective study, we first enrolled 80 stroke patients. These participants were then randomly divided into two groups: the treatment group underwent finger acupressure combined with lower limb rehabilitation training machine, and the control group received basic rehabilitation therapy. Baseline differences between the two groups were analyzed, as well as changes in motor function (FMA, sFMA, MAS, 10-Meter Walk Test, 6-Minute Walk Test), balance ability (Tinetti Test, FRT, MRT, TUGT), neural repair markers (NSE, NFL, BDNF), blood and gas exchange parameters (SpO₂, RDW, PLT), and immune and inflammatory responses (CRP, IL-6, IL-10) before and after rehabilitation. A multivariate logistic regression analysis was conducted to evaluate the impact of rehabilitation methods, stroke-related factors, and their interactions on motor function and balance recovery. Additionally, long-term quality of life and one-year recurrence rates were compared between the treatment and control groups.

RESULTS

After treatment, compared with the control group, the treatment group showed significant improvements in motor function, balance ability, nerve repair, blood and gas exchange, immune and inflammatory response indicators. In addition to treatment methods, stroke type, stroke location, NIHSS score, and mRS score also significantly affect the recovery of motor function and balance ability. The treatment group has a better therapeutic effect in patients with lower baseline NIHSS scores, mRS scores, and ischemic stroke. The combination of finger acupressure and lower limb rehabilitation training machines can significantly improve the long-term quality of life of patients and reduce the one-year stroke recurrence rate.

CONCLUSION

Finger acupressure combined with the lower limb rehabilitation training machine enhances motor function and balance recovery in stroke patients by promoting neural repair, improving immune function, and reducing inflammatory responses. This therapeutic approach is particularly effective in patients with lower baseline NIHSS and mRS scores and those with ischemic stroke.

摘要

背景

中风是一种常见的急性脑血管疾病,康复治疗在中风患者的恢复中起着至关重要的作用。

方法

在这项回顾性研究中,我们首先招募了80名中风患者。然后将这些参与者随机分为两组:治疗组接受手指穴位按压结合下肢康复训练机治疗,对照组接受基本康复治疗。分析了两组之间的基线差异,以及康复前后运动功能(FMA、sFMA、MAS、10米步行测试、6分钟步行测试)、平衡能力(Tinetti测试、FRT、MRT、TUGT)、神经修复标志物(NSE、NFL、BDNF)、血液和气体交换参数(SpO₂、RDW、PLT)以及免疫和炎症反应(CRP、IL-6、IL-10)的变化。进行多因素逻辑回归分析,以评估康复方法、中风相关因素及其相互作用对运动功能和平衡恢复的影响。此外,比较了治疗组和对照组的长期生活质量和一年复发率。

结果

治疗后,与对照组相比,治疗组在运动功能、平衡能力、神经修复、血液和气体交换、免疫和炎症反应指标方面有显著改善。除治疗方法外,中风类型

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64d1/12411164/826528fa17f7/fneur-16-1609815-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64d1/12411164/826528fa17f7/fneur-16-1609815-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64d1/12411164/826528fa17f7/fneur-16-1609815-g001.jpg

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