头针联合任务导向性训练对脑卒中下肢运动功能的影响

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Abstract Objective To explore the effect of head needle combined with task orientation training on lower limb motor function in stroke. Methods Two hundred and fifty-eight patients with stroke in Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine in Hebei Province from January 2017 to January 2019 were divided into routine rehabilitation group (86 cases), routine rehabilitation combined with head needle group (86 cases) and routine rehabilitation combined with head needle and task orientation training group (86 cases) according to the random number table method. The routine rehabilitation group was treated with routine rehabilitation training, routine rehabilitation combined with head needle group was treated with head acupuncture on the basis of routine rehabilitation group, routine rehabilitation combined with head needle and task orientation training group was treated with task orientation training on the basis of routine rehabilitation combined with head needle group. Three groups were treated for 8 weeks. Fugl-Meyer assessment (FMA) scores, Berg balance scale (BBS) scores, activity of daily living (ADL) scores and pace, step length of three groups before and after treatment were compared. The adverse reactions of three groups during the treatment were recorded. Results FMA scores, BBS scores and ADL scores of three group after treatment were significantly higher than those before treatment (P < 0.05). FMA scores, BBS scores and ADL scores of routine rehabilitation combined with head needle group and routine rehabilitation combined with head needle and task orientation training group were significantly higher than those of routine rehabilitation group (P < 0.05). FMA scores, BBS scores and ADL scores of routine rehabilitation combined with head needle and task orientation training group were significantly higher than those of routine rehabilitation combined with head needle group (P < 0.05). The pace of three groups after treatment was faster than before treatment, and the step length was longer than before treatment (P < 0.05). After treatment, the pace of routine rehabilitation combined with head needle group and routine rehabilitation combined with head needle and task orientation training group were faster than those of routine rehabilitation group, the step length was longer than that of conventional rehabilitation group (P < 0.05). After treatment, the pace of routine rehabilitation combined with head needle and task orientation training group was significantly higher than that of routine rehabilitation combined with head needle group, the step length was longer than that of conventional rehabilitation group (P < 0.05). During treatment, there was no adverse reaction among three groups. Conclusion Head needle combined with task orientation training can significantly improve the lower limbs motor function and balance ability in stroke, improve the quality of life of patients, which has good safety.

Key words： Stroke Rehabilitation training Head acupuncture Task orientation training Lower limb motor function

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	HU Feifei WANG Leilei LUO Xin

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HU Feifei WANG Leilei LUO Xin. Effect of head needle combined with task orientation training on lower limb motor function in stroke[J]. 中国医药导报, 2020, 17(14): 82-85.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I14/82

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