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| Effect of acupoint electroacupuncture combined with intramuscular effect plaster in the treatment of shoulder hand syndrome after stroke |
| LIU Lijie1 HAO Na1▲ CUI Qian2 CHEN Xinyi1 JIN Di3 ZHAO Dong4 |
1.Department of Rehabilitation, Liaoning Jinqiu Hospital, Liaoning Province, Shenyang 110016, China;
2.Department of Rehabilitation, Shengjing Hospital Affiliated to China Medical University, Liaoning Province, Shenyang 110134, China;
3.Department of Encephalopathy, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Liaoning Province, Shenyang 110021, China; 4.Ward Two, Department of General Geriatrics, Liaoning Jinqiu Hospital, Liaoning Province, Shenyang 110021, China
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Abstract Objective To explore the effect of acupoint electroacupuncture combined with intramuscular effect plaster in the treatment of shoulder hand syndrome after stroke. Methods A total of 174 patients with shoulder hand syndrome after stroke admitted to Liaoning Jinqiu Hospital from February 2021 to September 2022 were selected and they were divided into control group A (58 cases), control group B (58 cases) and observation group (58 cases) according to random number table method. Control group A was treated with intramuscular effect plaster, control group B was treated with acupoint electroacupuncture, and observation group was treated with acupoint electroacupuncture combined with intramuscular effect plaster. All three groups were treated for three courses. Symptom scores, clinical efficacy, biomechanical indicators of shoulder and hand muscle groups and treatment safety were compared among three groups. Results After treatment, the scores of traditional Chinese medicine syndrome and shoulder hand syn drome assessment scale (SHSS) in three groups were lower than those before treatment, the scores of Fugl-Meyer assessment scale (FMA) in three groups were higher than those before treatment, and the scores of traditional Chinese medicine syndrome and SHSS in observation group were lower than those in control group A and control group B, FMA scores in observation group were higher than those in control group A and control group B, and the differences were statistically significant (P＜0.05). Clinical efficacy of observation group was superior to that of control group A and control group B, the difference was statistically significant (P＜0.05). After treatment, the peak torque of shoulder abductor muscle, anterior flexor muscle, internal rotator muscle, and external rotator muscle of three groups were higher than those before treatment, and those of observation group was higher than those of control group A and control group B, the differences were statistically significant (P＜0.05). There was no statistically significant difference in the incidence rate of adverse reactions among observation group, control group A and control group B (P＞0.05). Conclusion The acupoint electroacupuncture combined with intramuscular effect plaster in the treatment of shoulder hand syndrome after stroke has a significant effect, which can improve patient symptoms and shoulder muscle strength, improve limb motor function, and have good treatment safety.
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