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

SHANG Kai; LI Hongyan; GUO Hedong; YOU Tairan; GUO Hangtian; DUN Huashuai

doi:10.13703/j.0255-2930.20240925-0001

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

Clinical Research | 更新时间：2026-01-16

- Relaxing needling at starting and ending points of muscles for upper limb spastic paralysis after stroke: a randomized controlled trial
- Chinese Acupuncture & Moxibustion Vol. 46, Issue 1, Pages: 9-15(2026)
- 作者机构：
  
  徐州市中心医院/徐州医科大学徐州临床学院康复医学科，江苏徐州　221000
  徐州市康复医院/徐州医科大学附属徐州康复医院康复治疗部，江苏徐州　221000
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20240925-0001
  CLC：
- Received：25 September 2024，
  
  Online First：10 November 2025，
  
  Published：12 January 2026
- 稿件说明：
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SHANG Kai, LI Hongyan, GUO Hedong, et al. Relaxing needling at starting and ending points of muscles for upper limb spastic paralysis after stroke: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(1): 9-15.
DOI：

SHANG Kai, LI Hongyan, GUO Hedong, et al. Relaxing needling at starting and ending points of muscles for upper limb spastic paralysis after stroke: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(1): 9-15. DOI： 10.13703/j.0255-2930.20240925-0001.

摘要

目的：

观察恢刺肌肉起止点治疗脑卒中后上肢痉挛性瘫痪的临床疗效。

方法：

将62例脑卒中后上肢痉挛性瘫痪患者随机分为观察组和对照组，每组31例。两组均予基础治疗，观察组予针刺健侧顶颞前斜线、百会、印堂、双侧风池，恢刺选取患侧上肢肱二头肌起止点、尺侧腕屈肌起止点和桡侧腕屈肌起止点；对照组予常规针刺，穴取健侧顶颞前斜线、百会、印堂、水沟、双侧风池和患侧极泉、尺泽等。两组针刺均每日1次，每周5次，连续治疗4周。分别于治疗前后观察两组患者患侧上肢改良Ashworth痉挛评定量表（MAS）评级、Fugl-Meyer上肢运动功能评定（FMA-UE）评分和改良Barthel指数（MBI）评分，并于治疗后评定两组临床疗效。

结果：

治疗后，两组患者患侧上肢MAS评级均较治疗前降低（

0.001，

0.05），患侧FMA-UE、上肢MBI评分均较治疗前升高（

0.001）；观察组患者患侧FMA-UE、上肢MBI评分高于对照组（

0.01）。观察组临床疗效优于对照组（

0.05）。

结论：

恢刺肌肉起止点可有效改善脑卒中后上肢痉挛性瘫痪，降低肌张力，改善运动功能，提高生活质量。

Abstract

Objective

To observe the clinical efficacy of

huici

(relaxing needling) at starting and ending points of muscles for upper limb spastic paralysis after stroke.

Methods

A total of 62 patients with upper limb spastic paralysis after stroke were randomized into an observation group and a control group

31 cases in each one. Both groups received basic treatment. In the observation group

acupuncture was applied at anterior temporal oblique line on the healthy side

Baihui (GV20)

Yintang (GV24

) and bilateral Fengchi (GB20)

and relaxing needling was applied at starting and ending points of the biceps brachii

flexor carpi ulnaris

and flexor carpi radialis on the affected side. In the control group

conventional acupuncture was applied at anterior temporal oblique line on the healthy side

Baihui (GV20)

Yintang (GV24

)

Shuigou (GV26)

bilateral Fengchi (GB20)

and Jiquan (HT1)

Chize (LU5)

etc. on the affected side. Acupuncture was delivered once daily

5 times a week for 4 weeks. The modified Ashworth scale (MAS) grade

Fugl-Meyer assessment-upper extremity (FMA-UE) score and modified Barthel index (MBI) score were observed before and after treatment

and the clinical efficacy was evaluated after treatment in the two groups.

Results

After treatment

the MAS grade of upper limb on the affected side was decreased compared with that before treatment (

0.001

0.05)

the scores of FMA-UE and MBI of upper limb on the affected side were increased compared with those before treatment (

0.001) in the two groups. After treatment

the scores of FMA-UE and MBI of upper limb on the affected side in the observation group were higher than those in the control group (

0.01). The clinical efficacy in t

he observation group was superior to that in the control group (

0.05).

Conclusion

Relaxing needling at starting and ending points of muscles effectively improves upper limb spastic paralysis after stroke

reduces muscle tone

improves motor function and enhances quality of life.

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