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| Clinical effect of head point cluster acupuncture on spastic hemiplegia after stroke |
| REN Ting1 WANG Hongxu2 LI Hongyu3 WANG Xue4 ZHU Luwen4 TANG Qiang4 |
1.The First Department of Neurological Rehabilitation, Hanan Branch of the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150000, China;
2.the Second Department of Orthopaedics, the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150000, China;
3.the First Department of Rehabilitation Medicine, the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150000, China;
4.Department of Rehabilitation, the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150000, China
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Abstract Objective To analyze the treatment of spastic hemiplegia after stroke by surface electromyographic signal, and to explore the clinical effect of head point cluster acupuncture on hemiplegia after stroke. Methods A total of 62 patients with stroke spastic hemiplegia who were admitted to the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine from October 2020 to June 2021 were selected and divided into control group and experimental group according to random number table method, with 31 cases in each group. The control group received routine rehabilitation training, and the experimental group was treated with head point cluster acupuncture based on the rehabilitation training of the control group. Both groups were treated for four weeks. The modified Ashworth scale (MAS), Fugl-Meyer assessment (FMA), Barthel index (BI) of ability to perform activities of daily living, and integrated electromyographic (IEMG) were used to evaluate the efficacy. Results Due to the shedding of one case during the test in the experimental group, 30 cases were included in the final statistical analysis. Compared with before intervention, MAS scores in both groups were decreased after intervention, and those in the experimental group were lower than those in the control group, the differences were statistically significant (P＜ 0.05). Compared with before intervention, FMA and BI scores of the two groups were significantly increased after intervention, and those in the experimental group were higher than those in the control group, the differences were statistically significant (P＜0.05). Compared with before intervention, IEMG of biceps and rectus femoris were decreased in two groups, and those in the experimental group were lower than those in the control group, the differences were statistically significant (P＜0.05). Compared with before intervention, IEMG of triceps and biceps femoris were increased in two groups, and those in the experimental group was higher than those in the control group, the differences were statistically significant (P＜0.05). Conclusion Head point cluster acupuncture can effectively reduce the muscle tension of stroke patients with spastic hemiplegia and improve their motor function and ability of daily living.
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