Clinical observation on <italic style="font-style: italic">jingjin</italic> needling combined with rehabilitation training in patients with post-stroke spastic paralysis

CAO Yuneng; ZHANG Wei; BAI Yaqin; HAO Chengya; HE Zhenyan; CHENG Aijun

doi:10.13703/j.0255-2930.20240312-k0002

您当前的位置：

首页 >

文章列表页 >

Clinical observation on jingjin needling combined with rehabilitation training in patients with post-stroke spastic paralysis

Clinical Research | 更新时间：2025-06-13

- Clinical observation on jingjin needling combined with rehabilitation training in patients with post-stroke spastic paralysis
- Chinese Acupuncture & Moxibustion Vol. 45, Issue 6, Pages: 717-722(2025)
- 作者机构：
  
  济宁市中医院康复科，山东济宁 272000
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20240312-k0002
  CLC：
- Received：12 March 2024，
  
  Online First：02 April 2025，
  
  Published：12 June 2025
- 稿件说明：
移动端阅览
CAO Yuneng, ZHANG Wei, BAI Yaqin, et al. Clinical observation on jingjin needling combined with rehabilitation training in patients with post-stroke spastic paralysis[J]. Chinese Acupuncture & Moxibustion, 2025, 45(6): 717-722. DOI: 10.13703/j.0255-2930.20240312-k0002.
DOI：

CAO Yuneng, ZHANG Wei, BAI Yaqin, et al. Clinical observation on jingjin needling combined with rehabilitation training in patients with post-stroke spastic paralysis[J]. Chinese Acupuncture & Moxibustion, 2025, 45(6): 717-722. DOI: 10.13703/j.0255-2930.20240312-k0002. DOI：

摘要

目的：

比较经筋针刺联合康复训练与常规针刺联合康复训练治疗脑卒中后痉挛性瘫痪的临床疗效。

方法：

将60例脑卒中后痉挛性瘫痪患者随机分为观察组和对照组，各30例。两组患者均接受常规康复训练，观察组采用经筋针刺治疗，针刺上肢肩、肘、腕和下肢髋、膝、踝处经筋结点；对照组采用常规针刺治疗，穴取患侧肩髃、曲池、合谷、髀关、风市、太冲等。两组均每日1次，每周5 d，共治疗4周。分别于治疗前后观察两组患者临床痉挛指数（CSI）、改良Ashworth量表、改良Barthel指数（MBI）和Fugl-Meyer运动功能评估量表（FMA）评分，并比较两组患者起效时间。

结果：

治疗后，两组患者CSI、改良Ashworth量表评分较治疗前降低（

0.001），MBI、FMA评分较治疗前升高（

0.001）；观察组患者CSI、改良Ashworth量表评分低于对照组（

0.05），MBI评分高于对照组（

0.05），两组患者FMA评分比较差异无统计学意义（

0.05）。观察组起效时间早于对照组（

0.05）。

结论：

经筋针刺联合康复训练和常规针刺联合康复训练均可有效治疗脑卒中后痉挛性瘫痪，经筋针刺联合康复训练疗效更明显，起效更快。

Abstract

Objective

To compare the clinical efficacy of

jingjin

needling combined with rehabilitation training and conventional acupuncture combined with rehabilitation training for post-stroke spastic paralysis.

Methods

A total of 60 patients with post-stroke spastic paralysis were randomly divided into an observation group and a control group

30 cases in each one. Both groups received conventional rehabilitation training. In the observation group

jingjin

needling was applied at tendon blockage points of the shoulder

elbow

wrist

hip

knee

and ankle. In the control group

conventional acupuncture was applied at Jianyu (LI15)

Quchi (LI11)

Hegu (LI4)

Biguan (ST31)

Fengshi (GB3

Taichong (LR3)

etc. on the affected side. Treatment was given once daily

5 days a week for 4 weeks in both groups. The scores of clinical spasticity index (CSI)

modified Ashworth scale

modified Barthel index (MBI)

and Fugl-Meyer assessment scale (FMA) were evaluated before and after treatment

and the onset time was compared between the two groups.

Results

After treatment

the scores of CSI and modified Ashworth scale were decreased compared with those before treatment (

0.001)

while the scores of MBI and FMA were increased compared with those before treatment (

0.001) in the two groups. After treatment

the scores of CSI and modified Ashworth scale in the observation group were lower than those in the control group (

0.05)

the MBI score in the observation group was higher than that in the control group (

0.05). There was no statistically significant difference in FMA scores between the two groups (

0.05). The onset time of the observation group was earlier than that in the control group (

0.05).

Conclusion

Both

jingjin

needling combined with rehabilitation training and conventional acupuncture combined with rehabilitation training can effectively treat post-stroke spastic paralysis

jingjin

needling combined with rehabilitation training exhibits better therapeutic effect and rapider onset.

关键词

Keywords

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Relaxing needling at starting and ending points of muscles for upper limb spastic paralysis after stroke: a randomized controlled trial

Efficacy of ultrasound-guided acupuncture at myofascial trigger points on improving gait function in patients with post-stroke foot drop

Tongdu Tiaoshen acupuncture combined with Bobath rehabilitation training for upper limb spasm after stroke: a randomized controlled trial

Shengqing Jiangzhuo acupuncture method for sepsis-associated gastrointestinal dysfunction: a randomized controlled trial

Effect of electroacupuncture on microglial activation in the lumbar spinal cord of rabbits with lumbar intervertebral disc degeneration

Related Author

SHANG Kai

LI Hongyan

GUO Hedong

YOU Tairan

GUO Hangtian

DUN Huashuai

LENG Qingying

ZHENG Xuena

Related Institution

Department of Rehabilitation Medicine, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University

Department of Rehabilitation, Xuzhou Rehabilitation Hospital, Affiliated to Xuzhou Medical University

Department of Rehabilitation Therapy, Guangdong Brain Hospital

Department of Geriatrics, Second Affiliated Hospital of Anhui University of CM

Department of TCM, Affiliated Brain Hospital of Guangzhou Medical University

⁰

Clinical observation on jingjin needling combined with rehabilitation training in patients with post-stroke spastic paralysis

DOI：10.13703/j.0255-2930.20240312-k0002

摘要

Abstract

关键词

Keywords

references