Impacts on fine movement of upper extremity with flaccid paralysis in stroke treated with acupuncture combined with motor imagery

doi:10.13703/j.0255-2930.2015.06.002

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Impacts on fine movement of upper extremity with flaccid paralysis in stroke treated with acupuncture combined with motor imagery

更新时间：2023-05-10

- Impacts on fine movement of upper extremity with flaccid paralysis in stroke treated with acupuncture combined with motor imagery
- Chinese Acupuncture and Moxibustion Vol. 35, Issue 6, Pages: 534-538(2015)
- 作者机构：
  
  1. 上海交通大学医学院附属仁济医院中医科
  2. 上海中医药大学附属岳阳中西医结合医院针灸科
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.2015.06.002
  CLC：
- Published：2015
- 稿件说明：
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Impacts on fine movement of upper extremity with flaccid paralysis in stroke treated with acupuncture combined with motor imagery[J]. Chinese Acupuncture and Moxibustion, 2015, 35(6): 534-538.
DOI：

Impacts on fine movement of upper extremity with flaccid paralysis in stroke treated with acupuncture combined with motor imagery[J]. Chinese Acupuncture and Moxibustion, 2015, 35(6): 534-538. DOI： 10.13703/j.0255-2930.2015.06.002.

摘要

目的:探讨针刺联合运动想象对脑卒中软瘫上肢精细动作的影响。方法:将62例上肢处于软瘫期的脑卒中偏瘫患者随机分为观察组(30例)、对照组(32例)。对照组采用常规西药治疗及肢体被动运动基础上予头穴透刺(百会透太阳为主)加患肢局部透刺(肩髃透臂臑、曲池透少海、外关透内关等)治疗

留针30min;观察组在对照组治疗基础上针刺留针期间予运动想象疗法。两组均每天治疗1次

每周治疗5天

共治疗4周。分别于入组时、治疗2周、4周后

及第6周、8周、90天后随访记录上肢动作研究量表(ARAT)和改良Fugl-Meyer(FMA)评分。结果:1上肢ARAT评分:从第2周起

各时间点两组比较

观察组ARAT评分均较对照组有显著提高(均P<0.05)。观察组组内各时间点两两比较

评分均有显著性提高(均P<0.05);对照组组内各时间点两两比较

第2周与治疗前比较P>0.05

其余时间点评分均有显著提高(均P<0.05)。2上肢FMA评分:第2周、第90天时

观察组FMA评分显著高于对照组(均P<0.05)。观察组组内各时间点两两比较

评分均显著提高(均P<0.05);对照组组内各时间点两两比较

除第90天与第8周比较P>0.05外

其余时间点均P<0.05。结论:采用针刺联合运动想象疗法对脑卒中软瘫期早期干预能有效促进上肢协调功能和精细动作的恢复

尤其在改善精细动作方面

疗效优于单纯针刺治疗。

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