Effect of interactive scalp acupuncture on upper limb function in patients with hemiplegia after stroke

SHI Jingqin; LIN Xiafei; SUI Yanfang; SONG Zhenhua

doi:10.13703/j.0255-2930.20231023-0002

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Effect of interactive scalp acupuncture on upper limb function in patients with hemiplegia after stroke

Acupuncture and Rehabilitation | 更新时间：2024-07-11

- Effect of interactive scalp acupuncture on upper limb function in patients with hemiplegia after stroke
- Chinese Acupuncture & Moxibustion Vol. 44, Issue 7, Pages: 749-753(2024)
- 作者机构：
  
  海口市人民医院康复医学科，海南海口　570208
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20231023-0002
  CLC：
- Received：23 October 2023，
  
  Online First：26 April 2024，
  
  Published：12 July 2024
- 稿件说明：
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SHI Jingqin, LIN Xiafei, SUI Yanfang, et al. Effect of interactive scalp acupuncture on upper limb function in patients with hemiplegia after stroke[J]. Chinese Acupuncture & Moxibustion, 2024, 44(7): 749-753.
DOI：

SHI Jingqin, LIN Xiafei, SUI Yanfang, et al. Effect of interactive scalp acupuncture on upper limb function in patients with hemiplegia after stroke[J]. Chinese Acupuncture & Moxibustion, 2024, 44(7): 749-753. DOI： 10.13703/j.0255-2930.20231023-0002.

摘要

目的：

探讨互动式头针联合任务导向性镜像疗法治疗脑卒中后偏瘫的临床疗效。

方法：

将86例脑卒中后偏瘫患者随机分为观察组（43例，脱落2例）和对照组（43例，脱落2例）。两组均接受脑卒中常规治疗和康复治疗，对照组在此基础上予以任务导向性镜像疗法治疗，每次40 min，每日1次，每周6 d；观察组在对照组治疗基础上予以互动式头针治疗，穴取病灶侧顶颞前斜线的上1/5、2/5和顶颞后斜线的上1/5、2/5，每次留针45 min，每日1次，每周6 d。两组均治疗4周。比较两组患者治疗前后及治疗结束后8周随访时Fugl-Meyer运动功能评定量表（FMA）评分、改良Ashworth量表（MAS）评分、肩外展角度、腕背伸角度及体感诱发电位N20潜伏期和波幅。

结果：

治疗后及随访时，两组患者FMA评分升高（

0.01），MAS评分降低（

0.01）；观察组患者FMA评分高于对照组（

0.01），MAS评分低于对照组（

0.01）。治疗后及随访时，两组患者肩外展、腕背伸角度增大（

0.01），N20潜伏期缩短、波幅升高（

0.01）；观察组患者肩外展、腕背伸角度大于对照组（

0.01），N20潜伏期短于对照组、波幅高于对照组（

0.01）。

结论：

互动式头针联合任务导向性镜像疗法可改善脑卒中后偏瘫患者上肢功能，降低患肢肌张力。

Abstract

Objective

To explore the clinical effect of interactive scalp acupuncture combined with task-oriented mirror therapy on hemiplegia after stroke.

Methods

A total of 86 patients with hemiplegia after stroke were randomly divided into an observation group (43 cases

2 cases dropped out) and a control group (43 cases

2 cases dropped out). Both groups received routine treatment and rehabilitation treatment for stroke. The control group was treated with task-oriented mirror therapy

40 min each time

once a day

6 days a week. The observation group was treated with interactive scalp acupuncture at ipsilateral upper 1/5 and 2/5 of the parietal and temporal anterior oblique line and upper 1/5 and 2/5 of the parietal and temporal posterior oblique line on the basis of the treatment as the control group

45 min each time

once a day

6 days a week. Both groups were treated for 4 weeks. Before and after treatment and in follow-up of 8 weeks after treatment completion

the Fugl-Meyer assessment (FMA) score

modified Ashworth scale (MAS) score

shoulder abduction angle

wrist dorsiflexion angle and N20 latency and amplitude of somatosensory evoked potential were compared between the two groups.

Results

After treatment and in follow-up

the FMA scores were increased (

0.01)

the MAS scores were decreased (

0.01) compared with those before treatment in the two groups; the FMA scores in the observation group were higher than those in the control group (

0.01)

the MAS scores were lower than those in the control group (

0.01). After treatment and in follow-up

the shoulder abduction angle and wrist dorsiflexion angle was increased (

0.01)

the N20 latency was shortened and amplitude was increased (

0.01) compared with that before treatment in both groups; the shoulder abduction angle and wrist dorsiflexion angle in the observation group was greater than that in the control group (

0.01)

the N20 latency was shorter than that in the control group (

0.01)

and the N20 amplitude was higher than that in the control group (

0.01).

Conclusion

Interactive scalp acupuncture combined with task-oriented mirror therapy can improve upper limb function in patients with hemiplegia after stroke

and reduce the muscular tone of the affected limb.

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